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life after prolapse surgery

Life after prolapse surgery

A prolapse can be a common medical condition, especially among women who have given birth, and is due to the tissues supporting the pelvic muscles becoming weak. The forces bearing down on the pelvis and uterus are stronger than the muscles holding them up which leads to the prolapse itself. Luckily, prolapse surgery can solve this issue for you and help get your life back to normal.

What to expect from life after prolapse surgery

Whatever type of prolapse you have and the surgery needed to correct it, we are confident here at The Pelvic Clinic that you will experience great benefits from undergoing the procedure. Our surgeon, Mr Jonathan Broome, is an expert in his field and has seen just how fabulous life after prolapse surgery can be, from the patients he has treated.

The number one thing to expect is that you will get your quality of life back and be able to fully enjoy yourself again. Any pain or discomfort related to the prolapse will have been eliminated by the procedure, leaving you to return to how your life was pre-prolapse.

It can help you get healthier.

If you suffer from a prolapse, then it can severely limit some of the leisure activities you can do, particularly in relation to exercising. After prolapse surgery and the relevant recovery time, you should be able to take part in any exercise you like which will, in turn, benefit your future general health. This can even be true for past-times such as horse-riding which would be too painful prior to prolapse surgery.

Many ladies can return to doing the things they love the most more quickly than they anticipated. For others who are of child-rearing age, they can consider having another child – as a few of Mr Broome’s patients have decided to do. However, there is still a period of convalescence required by all.

Remember to take it easy at first.

As with all surgery, you must follow the recovery advice post-surgery to ensure you heal fully. Don’t lift anything heavy for around 6 weeks and drink plenty of water along with eating plenty of fruit and vegetables. If you happen to develop a cough, then see your GP straight away as this can cause a strain on the ligaments within your body.

If you need any further advice on prolapse surgery and how The Pelvic Clinic can help transform your life, get in touch today. Mr Broome has a very high success rate on the Sacrohysteropexy operation and has performed over 2000 prolapse repair operations with great results, to give you total peace of mind.

Recovering from prolapse surgery

Uterine prolapse is a condition that can occur in women after a particularly difficult vaginal delivery of a child. The pelvic floor muscles lose their ability to support the uterus properly, and it slips down; this impairs sexual functions and can cause bleeding, constipation and other symptoms. Often, prolapse surgery is the only way to treat the condition.

An alternative to hysterectomy, sacrohysteropexy is a surgery that mitigates uterine prolapse by resuspending the uterus using a synthetic mesh to lift it back into place, and Mr Jonathan Broome, our Consultant Gynaecologist, is one of the UK’s leading surgeons in this procedure. The corrective procedure comes in the form of open surgery or the less-invasive laparoscopic surgery using keyhole incisions. Mr Broomes method of inserting mesh is done through the abdomen which is a cleaner way than inserting it vaginally.

Whether you have a hysterectomy or sacrohysteropexy, some people tend to fear surgery not only because of the risks involved but because of its effect on daily life. Of course, any operation takes time to heal, but there are ways to help your recovery along.

First of all, nutrition is vital. While you are still in the hospital, they will recommend a specific diet, often liquid, that will help you to get better. Even though you might not be hungry, remember that your body needs the nutrients to heal. Sipping something sour or tangy like teas and bitters helps improve the appetite. Find something that suits your taste to get you in the mood for the essential act of eating.

Secondly, look after your immune system. Some drugs administered around surgery like antibiotics and general anaesthesia can lower your t-cell count. Be sure to have a proper intake of vitamins to keep your immune system healthy to defend your body against infections that will only extend your period of recovery. This is something you can do in the weeks and months prior to surgery by engaging in a healthy diet.

Finally, remember to exercise your body but not to strain yourself. Exercise helps blood flow and boosts your metabolism. It can be something as simple as taking a walk once in a while or stretching your legs and arms. Just to be careful; ask your physician when considering what form of exercise you want to undertake to avoid injuring yourself.

Most of all, exercise a measure of patience. The body needs time to heal and you will be happier if you let it do it properly. If you’d like to discuss the options for prolapse surgery available to you, contact us at The Pelvic Clinic today.

think positively

The power of positivity

Going through any form of surgery can be daunting, even if it’s relatively straightforward. The prolapse repair surgery that we offer here at The Pelvic Clinic is simple, safe and highly effective. Nonetheless, it’s understandable that you might feel tense or anxious before and after the surgery. That’s why we’ve decided to provide you with some tips on maintaining a positive attitude before, during and after your prolapse repair operation. A positive attitude can aide your recovery and make the surgery itself seem less intimidating.

