The best treatment of pelvic prolapse it is a surgical intervention, since it is a minimally invasive surgery thanks to the advances that have taken place in the devices and materials that are used nowadays. And, as Dr. Juan Evangelista Ruiz de Burgos, urologist at the USP San Camilo Hospital warns, although the idea that urine losses are normal after certain ages is widespread, this is not true, so people affected should be put in the hands of a specialist who corrects the problem with a simple intervention and avoid, in this way, the need to use "diapers for life."

The pelvic floor It is formed by a set of muscles, nerves and tissues that support organs such as the vagina, uterus, bladder, urethra and rectum. If the muscles of the pelvic floor are deteriorated by factors such as pregnancy and vaginal delivery, practice impact sports, etc., there may be a sagging of any of the supporting organs, or of their whole, so that they are located below of its natural position and press the vagina causing a protuberance that is observed from the outside.

Vaginal deliveries, especially if babies have a high birth weight, multiple births, chronic constipation, some types of work that require physical exertion or adopt harmful positions, menopause, and even genetic factors, can influence a person develop pelvic prolapse.

If pelvic prolapse is already established, the best solution is surgery, because current surgical techniques are less invasive and better tolerated

Dr. Ruiz de Burgos explains that in case the pelvic floor has begun to detach it is key to detect it and establish a diagnosis, to start as soon as possible a conservative treatment based on performing specially indicated exercises and physical techniques that allow recovery and strengthening the whole of the pelvic musculature, thus preventing the weakening from continuing and getting worse.

According to this expert, however, when the prolapse is already established, it is better to undergo surgical intervention-less invasive and better tolerated in the actulidad-, because when this musculature has already fallen off its deterioration progressively increases, due to the loss of muscle tone and hormone levels.

Pelvic prolapse and loss of quality of life

Pelvic prolapse affects the daily routine and is a loss of quality of life for women. Depending on the area of ​​the pelvic floor that is detached, the woman will have some problems or others. If the detachment affects only the bladder, the dynamics of urination will be altered, which means that urine retentions will occur, or that the patient will have inadequate urination sensations and the urge to urinate urgently. In these cases it can even present infections due to the urine that accumulates and is not eliminated properly. In addition, when the tone of the urethral sphincter is altered, the musculature can relax causing "pure urinary incontinence" or stress, which will generate urine losses when performing small efforts such as those that arise when coughing or laughing.

On the other hand, if the rectum is detached, the woman would have intestinal problems. Specifically, it would have alterations for the normal retention of stool which could cause constipation.

In those cases in which the womb, the uterus, emerges, a lump appears that can be visible even from the outside and that, according to the expert, in the case of women who have an active sexual life, regardless of age , your sexual intercourse they will be uncomfortable for her and for the man, and they could interrupt them.

During the summer, urinary incontinence (involuntary loss of urine) is a problem that affects women even more. Staying more hours away from home, traveling, and certain situations such as water dives, can be serious obstacles for women with this condition to enjoy the holidays. In addition, as Dr. Ruiz de Burgos points out, many people with these types of problems do not dare to have sex, because they can even urinate during sexual intercourse, which makes them feel uncomfortable and embarrassed, difficult to overcome.


Watch a Minimally Invasive Repair of Pelvic Organ Prolapse (November 2019).