Archive for March 2012

Does Incontinence Always Occur in Women with Prolapse?

Vaginal Mesh Infographic
Bladder prolapse surgery is the most advanced and highly effective approach in dealing with patients who have severe types of bladder prolapse, most doctors say. Based on their observations, there are only a few women who develop unusual complications after a surgical treatment.


It is known to many that urethrocele and cystocele patients often manifest difficulty in urinating. But can this also occur in patients who have other types of prolapse?


Pelvic organ prolapse refers to the abnormal dropping of any of the organs located in the pelvic area, which are the bladder, urethra, uterus, intestines, rectum, and the vagina. In most cases, a prolapse of one organ will lead to another. This is due to the fact that the pelvic organs are connected in a complex way and they are held in place by a system of muscles and ligaments that medical people usually refer to as pelvic floor. If, in any case, this pelvic support weakens because of trauma, degenerative diseases, tissue dysfunctions, or physical activities, all the pelvic organs may fall out of place and symptoms like incontinence would follow.


The loss of bladder control may occur in prolapse sufferers because of the possible impact of the internal organs to the urethra or the bladder. When these structures are pressed against the vaginal wall or the rest of the pelvic organs, stress urinary incontinence may follow. This is the involuntary emptying of the bladder when triggered by activities that cause an increase in the abdominal pressure, such as coughing, sneezing, laughing, running, sitting in one position, and standing for long hours (to mention a few). This buildup of pressure in the abdomen presses on either the urethra or the bladder, making urine flow inevitably. This is a big concern for women who are living active and busy lives.


It is important to know that prolapse, if left untreated, may lead to stress urinary incontinence at some point. If this occurs, prolapse repair may be accompanied by incontinence correction as well. In fact, more than 30 percent of women who undergo prolapse surgery are expected to have surgery for urinary incontinence at the same time.


A mesh implantation through the female genitalia is the commonly performed medical approach when it comes to both prolapse and incontinence. But nowadays the number of women who let their doctors use these potentially risky corrective devices has gradually decreased. Perhaps, the surge of transvaginal mesh lawsuit filings has influenced women’s treatment preference.


References:

http://www.healthcentral.com/incontinence/guide-154919-75.html
http://www.womenssurgerygroup.com/conditions/Incontinence/faqs.asp
http://www.pelvicfloor.net.au/information/PDF/FAQs%20Prolapse.pdf

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