Do You Need A Pelvic Floor Reconstruction?

Before we answer that, how well do you know your condition and all your possible treatment options?

If your answer is “not much” then it’s only natural to think twice about it. Because most of the time, the go-to suggestion of medical experts when it comes to pelvic organ prolapse (POP) is surgery — and that’s it. 

But, you’ve come to the right place! Allow us to help you sort this out… 

Your pelvic floor is made of muscles and tissues with 3 main functions: it supports your abdominal organs, it controls your bladder and bowel, and it plays an important role during sexual intercourse. Think of it like a hammock — it’s stretchy so you can move freely, yet firm enough to cradle your internal organs. However, if you have scar tissue on your pelvic floor, this weakens your fascia and can cause your organs to slip down and bulge into your vagina. This is called Pelvic Organ Prolapse (POP).

Pelvic Floor Reconstruction is a major surgery that aims to regain the integrity of your pelvic floor muscles that serve as the vessel of your internal organs. It’s not just one, but multiple procedures done to bring your organs back to their places or remove some (scary, right?). But POP surgeries have high failure rates and a high chance of recurrence. Meaning, you could be in the same situation all over again, or worse off after your operation. 

Why? Because surgeries don’t address the root cause of the issue and they create a lot of risk. Also, when your body is cut open, it now has to recover from the trauma of surgery, requiring more of your body. 

In this article, we’ll help you get a grasp of what POP really is, the types and risks of undergoing a POP surgery, and safer alternatives to heal your prolapse. 

Symptoms of Pelvic Organ Prolapse

Lower back pain is just one of the most common symptoms of prolapse.

Depending on the actual diagnosis, symptoms will vary among women.

Symptoms of pelvic organ prolapse include:

  • Feeling pressure as if something is falling out of your vagina
  • Bloating or feeling very full
  • Feeling a pull or strain in your groin area
  • Lower back pain
  • Urinary incontinence and bladder issues
  • Bowel issues such as constipation
  • Pain in your vagina during sex
  • Trouble inserting or wearing tampons 
  • Heaviness & chafing

Types of Pelvic Prolapse

There are four main types of prolapse: 

1. Enterocele – happens when the small intestine bulges into the vagina

Enterocele is when the small intestine bulges into the vagina.

2. Cystocele / Urethrocele– happens when the bladder drops into the vagina

Cystocele is when the bladder drops into the vagina often resulting in urinary incontinence.

3. Rectocele – happens when the rectum bulges into the vagina

Rectocele is when the rectum bulges into the vagina.

4. Uterine – happens when the uterus drops down or protrudes out of the vagina

Uterine Prolapse is when the uterus drops down or protrudes out the vagina.

Other types of prolapse include urethrocele, cystourethrocele, rectal prolapse, vaginal vault prolapse, and vaginal prolapse.

Factors to Consider Before Any Pelvic Floor Surgery

The disadvantages of prolapse surgery outnumber the benefits.

Prolapse surgeries come with more cons than pros. Here are 8 questions you may need to contemplate first: 

1. Are you the ideal age to go for surgery?

Your pelvic floor muscles can go through a lot as you age, so your prolapse could likely recur. Age doesn’t matter though when it comes to trying natural methods to heal your prolapse

2. Do you have other medical issues aside from prolapse?

If yes, you have a higher risk for complications during surgery. Research more about your condition and discuss all your concerns with your doctor, then proceed from there. 

3. What are your childbearing plans?

Pregnancy is the most common reason for prolapse. In most cases, it’ll be better to delay the surgery until you no longer plan to have more children. 

4. Is the surgery within your budget?

Prolapse surgeries cost thousands of dollars. Make use of cheaper, safe, and effective methods to reverse your prolapse first, especially if you have no insurance or enough savings on hand. 

5. Is your prolapse affecting your quality of life?

Surgery isn’t always the best treatment for prolapse. But if it’s bothering you regardless of the symptoms, it’ll be good to open up with a person you trust first to weigh your decision. 

6. Is your doctor experienced and capable of handling prolapse surgery?

It’s alright to ask your doctor about his/her experiences with this surgery. Knowing that you’re working with an expert might put you and your loved ones at ease. 

7. Have you talked to your doctor about possible complications?

Discuss and manage your expectations with your surgeon. Talk about the possibility and consequences if your prolapse reoccurs or a complication emerges. 

8. Are you prepared to take some time off after the surgery?

Your recovery period is as important as the surgery itself. Make sure you’re ready for months off and delegating strenuous tasks, including basic household chores. 

Types of Pelvic Organ Prolapse (POP) Surgery

There are two main types of prolapse surgeries — obliterative and reconstructive.

But before we go into details, bear in mind that POP surgeries have high failure rates of up to 61.5%. It might not look like it, but a prolapse surgical procedure is actually a temporary fix. It’s sad how some women that have undergone surgeries are suffering from high failure rates, yet are okay with it as long as the most apparent symptoms are gone.

You deserve permanent freedom from prolapse! So to better aid you with your choices, here are the types of surgery available based on the condition you have: 

Pelvic Floor Reconstruction Surgery (Types)

Reconstructive surgery aims to restore the normal anatomy of the vagina and the position of the prolapsed organ.

Here are different types: 

 

  • Apical Suspension – a procedure that restores the support of the top of the vagina or the vaginal vault. One type of it is Uterosacral Ligament Fixation.