1. Think statistically

In the run-up to your operation, it’s important to reassure yourself that the surgery will go smoothly. You may find it helpful to contemplate the statistics associated with our prolapse repair. Specifically, you should focus on the fact that our surgeon, Mr Jonathan Broome, has performed over one thousand sacrohysteropexy prolapse repair procedures and has a 100% success rate. This will help you remember that you have nothing to be anxious about and enable you to feel confident about your operation.

2. Talk openly

It’s easy for feelings of anxiety and stress to build up if you keep quiet about your prolapse or your upcoming prolapse repair surgery. That’s why we strongly recommend that you are completely open with your friends and loved ones about your problem and the steps you are taking to fix it. Being open about it will make your operation seem less major and scary. You can also talk through anything you might be concerned about and get the reassurance you need.

3. Get to know your surgeon

We recommend talking to us at The Pelvic Clinic and speaking to Mr Broome himself before your operation. Communicating with your surgeon can help you put your trust in them, which will enable you to feel at ease before and during your operation.

4. Focus on achievable goals

Most people recover from prolapse repair surgery very quickly, but nobody recovers instantly! After your surgery, don’t expect to be back to normal straight away. Focus on each stage of your recovery, one at a time. This will help you keep track of your recovery process and feel that you are making progress, thereby enabling you to maintain a positive attitude.

Positivity is important when confronting surgery, so follow the tips we’ve provided you with to ensure that you can feel happy and confident about your sacrohysteropexy.

steps to recovery after prolapse

The dos and don’ts of post-prolapse recovery

There are several vital steps you must take after suffering a prolapsed uterus and to protect any prolapse repair you may have had. As with most areas of medicine there are definite dos and don’ts. Here’s a run down of what you should and shouldn’t be doing during your post surgery recovery.

Do…

• Spend time exercising your pelvic floor muscles. You should start exercises, like kegel exercises after you have received treatment and your specialist has cleared you to begin.

• Wear high quality underwear, such as support briefs, to help hold everything in place for you.

• Ensure you have regular and healthy bowel movements – i.e. avoid constipation and ensure you never strain.

• Alternate your activities between sitting and standing in order to avoid standing for prolonged periods. This is especially vital while you are in recovery from any kind of surgery to repair your pelvic floor.

• Complete any tasks or chores early in the day.

• Split your tasks so that you do them little but often, for example, vacuum over a few days rather than doing the whole house in one go. If you are overweight, lose any excess weight you are carrying, and ensure you stay in a healthy weight range.

• Rest in the afternoon and, when possible, elevate your legs.

• Maintain a good posture.

• If you suffer from chronic forms of hayfever, sneezing or coughing, speak to your doctor about managing them.

Don’t…

• Strain during bowel movements or allow yourself to become constipated.

• Do any pulling, pushing, heavy lifting, or bending.

• Smoke – aside from the general health risks, the associated coughing is very bad for prolapse recovery.

• Any high impact sports such as sit-ups, jogging, high impact aerobics and horse-riding.

• Any form of heavy resistance training.

• Intense abdominal or core body exercises.

• Become overweight.

For more information about prolapse surgery and repair, contact Mr Jonathan Broome at The Pelvic Clinic.

 

Health preparation for prolapsed uterus surgery

Health problems can make you feel helpless, especially if you’ve had uterus problems for some time and are worried about losing your chance to have children. Once you have opted for prolapsed uterus surgery, how can you put yourself back in control and prepare for surgery in a positive way?

Eating for recovery

As with all aspects of your health and well-being, eating a balanced diet before and after surgery is crucial. Nourishing your body in the right way helps support cell renewal and the healing process.

Many people rightly associate eating more fibre with a healthy bowel, eliminating waste and toxins. However, it also helps keep cholesterol and bile levels down, plus it improves your inflammatory response and blood pressure.

Put some juice in it

It’s a good time to check you’re eating plenty of fruits and vegetables, particularly those rich in Vitamin C, which supports the process of healing body tissue. Don’t go to extremes though, as too much can result in thinning of your blood.

Foods rich in antioxidants can be an excellent way to rebalance your system after surgery. They are particularly prevalent in raw or juiced fruits and vegetables. Smoothies are fun to experiment with and an easily digestible source of “the good stuff”!

Caution and exercise

Preparing for surgery is also a good time to think about your intake of calories, particularly fat. Reducing this down will help you to avoid surgical complications.

Exercise is also important. Exercise releases endorphins and these interact with our brain to create positive feelings and improve our pain threshold.

You don’t have to take up running or hit the gym to make a difference. Walking and yoga are both excellent for improving circulation, strength and flexibility in your abdomen.

Lastly, a positive and calm attitude is proven to help prepare for and recover from surgery.

Try not to let a whirlwind of preparations and anxieties about your surgery overwhelm you. Feel free to ask the staff at The Pelvic Clinic any questions you have, and surround yourself with positive energy, people and experiences.

