Pelvic organ prolapse
Cystocele
This type of the pelvic organ prolapse can be treated with a surgery performed under the local anaesthesia. The vulva and vagina are covered with a numbing cream and a sedative medication is administered orally. The treated area receives an injection of lidocaine or bupivacaine in the beginning of the surgery. The surgery starts by opening the anterior vaginal wall. The urinary bladder is then being exposed, and cystocele is being repaired with u-stitches. Finally, the mucosa is sealed.
Rectocele
This type of a pelvic organ prolapse can be treated with a surgery performed under local anaesthesia. The vulva and vagina are covered with a numbing cream and a sedative medication is administered orally. In the beginning of the surgery the treated area receives an injection of lidocaine or Marcaine. The perineum is cut open, then the posterior vaginal wall is opened in a midline. The rectum gets exposed, and the rectocele is repaired with u-stitches. Strong stitches in the perineal body refine the outcome. At the final stage the mucosal tissue and the skin are sealed.
Uterus prolapse
Whenever possible, the uterus should be left in place, not to be removed.
Manchester operation
This is perfect for women who wish no more babies in their family and have cervical elongation. In the operation the prolapsing uterus and descent urinary bladder (cystocele) are both operated. In the operation the cervix of the uterus is shortened and fixed by cardinal ligaments. Cystocele repair is performed as usual.
LeFort colpocleisis operation
This is perfect operation for elderly ladies, who do not have intercourse anymore. Uterus is preserved, however vagina becomes shortened and narrowed.
