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Pelvic Organ Prolapse Treatment in Arlington

Fallen bladder got you down? Dr. Nuss can help.

Often referred to as a “fallen bladder,” pelvic organ prolapse is more common than you think.  As women age, the pelvic floor, a hammock- like structure made of ligaments and muscles can weaken and the pelvic organs can start to fall into the vaginal canal.

Often referred to as a cystocele when it falls, your bladder is just one pelvic organ that can start to fall into the vaginal canal.  Others include the uterus (if you have not had a hysterectomy), the small bowel or intestine (enterocele), and the rectum (rectocele).  Symptoms can vary widely and include a sensation of a bulge or mass in the vagina, pelvic pain or back pain, urinary tract infection, urinary or fecal incontinence, difficulty emptying your bladder or bowel, and discomfort with sexual intercourse.  If you feel or see a bulge in your vagina, have difficulty urinating, bowel or bladder incontinence, you may have pelvic organ prolapse and should make an appointment with a specialist experienced in the diagnosis and treatment of pelvic organ prolapse.  As a member of the incontinence center of excellence at Urology Partners, Dr. Nuss can help.

How can pelvic organ prolapse be fixed?

PESSARY – A pessary is a silicone device that is customized to fit into the vagina to hold the prolapsed bladder, rectum, uterus or bowel in place.  It is non-surgical, but requires regular follow up for vaginal exam and cleaning of the device. It also will not allow you to be sexually active. It is generally a good option for those women who do not want surgery or are not healthy enough for surgery.

TRANSVAGINAL PROLAPSE REPAIR – In this surgical procedure, an incision is made on the vaginal wall and either your own tissue surrounding the prolapse is used or a graft material made from specially treated cadaver skin is used to help re-suspend and support the prolapse back where it should be. If you still have your uterus, it can be performed with or without a hysterectomy, depending on degree of prolapse and patient preference.

ROBOTIC SACROCOLPOPEXY – This is a form of laparoscopic surgery where a surgical robot is used to assist in doing the surgery.  The surgeon controls the robot from a specialized control panel called a console. The surgeon directs the robot’s arms which are inserted through small incisions in the belly.  A piece of mesh that looks like an upside down “Y” is placed in the body and fixed to the inner wall of the vagina and then attached to the sacrum, which suspends the pelvic organs and provides support so that they no longer fall into the vaginal canal.

If you have symptoms of pelvic organ prolapse or have recently been diagnosed with pelvic organ prolapse and want to make an appointment with a trusted expert, call our office or request online.