     

  • Uterosacral Ligament Fixation – a surgical treatment used to restore support on the womb by making an incision on the top of the vagina and stitching it to the uterosacral ligaments to pull it up into its normal position.

     

  • Anterior Vaginal Prolapse Repair – a procedure to correct an anterior vaginal prolapse (prolapsed bladder or urethra) by making an incision along the center of the vagina’s front wall to repair weak layers using absorbable stitches.

     

  • Posterior Vaginal Prolapse Repair – a procedure that aims to repair a rectocele (bulging of the rectum into the vagina).

    It could be:

     

    • Posterior Colporrhaphy  – a minimally invasive technique used to tighten the back (posterior) wall of the vagina by making a cut in the vagina’s back wall and using dissolvable stitches.

       

    • Perineorrhaphy – a minimally invasive technique used to reconstruct the perineal body by making a V-shaped cut from the top of the vagina through the vaginal mucosa and the perineum.

Obliterative Procedures (Types)

Obliterative surgery removes or closes off the vaginal canal to support the pelvic organs.

It can either be: 

  • Colpocleisis (Partial) – a procedure that closes the vagina partially by sewing its front and back walls together. 

  • Colpectomy (Complete) – a procedure that removes the vagina completely by detaching the vaginal skin from the underlying connective tissue and bringing the top wall of the vagina to the bottom wall. 

What to expect after Pelvic Floor Reconstruction

There is no guarantee that undergoing pelvic floor reconstruction will completely cure your prolapse.

Healing takes time and overall wellness requires consistent discipline. The answers to these questions might give you an idea of life is going to be like after a pelvic floor reconstruction: 

How long will it take to recover after surgery? 

It takes around 3 months to completely heal from surgery. During this time, it’s best to avoid strenuous tasks and monitor your condition to immediately address side effects.

Will surgery relieve all of my symptoms? 

To be honest — no.  The main purpose of prolapse surgeries is to return the affected organs to their original place so they won’t bulge out anymore. But the bulging is just one of the many issues brought on by prolapses. 

Ever wonder why the success and failure rates of prolapse surgeries are both high? 

That’s because a successful prolapse surgery usually just pertains to the absence of the bulge in the vagina regardless of other symptoms or complications remaining. So, without holistic healing, prolapse might recur no matter how many times you undergo surgery. 

What life changes should you expect after surgery? 

After surgery, you must be extra careful with what you do, what you eat, what medicines you take, and other instructions advised by your doctor. Recovery is different for every patient, so be cautious not to add a new routine to help alleviate pain or discomfort, for example, without proper consultation from your healthcare provider. 

Are Pessaries the solution to your prolapse?

Not at all! 

Wearing pessaries is like using adhesive tape to cover the hole of a leaking bucket.

It doesn’t fix the underlying problem.

Pessaries are not the solution for your prolapse!

It can fail whenever, it has to be replaced over the course of time, and it’s a foreign object to your body (just like that tape to the bucket). Let’s talk more about life with a pessary here. 

Can Kegels heal prolapse?

Simply put, doing Kegel exercises is not the best way to heal prolapse — it can even do you more harm than good if you already have an overactive (tense) pelvic floor

Kegels are not the solution for your prolapse!

A common misconception is that a weak pelvic floor is loose.
But pelvic floor muscles can also be weakened because of overactivity —meaning, the muscles are overworking unnecessarily that it becomes too weak to function when it should. For example, a tight pelvic floor is contracting even when you’re at rest, then it becomes too worn out to hold your bladder, therefore causing incontinence (urine leakage). 

Will you keep moving / working / playing when you’re too tired? The common instinct should be to rest — the same is true with your pelvic floor. 

Kegels aim to strengthen the pelvic floor by contracting and releasing its muscles but it‘s not the best solution for all. There are better and safer alternatives to heal your prolapse at home other than Kegels. 

Why Do Women Get Pelvic Floor Reconstruction?

Sadly, most doctors almost immediately recommend undergoing surgery even if there are a lot or risks to it,

Women get pelvic floor reconstruction surgery mainly because of their doctor’s advice. Until now, surgery has been the mainstay when it comes to treating pelvic floor dysfunctions, even despite high failure rates.

This is why being informed makes the best patient. It’s time to become an advocate for your own health, and we’ll help you do so. 

Safe and Effective Treatments For Your Prolapse (No need to go under the knife!)

Is it really possible to reverse prolapse naturally? 

Yes, and we’ve done it ourselves!
Here is a list of possible remedies to heal prolapse without surgery: 

Here are some supplements that worked for my prolapse

In this video, I will share with you how important it is to keep a healthy and clean diet, as well as the supplements that I’ve personally tried and tested which have shown great results for healing my prolapse.

Nothing Beats a Holistic Approach!

Here at Women Cycles, we provide 100% natural, safe solutions to address the root cause of your pelvic floor issues. And we offer many methods for you to try and see what works best for you. So, if you don’t like one of the methods, no sweat, there are a dozen more to try. And the best part, all these methods are wrapped up in one package, called the No Kegels System. 

Let's heal together, from the inside-out!

Besides offering the No Kegels System to address your pelvic floor dysfunction, we also offer a community environment that offers support, companionship, and inspiration.

This way you never feel alone or hopeless. We’ll be with you every step of the way!

Start your journey back to health today!

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