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safe sacrohysteropexy

Is a uterine prolapse causing your symptoms?

Although a prolapse isn’t uncommon, it can take an inordinate amount of time for patients to obtain the correct diagnosis. Despite numerous women suffering from uterine prolapse, the path to treatment can be slow and, in some cases, ineffective.

Unfortunately, this delay can lead to a worsening of a patient’s symptoms. As well as dealing with pain and discomfort, women may find that they experience incontinence due to the increased pressure on their bladder. With the uterus unsupported, the additional pressure on the surrounding areas can result in both urge and stress incontinence.

Clearly, these symptoms can be very distressing for patients. Upon receiving a diagnosis, however, many are told that a hysterectomy is the only viable option. Whilst many are reluctant to commit to such invasive surgery, a significant number of women suffering from prolapse symptoms want to have children in the future. Due to this, a hysterectomy is not the right option for them.

Treating prolapse symptoms without a hysterectomy

A sacrohysteropexy is a form of prolapse surgery which is far less invasive than a traditional hysterectomy. In addition to this, it doesn’t prevent women from carrying a child, so is suitable for women who wish to conceive in the future.

Rather than removing the uterus, sacrohysteropexy surgery for prolapse problems simply supports the uterus and prevents it from placing undue pressure on the surrounding muscles and tissues. Although this form of prolapse surgery is not well-known, it is an extremely effective form of prolapse surgery.

Whether women are suffering from a prolapsed uterus after childbirth or are experiencing a prolapse due to naturally weak muscles, a sacrohysteropexy can provide a permanent solution to the problem. Having performed over 1000 procedures with a 100% success rate, Consultant Gynaecologist, Mr Jonathan Broome, is able to diagnose and treat uterine prolapses quickly and effectively.

As a sacrohysteropexy is a far less invasive procedure than a hysterectomy, patients generally find that they recover more quickly and are able to return to their normal routines within a matter of days. To find out if a sacrohysteropexy is the right treatment option for you, contact The Pelvic Clinic on 01204 772400.

uterine prolapse

The four stages and symptoms of uterine prolapse

A lady’s uterus, or womb, is similar in shape to an upside-down pear. Along with the bowel and bladder, the uterus is supported by a set of muscles running between the pubic bone and tailbone (or coccyx). The muscles function rather like a hammock, collectively referred to as your pelvic floor, or levator ani muscles. The pelvic organs, including the uterus, as suspended by connective tissue and ligaments, all working together to hold everything in place.

In the event this system of muscles and tissues are damaged or weakened, the uterus is at risk of moving out of place and dropping down, towards the vagina. This is known as uterine prolapse.

Common causes of prolapse

Several elements commonly cause a uterus to prolapse, including vaginal childbirth, severe coughing, obesity, hormonal changes following the menopause, and straining on the toilet. Initial treatment for a prolapse is strengthening the pelvic floor muscles using exercises like Kegels.

Additional support can be provided by a pessary inserted into the uterus. This will reduce the symptoms of prolapse. If a combination of pelvic floor exercises and pessary are unsuccessful, the prolapse is more severe and will require surgical intervention.

Symptoms of uterine prolapse

Several signs indicate a prolapsed uterus, including:

– The feeling of pressure or heaviness in the vagina
– A distinct bulge, or lump inside, or protruding from, the vagina
– Pain during sexual intercourse.

The four stages of uterine prolapse

There are four steps to a uterine prolapse, which indicate the extent to which the uterus has descended. It’s possible that the bladder and bowel, as part of a group of pelvic organs, may also drop as a result of the prolapse. The four stages of uterine prolapse are:

Stage 1: The uterus has descended into the upper part of the vagina
Stage 2: The uterus is almost at the vaginal opening
Stage 3: The uterus is protruding from the vagina
Stage 4: The uterus has descended to the point it is entirely outside the vagina.

If you need help or advice on uterine prolapse, please get in touch – we’re here to help.

causes of prolapse

What causes a uterine prolapse?

Generally, a uterine prolapse occurs because the muscles which support the uterus lose strength. As these muscles weaken, they are unable to support the uterus effectively and, as a result, a prolapse occurs.