 

walking after sacrohysteropexy

Exercises to avoid following prolapse surgery

Gentle exercise after undergoing prolapsed uterus surgery can aid the recovery process, and many women find exercising helps them to get their life back to some kind of normality again.

Yet, knowing which exercises you can and can’t do is important to ensure you recover well from the sacrohysteropexy procedure, and to avoid putting undue pressure on the pelvic floor, which may result in further uterus problems. Here are some exercises to avoid.

Sit-ups

Sit-ups are designed to help strengthen your abdominal muscles, where you lie on your back and pull your torso up to a sitting position without using your arms. As well as the traditional sit-up, there are different variations of the sit-up, including incline sit-ups, oblique sit-ups and sit-ups using an exercise ball. Although these are excellent abdominal core exercises, they’re too intense for someone who has just had prolapse surgery, so avoid them until you are fully recovered.

Intense yoga or Pilates

Yoga and Pilates can help in your recovery following prolapse surgery, but it’s essential to know which types of movements or positions are safe to follow. Some may be too intense or strenuous and could cause the downward movement of the pelvic floor. Deep squat poses, for example, put pressure on the pelvic region, while forward bend poses also increase downward pressure on the pelvis. Some poses can be modified to reduce pressure, but seek expert guidance before resuming these activities following surgery.

Weight lifting

It’s a well-known fact that heavy lifting following prolapse repair should be avoided, so if you usually lift weights at the gym, you’ll need to give them a miss for a good while. Even simple tasks such as carrying shopping bags or lifting up children can put a strain on the uterus, so heavy lifting of any type is not advisable at this time.

Running

Running is a high impact sport, which puts downward pressure on the pelvic region. It is, therefore, not a recommended activity during the recovery phase following prolapse surgery. Other high impact exercises, such as horseriding and aerobics, should also be avoided at this time.

So the best form of exercise is walking. Start off gently and build up as you feel comfortable to a faster pace. If you have any questions, please contact us at The Pelvic Clinic.

 

time to recover after prolapse surgery

How to ensure a good recovery after prolapse surgery

Surgery to repair a prolapsed uterus can transform women’s lives – in time, allowing them to get back to a full and active routine without uterine pain.

If you’re about to undergo prolapse surgery, or have just had such an operation, here are a few key rules from The Pelvic Clinic to ensure a good recovery:

* Don’t do any heavy lifting for six weeks – this puts a strain on the abdomenal muscles. Avoid lifting children, heavy boxes or heavy bags of shopping, and take care when out dog walking. A large dog pulling on a lead can also be a problem.

* Eat well and ensure you drink plenty of water – this will help prevent you becoming constipated, and avoid putting a strain on your pelvic area. Increase your intake of green, leafy vegetables, pulses, and fresh fruit, and increase the amount of water you’re drinking. Avoid cakes and biscuits.

* Don’t drive until you can sit in a car seat comfortably with the seat belt on – you also need to be able to perform an emergency stop comfortably. We advise waiting two weeks after surgery.

* Take things slowly – most women reduce their analgaesia when they are at home, but as they do more, they may suffer some discomfort. Be aware of when you need pain relief, and take your recovery slowly.

* Wait a few weeks to resume having sex – it takes around two weeks for internal bruising to subside, the internal sutures to dissolve, and your body to recover from the surgery.

* If you develop a cough, see your GP for advice – coughing can put a strain on the muscles and ligaments in the same way lifting does, and you should avoid it.

If you follow our tips, your quality of life could be transformed. Our surgeon Mr Jonathan Broome has successfully performed more than 1,000 procedures to return pelvic organs to their correct positions without the need for a hysterectomy.

One patient told us: “Thank you ever so much for giving me my life back. I can now plan ahead for holidays and nights out without worrying about whether or not I will be well enough to go.”

 

If you have any questions, please do not hesitate to ask us via our contact page.

 

embarrassment

Do you feel embarrassed by your prolapse? Talking can help

Many women are hesitant to seek prolapse repair surgery because they are embarrassed by their conditions. As we mentioned in a previous blog entry, this embarrassment can sometimes lead to mental health problems. But what can you do if you suffer from a less debilitating level of embarrassment? It is still important to overcome this emotional barrier so that you can seek the treatment you need and shed the shame of your condition. We believe that the key to getting over your embarrassment is talking: discussing your condition and bringing it out into the open can help destroy the sense of stigma you may feel about it. So, who can you talk to about a prolapse?

1. Your GP

Your GP may have diagnosed your prolapse originally. What’s more, they should be highly professional and very calm in their treatment of you. As such, they may be the easiest person to talk to about your condition. If you discuss your prolapse with your GP, you’ll soon realise that the problem is common, treatable and not something you should feel ashamed of.

