If one has a prolapse of the uterus, hysterectomy may be suggested. Care is taken to refasten the top of the vaginal canal to other structures so it does not droop down after the hysterectomy.
If the prolapse is coming from the top or "roof "of the vagina, pelvic fascia tissue can be used to bridge the weak area. If the prolapse is coming from the lower or "floor" of the vagina (causing a bulging of the rectum into the vaginal canal), the rectal muscles can be used to close the defect.
More recently, synthetic mesh has been used to support the weakened areas. Mesh has been used extensively for repair of abdominal hernias. ... The primary concern for mesh is that long-term follow up in large numbers of pelvic organ prolapse women is lacking. ... By October of 2008, the FDA released a notification to gynecological surgeons relating adverse events connected to mesh use as reported by manufacturers of different types of mesh. Some of these unwanted events included erosion, infection, and pain....
In one study of 2,460 of women in their 50s, about 3% of women reported having surgery for pelvic organ prolapse. Further, women who had such symptoms of prolapse as problems having a bowel movement or urinating and abdominal pain reported a much lower quality of life than other women. In one very large study, 85% of women considered themselves "much better" when compared to before their surgery. Bottom line, surgery of some type can be very helpful if a woman has symptoms from her prolapse.
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