Repair of prolapse
The basic aim of this procedure is to shorten the stretched ligaments that hold the uterus in the pelvis and repair damage to the tendons or muscles of the pelvic floor. If associated cystocoele and recto-coele need correction, stretched tissue in the vaginal wall may need to be removed. Slightly different procedures may be planned for almost every case, depending on the degree of prolapse and damage to the pelvic floor. Vaginal repair is an operation designed to treat minor degrees of cystocoele and prolapse. More extensive repairs are needed if there is severe uterine prolapse, and sometimes hysterectomy is necessary for a satisfactory result.
Various techniques are used to lift the bladder and to tighten the bladder sphincter and pelvic floor muscles.
Urodynamic studies confirming the cause of incontinence should be done before you agree to surgery; these ensure that you have the right operation. If surgery is advised, ask your surgeon to explain what will be done.
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