2. Your family

As we’ve discussed before in relation to other topics, your family can be an invaluable source of support. They know you better than anyone else and should rally round you to help you deal with your problems, including your prolapse. Telling those closest to you can be a vital step in getting over the embarrassment associated with a prolapse, so try to be as open with your family as possible.

3. Friends

While your friends may not be as close to you as your family, they still provide a support network that can help you overcome your embarrassment.

4. A counsellor

If you feel particularly embarrassed about needing prolapse repair surgery, you may wish to go to a professional counsellor who can help you work through your emotions. This may not be necessary in all cases, but it’s a perfectly sensible option for many women awaiting prolapse repair surgery.

Here at The Pelvic Clinic, we want you to feel confident about asking for the surgery you need. Talk to whoever you need to manage your prolapse-related embarrassment. Remember, the sooner you start talking about it, the sooner your prolapse can be treated. Contact us today to see how we can help.

prolapse recovery

Who can you turn to for help after prolapse surgery?

The prolapse surgery we perform here at The Pelvic Clinic is straightforward and safe: our surgeon, Mr. Jonathon Broome has performed over 1000 sacrohysteropexy operations and has a 100% success rate. However, even though prolapse surgery is uncomplicated and very low-risk, it is still important for you to focus on making a full recovery afterwards. After prolapse surgery, you should ensure that you eat a diet that won’t cause constipation, use gentle exercise to build up the strength of your abdominal muscles and, of course, avoid putting undue strain on those muscles. Because you cannot put your abdominal muscles under too much strain, you may not be able to pursue some ordinary activities while you recover, such as carrying shopping or walking large dogs. As such, you may need help from other people to conduct some aspects of your day-to-day life until you are recovered. But who can help you?

If you have a spouse or partner, you may need to ask them for help while you recover from prolapse surgery. Your spouse or partner is, arguably, the best person to help you through your post-operation recovery. After all, they are already fully-integrated into your life: they are in the perfect position to take on some of your responsibilities and tasks for you while you recover.

However, if you don’t have a partner, you shouldn’t be embarrassed about turning to friends or family for help. The tasks you should avoid performing yourself and should ask for help with after prolapse surgery are usually straightforward and quick to carry out. As such, you should not worry that you are asking too much of your friends or family when you request help during your recovery.

Of course, if your close friends and relatives are unable to help you, it may be worth asking your neighbours for help; you may be surprised by how willing they are to lend a helping hand.

Your recovery from prolapse surgery is just as important as the surgery itself. It is therefore important that you do not put yourself under undue strain while you recover; don’t be afraid to ask for help from those around you! Please contact us if you need information.

 

Could you have a post-hysterectomy prolapse?

Nearly 50,000 women in the UK each year find themselves going through hysterectomy surgery for any number of reasons, from cancers to chronic conditions and much more besides. It’s a traumatic procedure for anyone to go through both mentally and physically, but a small number of those women also go on to suffer from genitourinary prolapse as a result.

This uncomfortable condition comes about when one or more organs in the pelvic cavity slip out of place due to surgery weakening the support systems of the organs, ligaments and pelvic floor muscles. Bowel takes over the space of where the uterus was and can also push on the vagina causing prolapse.

There are three main types of prolapse; Anterior Compartment Prolapse is the prolapse of the urethra into the vagina, the prolapse of the bladder into the vagina or the prolapse of both the urethra and the bladder. Middle Compartment Prolapse involves the vaginal vault prolapsing into the vagina and Posterior Compartment Prolapse which involves the rectum falling into the vagina.

It’s possible for post-hysterectomy prolapse to be almost asymptomatic, but there are a few things to look out for, and if you have one or more of the symptoms after a hysterectomy it’s worth visiting your doctor. The most commonly reported symptoms are a feeling of pressure, also described as a fullness or heaviness, a bulge or protrusion, being unable to retain tampons and spotting.

Symptoms relating to the bladder such as incontinence and frequent urination should also warrant a visit to your GP, while bowel symptoms and problems with sex can also indicate problems.

Don’t worry if it all sounds all too familiar – treatment options vary according to the severity of the prolapse and could be as non-invasive as lifestyle changes like losing weight and stopping smoking. Vaginal pessaries can be used to lift the walls of the vagina, or for a more permanent solution, there are prolapse surgery options available.

Mr Broome is a highly qualified gynaecological surgeon with a lot of experience carrying out vaginal repair operations including Sacrocolpopexy, in which the vagina is elevated and fixed into the sacrum with mesh and Sacrospinous fixation, in which the vagina is stitched to a ligament inside the pelvis, requiring no entry through the abdomen.