What is uterine prolapse?
A uterine prolapse occurs when the uterus and the cervix slipping down into the vaginal canal. The uterus can:
- Bulge into the middle part of the vagina
- Fill completely the canal of the vagina
- Rests outside of the vagina
Why does uterine prolapse happen?
The prolapsed uterus can occur due to the fact that ligaments supporting the uterus become weak as time goes by.
Ligaments hold uterus in place (in lower abdomen).
Ligaments become weaker after menopause especially in women who have multiple vaginal births and have large babies.
What are the main symptoms?
- Heavy feeling in the vagina
- The uterus may pull the bladder down causing incontinence, recurrent bladder infections or feeling that you cannot empty your bladder completely
What is the treatment?
In cases of mild uterine prolapse, a silicon (or a butterfly-shaped) pessary can be inserted into the vagina restoring the uterus into the normal position.
However, this pessary should be frequently changed and unfortunately it does not allow the sexual intercourse.
The most effective and permanent treatment is the surgical one.
What is the surgical treatment of choice?
The proper treatment of uterine prolapsed is the hysterectomy.
Hysterectomy is performed laparoscopically. During this procedure, ligaments become tight and as a result the vaginal prolapsed can be corrected. If it is necessary vaginoplasty can be performed at the same time.
What are the benefits of hysterectomy?
- You can avoid vaginal foreign bodies which can provoke infections and other severe complications
- Quick recovery without pain
- It allows improvement of urine function
- You can be sexual active again due to the fact that the vaginal anatomy is restored
How do I decide which option is better for me?
Consult Dr. Marinakis a specialist Gynecologist - Endoscopic surgeon.
Doctor should examine you in order to be assured that there is an indication for a Laparoscopic surgery.
If they have discouraged you from Laparoscopy, and you do not have enough information not only about the indications of the procedure, but also about your plan of treatment, you might have been in the wrong place!
Overall, laparoscopy is a really safe procedure; however every single medical procedure is safe only if it is managed by a specialist.
Gynecologist Dr. Marinakis specialises in gynecological hysteroscopy. He is certified in advanced laparoscopy and hysteroscopy by Royal College of Obstetricians and Gynecologists. He was also a member of Laparoscopic training unit “MATTU” in United Kingdom.
How much does a laparoscopy cost?
The cost of a laparoscopic procedure is low and it usually depends on your health insurance cover.