Pelvic Plastic Surgery

Pelvic plastic surgery involves repairing the tissue and muscles that support pelvic organs like the bladder, uterus, rectum and vagina. It can correct conditions such as pelvic organ prolapse, leakage of urine or bowel and sagging of the external vulva (labia).

In the past, gynecologists have relied on surgical mesh — a synthetic material — to help strengthen and support the vaginal walls and other structures in women, especially those tissues affected by childbirth, surgery, aging, weight gain or other factors. Although the use of this implant may have had some success, it is a costly and controversial procedure. An alternative is to use native tissue repair. This surgery reconstructs the patient’s own support tissues, and typically requires less incisions than traditional vaginal repairs. 골반필러

A common problem is pelvic organ prolapse, in which the tissue and muscle of your pelvic floor weaken and cause the organs to drop down through the vaginal opening or through the wall of the rectum. This is most common in the case of the bladder and rectum, but can also occur with the urethra and small intestine (enterocele). It is often difficult to diagnose because there are many different causes of prolapse, so there is no single treatment for all patients.

If you have prolapse, conservative treatments such as Kegel exercises and medical devices can sometimes pull the organs back into place. If they are too severe, however, you may need surgery. Surgical procedures to treat prolapse include colporrhaphy, in which tears along the anterior and posterior walls of your vagina are fixed with stitches; sacrospinous vault suspension, in which the sagging tissue around your rectum and pelvic bones is repaired by placing a surgical graft or mesh; and sacrocolpopexy, in which your surgeon attaches a mesh to the front and back walls of your vagina and your tail bone (sacrum) to restore their original position.

Another type of surgery that combines the elements of both of these procedures is Le Fort colpocleisis, in which your provider sews together the front and back walls of your vaginal canal to shorten it, pushing sagging pelvic organs back into place. This is usually performed as open surgery with a cut in your abdomen, but can also be done laparoscopically.

Another surgery to treat stress urinary incontinence and some types of prolapse is the Burch procedure, which uses a sling made of synthetic or natural materials to create a hammock under the neck of your bladder. This can improve the function of your bladder and reduce leakage during physical activity or when you laugh or sneeze.

However, it is not a permanent solution and needs to be replaced after a few months or years. You may have to wear a catheter for a few days following the procedure, and you will experience pain or leaking during this time, but these symptoms should get better as your stitches heal. You may also experience yellowish vaginal discharge that is normal and will disappear over several weeks. 닥터케빈