Prolapse staging allows medical professionals to determine the severity of the condition and provide an appropriate treatment plan. Patients with a grade 1 uterine prolapse may have milder symptoms, whereas patients suffering with a grade 3 prolapse may have a more severe condition and suffer more pronounced symptoms.

Many women suffer a prolapsed uterus after childbirth and it’s not uncommon for them to seek treatment for the condition. Whilst childbirth is a leading cause of uterine prolapse, it is not the only cause. Women without children can still experience a prolapse if there are other causes of muscle weakness present.

What are the most common prolapse symptoms?

Symptoms can vary between patients but some of the most common uterine prolapse symptoms are pain, discomfort and incontinence. As the uterus lacks support, increased pressure is placed on the surrounding areas and symptoms become apparent.

Although a uterine prolapse can be successfully treated, some women find the condition embarrassing and are somewhat reluctant to access medical assistance. Unfortunately, the symptoms can have a devastating impact on the patient and may restrict their activities considerably.

Is prolapse surgery available?

Hysterectomies are often offered to women as a form of prolapse surgery but they do have permanent consequences. Women will be unable to carry a child following a hysterectomy, for example. Due to this, it is an unsuitable form of treatment for many patients.

Fortunately, there is alternative surgery for prolapse problems. A sacrohysteropexy is less invasive than a hysterectomy and involves using medical mesh (introduced through keyhole ports and NOT vaginally) to support the uterus, rather than removing it.

As a leading surgeon, Mr. Jonathan Broome has performed over 1000 of these prolapse surgeries with a success rate of 100%. As a sacrohysteropexy provides a permanent solution to uterine prolapse and enables the patient to have children in the future, if they wish to do so, it is a more suitable form of treatment for many patients.

To find out more about the effectiveness of prolapse repair surgery, contact The Pelvic Clinic today on 01204 772400.

uterus pain

Dealing with uterus pain

For many women, uterus pain is a well-known symptom and something which often turns into an ongoing problem. Whilst a significant number of women do seek medical help for uterus problems, a solution isn’t always forthcoming.

Unfortunately, many women experience uterus pain for a long period of time before they are fully diagnosed or offered any treatment. As a result, their condition may have worsened before they receive treatment and they may be experiencing an increased number of side effects.

Does uterine prolapse pain always occur?

Uterine prolapse pain is certainly not uncommon but you won’t necessarily suffer pain if you’re experiencing a prolapse. Patients may present with side effects, such as discomfort or bleeding, but not report a significant amount of pain.

As every patient differs, not everyone will experience the same symptoms. Incontinence, for example, is a common symptom of a uterine prolapse but not every patient will suffer from this. Whilst many patients may experience uterine prolapse pain, the absence of significant pain shouldn’t exclude the possibility of a prolapse being the cause of your issues.

Undergoing prolapsed uterus surgery

If you’ve already been diagnosed with a prolapsed uterus, you may have been offered a hysterectomy. Whilst this is a viable form of treatment, many women are unaware that there is an alternative, less invasive treatment available.

A sacrohysteropexy, or prolapse repair, is a better form of treatment for many women, particularly if they would like to have children in the future. Whilst a hysterectomy removes the possibility of carrying a child, a sacrohysteropexy does not prevent the patient from conceiving or carrying a child.

Is a prolapse repair permanent?

When conducting a prolapse repair, the surgeon effectively repositions the uterus and ensures that it is held in place with a form of surgical mesh. Performed by a laparoscopic procedure, this offers women a permanent solution to a uterine prolapse. Important point to mention: Mr Broome inserts his mesh via tiny keyhole ports which is a clean method. Please do not confuse this with other ways of mesh introduction

Despite its success rate, many patients are still unaware that a sacrohysteropexy is a viable treatment option and many medical practitioners may not even be familiar with the procedure. As a less invasive form of treatment, with permanent results and a high success rate, however, a sacrohysteropexy is ideal for numerous women.

To find out more about prolapse repair surgery, contact The Pelvic Clinic today.

avoid hysterectomy for prolapse

Avoid a hysterectomy after a severe uterine prolapse

If you’re suffering from uterus problems or a uterine prolapse, you may have already consulted your GP or sought medical advice. In most instances, patients are advised that a hysterectomy is the only viable solution. Whilst a hysterectomy may alleviate uterus pain and provide an effective surgical solution to uterine prolapse pain, it certainly isn’t the only option available.

