pelvic floor treatment in malaga
Pelvic Floor Surgery
In our Pérez Bryan Gynaecological Clinic in MalagaIn our website, you will find gynaecologists who are experts in the correct assessment, diagnostic approach and performance of pelvic floor surgery under strict standards and protocols.
Do not hesitate to contact us and we will be happy to help you.
What is the pelvic floor?
The pelvic floor is a structure formed by muscles and ligaments of the pelvis that supports all the internal organs located in that area of the body.
The pelvic floor has several important functions, such as supporting the uterus, bladder and rectum, helping to retain urine and faeces and thus preventing incontinence. It also supports the foetus during pregnancy and relaxes during childbirth.
There are conditions that cause a excessive pressure on the pelvic floor such as obesity, chronic cough, chronic constipation and weight-bearing physical work. In addition to physiological conditions such as pregnancy and agewhich can weaken the pelvic floor.
What are the symptoms of pelvic floor weakness?
The most common symptoms include:
- Stress urinary incontinencesmall urine leaks when coughing, sneezing or during any exertion or exercise.
- Urinary urgencypatients are unable to hold their urine, and often have the need to go to the toilet quickly.
- The prolapsewhich manifests as a lump in the vagina. The prolapse may arise from the anterior wall of the vagina (cystocele), from the posterior wall of the vagina (rectocele) or from the uterus (uterine prolapse).
- Feeling of pressure or weight in the lower pelvis.
- Faecal incontinencewhere there is little capacity to retain faeces.
- They usually experience worse sensitivity during sexual intercourse.
- Very slow urinary flow.
- Sensation of incomplete urination.
There are different types of pelvic organ prolapse, and the symptoms depend on the type of prolapse and the degree of severity. In addition, several defects or types of prolapse may be present simultaneously. We can mention:
Rectocelewhen the tissue between the rectum and vagina weakens, causing the rectum to protrude anteriorly into the vagina.
Uterine prolapse: is the descent of the uterus through the vagina. It is very common and when mild may not cause any symptoms.
Vaginal vault prolapse: is the descent of the upper part of the vagina, when it loses its support elements, and can appear in women who have undergone a hysterectomy.
Cystocele: occurs when the tissue around the urinary bladder weakens and protrudes into the vagina through the anterior wall of the bladder.
Pelvic floor reconstructive surgery
In the Gynaecology Service of the Perez Bryan Clinic in Malaga we can help you to treat pelvic floor problems, recommending the most appropriate treatment in each case, from exercise, pharmacological treatment to surgery if necessary. We have accumulated a great deal of experience in the pelvic floor surgeryamong other highly specialised surgical procedures, and we want to provide as much information as possible about this type of procedure, its advantages, precautions and risks.
What is pelvic floor surgery?
The pelvic floor surgery is an operation to correct any type of pelvic organ prolapse, whether of the vagina, uterus or rectocele and incontinence.
Classically, two main types of pelvic floor surgery have been described, obliteration surgeries, in which the vagina is narrowed and is very rarely practised today, and pelvic floor reconstruction surgeries. The latter are the most common and there is a wide variety of surgical techniques.
The decision on the type of pelvic floor surgery will depend on the exact diagnosis, type of prolapse, degree of severity, age of the patient, general health problems such as diabetes or heart disease and even pregnancy expectancy in younger women.
Most common pelvic floor surgery techniques
ColporraphyThe access route is either anterior for cystocele or bladder prolapse, or posterior for rectocele. In both cases the access route is vaginal.
Repair of own tissue: where a fixation or suspension by means of the patient's own tissues is performed through an incision made in the vagina and sutured to a pelvic ligament or muscle, correcting the prolapse.
Colposacropexy: frequently used for vaginal vault prolapse, can be performed laparoscopically or even with the support of robotic surgery. In these cases a surgical mesh is placed, which is attached to structures of the pelvic wall, such as the sacrum, and the prolapse is corrected.
Hysterosacropexy: This technique is performed through an abdominal incision and allows the uterine prolapse to be corrected and the uterus to be preserved. In this case, a surgical mesh is placed from the uterus and fixed to the sacrum.
Vaginal mesh surgeries: this access allows for the placement of surgical meshes, are mainly used in cases of incontinence, there are different types of mesh depending on the pathology to be treated, and it is important that they are indicated and placed by a doctor trained in them as they can have more complications than other types of classic surgery.
Advantages of Pelvic Floor Surgery
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Minimum hospital stay
In most cases, the patient is discharged from hospital after hospitalisation at the end of the hospitalisation period. 24 hours or, in some cases, you may need to stay in hospital for two or three days. These procedures are very well tolerated.
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Rapid Recovery
Most of the pelvic floor surgeries can now be performed vaginally, laparoscopically. This ensures less damage to the surrounding tissues and therefore recovery is very fast.
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Almost no pain
With respect to other types of pelvic surgery, after your discharge from the hospital, you may have some occasional discomfortThe surgeon may prescribe simple painkillers such as paracetamol or ibuprofen, which are usually sufficient. There may also be a little vaginal bleeding or some small clear discharge, for a few days.
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Minimal Complications
In expert hands, this type of surgery is very safe and has few complications. Our medical team has accumulated a great deal of experience with this type of surgery, which guarantees positive and long-lasting results, which is why you can trust this type of surgery to the medical team at Clínica GinecológicaPérez Bryan
Precautions after pelvic floor surgery
In general, it is advisable to take certain precautions, but this is a surgery with minimal complications and rapid hospital recovery.
It is recommended to avoid strenuous and strenuous physical activity, such as heavy lifting or prolonged standing for the first 4 to 6 weeks, and to introduce physical activity gradually.
Driving should be avoided for the first 4 weeks after the operation.
A medical follow-up is indicated 7 days after surgery and another consultation after 6 weeks, or depending on the needs of each patient. Recovery from this type of surgery is quick, but positive results are usually seen in the medium to long term.
Sexual intercourse should be avoided for about 6 weeks. But surgery does not interfere with sexual performance or libido; better still, if there are symptoms during sex prior to surgery, they usually improve.
What are the risks of pelvic floor surgery?
Most operations are straightforward and complications are rare. However, there are associated risks as with all surgical procedures.
For this reason, it is important to have a highly trained medical team and a state-of-the-art medical centre as you find it in the Pérez Bryan Clinic in Málaga. The risks are:
Excessive bleeding: this may occur during or after the operation, and can be controlled during hospitalisation.
Infection: which can infect the wound, bladder or develop around the operation site internally. Antibiotics are usually administered during your surgery to reduce the risk of infection, however, most infections, if present, are easily treatable with antibiotics on an outpatient basis.
Bladder or urinary tract damage, which occurs rarely, in 1 in 150 women.
Deep vein thrombosis: is a risk associated with all surgical interventions performed on the abdomen and pelvis. This occurs in 1 in 250 cases. In cases of increased risk, which is determined by prior cardiovascular evaluation, treatment can be given to reduce this risk.
There are risks that depend on other diseases such as high blood pressure, heart disease, diabetes, regular medication, respiratory diseases, among others, which are evaluated prior to surgery and treated according to the suggestions in each case.