As many women are hesitant about undergoing a hysterectomy, they can be left with prolapse problems or uterine prolapse bleeding for months, or even years. With symptoms such as pain, discomfort and incontinence occurring because of a prolapse, the condition can affect every part of a patient’s life.

Are you a candidate for prolapse repair surgery?

Before considering a hysterectomy, why not look into the possibility of prolapse repair or sacrohysteropexy? Designed to deliver complete freedom from prolapse symptoms and uterine prolapse pain, a sacrohysteropexy is an extremely effective alternative.

Rather than undergoing a significant operation, as in the case of hysterectomies, prolapse repair surgery can be carried out laparoscopically. Generally, this means that the procedure itself takes a shorter amount of time and recovery time is significantly reduced.

Does a sacrohysteropexy offer a permanent solution?

As a form of prolapsed uterus surgery, a sacrohysteropexy provides an effective and permanent solution to prolapse problems. To date, Mr. Jonathan Broome, Consultant Gynaecologist at The Pelvic Clinic, has performed well over 1000 prolapse repair surgeries and has a 100% success rate.

For women who have spent years dealing with uterus pain, incontinence and discomfort, this type of prolapse repair surgery offers a new lease of life and a lifestyle free from pain.

Can you have children after a sacrohysteropexy?

When women of childbearing age are told a hysterectomy is the only way to alleviate prolapse symptoms, they can be left with an impossible choice. If they wish to conceive in the future, a hysterectomy clearly isn’t a viable solution to their medical condition.

Following a sacrohysteropexy, however, women will still be able to conceive and carry a child safely. As the uterus is stabilised, rather than removed, there is no barrier to conception or pregnancy. In fact, this form of prolapse repair surgery can even prevent a recurrence of the condition following childbirth.

To find out more about prolapse repair surgery, contact The Pelvic Clinic today on 01204 772400.

young mother prolapse

Understanding prolapse after pregnancy

Many women experience uterine prolapse when the structures that support the pelvic organs are weakened. Usually, both a muscular band and ligaments support the organs, but prolapses occur when one of these support mechanisms can no longer perform properly. A common reason for this to happen is that the muscles are damaged during the act of childbirth and also as a result of the pressure that pregnancy puts on a woman’s body. Despite popular belief, it is an inaccurate assumption that uterine prolapse exclusively affects older women.

The transition to becoming a new parent is complex for every woman, but experiencing the symptoms of uterine prolapse can make it incredibly challenging.

First-time mothers can struggle to put a name to the sensations that they may feel. There is often a lack of knowledge and understanding surrounding some of the implications of childbirth amongst new mums. Uterus problems may be the furthest things from their mind as they get to grips with parenting during those first months but addressing pelvic pain should be a priority for all mothers. Knowing that uterine prolapse can occur and crucially that it can be treated is not well known enough amongst the parenting community. A timely consultation with a Consultant Gynaecologist such as Mr Johnathan Broome could provide great relief for mothers who suspect that they have a uterine prolapse.

The first course of action is to complete a three month programme of intensive pelvic floor physiotherapy. This is really important as it helps to strengthen the muscles and subsequently, push the organs correctly back into position. Many ladies do find that this is sufficient to repair their pelvic floor. For the minority though, these exercises do not fully repair their pelvic floor and so surgery is then an option.

A sacrohysteropexy, which is a surgical intervention to reposition the uterus and therefore correct the prolapse, can remove the need for a hysterectomy. This is something that is of great comfort to women who do not feel that their family is complete and indeed those who aren’t ready to embrace the consequences of a hysterectomy. This procedure is growing in popularity because it also involves only keyhole surgery, which ultimately carries a reduced risk in comparison to other more invasive procedures.

Jonathan Broome of The Pelvic Clinic is one of only a handful of surgical specialists in the UK who possess the expertise to perform sacrohysteropexy surgery. He has a growing number of ladies who have had this procedure and then continued to have another child without problems

We encourage all new mums to visit a specialist should they be experiencing symptoms of a uterine prolapse. Here at The Pelvic Clinic, we will address your concerns with great sensitivity while we identify the appropriate solutions that will enable you to embrace your role as a new parent without the worry and implications of an untreated prolapse.

 

Ask for help with your prolapse

Don’t be afraid of prolapse repair surgery

If you’re suffering from a uterine prolapse, you may be wondering if surgery is really the best solution for you. Many people have concerns about prolapse repair surgery or wonder if it is really necessary. Here at The Pelvic Clinic, we firmly believe that prolapse repair surgery is the best option for the vast majority of sufferers. The most common concerns about this surgery are very easy to allay. What’s more, many of the other arguments against surgery aren’t as well-founded as you might think. Ergo, in today’s blog, we’d like to tackle some of the reasons you might be hesitant to undergo a prolapse repair operation.

1. Post-prolapse pregnancy

Many worry that they won’t be able to get pregnant after having prolapse repair surgery. However, this isn’t necessarily the case. It’s true that hysterectomy operations prevent recipients from getting pregnant because they involve removing part or all of the womb. However, you don’t have to have your prolapse repaired with a hysterectomy: you can opt for a sacrohysteropexy instead. The sacrohysteropexy procedure involves repositioning the uterus. It negates the need for a hysterectomy and won’t interfere with your ability to become pregnant.

2. Prolapse repair pain

You may be concerned about how painful a prolapse repair procedure would be. You may even feel that the procedure would be worse than the prolapse. However, there’s no need to feel anxious. In reality, sacrohysteropexy operations are almost completely painless in most cases. While you might feel some discomfort, you definitely won’t have to tolerate extreme levels of pain.

3. Prolapse severity

If your prolapse isn’t particularly severe, you may feel that surgery isn’t necessary. However, it’s worth remembering that an untreated prolapse can become worse. Even a very minor prolapse can develop into a serious problem if you don’t address. That’s why it’s always worth considering surgical prolapse repair options.

Here at The Pelvic Clinic, we understand that prolapse repair surgery can be a daunting prospect. However, it’s always better to deal with your prolapse using a tried-and-tested medical procedure as soon as possible. If you’re suffering from a prolapse, don’t hesitate to get in touch with us so we can help you.

pelvic floor repair

Five fibrous foods that help prevent prolapses

Constipation is a very common cause of uterine prolapse. However, constipation is completely preventable. In fact, it’s easier to prevent than any of the other issues that can lead to a prolapse. All you need is fibre! Here on The Pelvic Clinic blog, we often advise our readers to get more fibre in their diets in order to prevent constipation and help avoid prolapse. But what foods should you eat to increase the amount of fibre that goes into your body, and how can you make sure you get enough of them?

1. Beans and pulses

Beans and pulses are a fantastic source of fibre. They are also incredibly versatile ingredients. They can be used in a wide variety of dishes, ranging from chillies and curries to casseroles and pies. Simply incorporating beans and pulses into meals you already cook and enjoy regularly is a simple way to boost the amount of fibre in your diet.

2. Dried fruits and nuts

Dried fruits and nuts contain high concentrations of fibre. What’s more, they’re delicious and easily portable, which makes them ideal high-fibre snacks. If you don’t always have time to cook high-fibre meals, carrying around some dried fruit or some nuts to snack on is a fantastic alternative.

3. Porridge and bran-based cereals

Breakfast is a great time to introduce fibre into your diet. If you’re not sure about what you’ll be eating throughout the day, eat some porridge or a bran-based cereal for breakfast. Not only are these breakfast options high in fibre, they’re also very healthy in other ways.

4. Wholemeal pasta and wholegrain rice

While white rices and pastas aren’t very high in fibre, their wholegrain and wholemeal equivalents are. If you use a lot of white rice or pasta in your cooking, why not substitute it for wholemeal pasta or wholegrain rice? It’s an easy way to increase the amount of fibre in your diet without completely altering the meals you eat, and you’ll hardly notice the switch.

5. Jacket potatoes

Potatoes are a staple of the British diet, but did you know that their skins are very high in fibre? Next time you eat a jacket potato, remember to eat the skin, too.

Here at The Pelvic Clinic, we know that your diet can help you prevent a prolapse or recover from prolapse repair surgery. By eating more of the foods we’ve mentioned in today’s blog, you can increase the amount of fibre in your diet and therefore prevent constipation. If you avoid constipation, you can eliminate one of the risks of suffering a prolapse or difficulty recovering from one. Want to find out more about prolapse surgery? Contact us today.

prevent prolapse

6 prevention methods for uterine prolapse

If you have heard of uterine prolapse but are unsure whether you are a potential sufferer, here are six prevention methods to limit your risk of developing the condition:

1. Exercising

Performing daily exercises can strengthen your pelvic floor muscles so that they are at less of a risk of collapsing. This is especially important if you have recently given birth, as your pelvic floor muscles will be weaker than ever. During pregnancy and after childbirth, it is essential to carry out exercises to strengthen your pelvic floor.

2. Prevent constipation

Ensuring that you never become constipated means that you could highly prevent a uterine prolapse. Drinking plenty of water and eating roughage such as vegetables and fruit will allow you to pass softer stools. The intense strain during constipation could cause a prolapse, but is easily preventable.

3. Avoid heavy lifting

Lifting heavy objects could cause intense strain on your pelvic floor. Always try and use the muscles within your legs when lifting, instead of putting pressure on your waist or back. The latter areas are in your pelvic region.

4. Watch your weight

Being overweight is one of the most common causes of uterine prolapse. Extra weight puts pressure on your pelvic floor. Talk to your doctor about possible weight-loss regimes to ensure that you are less at risk of developing the condition.

5. Birthing methods

During birth, breathe through your contractions and try not to push when it is unnecessary. You may feel the urge, but don’t do so until the midwife tells you. Contractions move the baby down the birth canal for you, therefore pushing when not needed could weaken your pelvic floor muscles and later cause a prolapse.

6. Stop smoking

Smoking is a well known cause of a loose, excessive cough. Those who smoke have become associated with the term ’smokers cough’, something that can occur throughout a smoker’s life. Excessive coughing can damage your pelvic floor muscles and may speed up or cause a prolapse.

If you would like any further information on uterus prolapse surgery or prolapse repair, please contact Mr Jonathan Broome at The Pelvic Clinic.

uterine prolapse childbirth

How to manage uterine prolapse after childbirth

If you have recently given birth to a baby and suffered uterine prolapse during childbirth, getting back on track can be a difficult task, especially now that you have a little one to look after. Despite this, managing how you go about your daily routine is important for the recovery process. Uterine prolapse doesn’t have to be a serious case, as long you put the work in to getting yourself well.

Here are our top tips for getting back on track after uterine prolapse during childbirth:

1. Rest

Rest is a crucial factor for the recovery process. By resting, you can give a bit of relief to your pelvic floor and allow the area to heal properly, as well as reducing your fatigue. The amount of strain that was put on your uterus during childbirth needs time to repair; if you don’t relax, that area may become much weaker in the long-term.

2. Bowel management

Making sure that you don’t become constipated is an important aspect of ensuring that a uterine prolapse doesn’t happen again. After childbirth, the strain that is put on your pelvic floor is severe, therefore having to strain during bowel movements will not help your situation. By eating well and drinking plenty, there is less likelihood of another prolapse occurring. Your stool will become much softer to pass.

3. Body weight

After birth, of course you may not be as slim and toned as you once were and this is a natural aspect of carrying a child, so you shouldn’t feel bad about it. However, the problem occurs when this weight becomes excess, which puts a strain on your pelvic floor. Again, this may also cause another prolapse so always be aware to keep your weight under control. You may decide to diet appropriately and do daily exercises that are high intensity in order to burn as much fat as possible; however be sure to find a safe weight-loss regime that is suitable for you.

4. Physio

If you can, please commence a course of pelvic floor physiotherapy as this will help you recover the control over your pelvic floor. This will also help you to feel better and get back to normal. This would always be the first thing to do after childbirth and any kind of associated pelvic prolapse.

If you would like any further information on severe uterine prolapse or prolapse repair by Consultant Gynaecologist Mr Jonathon Broome, please contact The Pelvic Clinic today.