Uterine Prolapse Treatment for Elderly

Uterine Prolapse

Uterine prolapse, also known as a Prolapsed Uterus, is a condition where the muscles and tissues surrounding your uterus become weak such that it can't support the weight of the uterus. As a result, the uterus drops down into the vagina. Although it can happen to any woman, you are more likely to have uterine prolapse if you had a vaginal delivery instead of a C-section or if  you have reached menopause.

At Felix Hospital, our expert Gynecologists and surgeons offer the most effective and minimally invasive uterine prolapse treatment for elderly. Our specialists, equipped with cutting-edge technology and support staff, provide our patients with the accurate diagnosis and best care possible.
 

Symptoms

There might not be visible symptoms in case of a mild uterine prolapse, however, if your uterus slides further out of position, it may press against other pelvic organs, resulting in symptoms like:

• Pressure or heaviness in the pelvic area

• Pain in the lower back, abdominal region, or pelvis

• Discomfort during sexual intercourse

• Tissue from the uterus falling through the vagina

• Constipation

• Urinary issues include leaking pee (urinary incontinence), the urge to pee frequently (urinary frequency), and sudden urges to urinate (urinary urgency).

Standing or walking for extended periods, or coughing and sneezing frequently, may aggravate these symptoms. 

Causes

The muscles, ligaments, and tissues in your pelvis that support the uterus, rectum, vagina, bladder and other pelvic organs are called the pelvic floor muscles. Over time, and with multiple vaginal childbirths, these tend to become weak. When these muscles become so weak that they are unable to support your pelvic organs, a prolapse happens. As a result, the pelvic organs fall into or come out of the vagina. This can be caused by factors, such as:

• Menopause-related loss of muscular health

• Vaginal delivery, particularly in case of many or large baby

• Age at first delivery: Compared to younger women, older women are more likely to suffer pelvic floor injuries

• Obesity

• Persistent coughing or straining

• Chronic constipation

• Repeated heavy lifting
  
   

When to seek medical care?

You should see a doctor if you experience the following symptoms: urinary problems, tissue protruding from the vagina, a feeling of weight or pressure in your pelvis, or discomfort during sexual activity.

If you experience significant discomfort, have trouble urinating or passing stool, or if the prolapsed tissue becomes swollen, painful, or discolored, get medical help right away.
 

Other organs in the pelvic region may shift out of position if the muscles surrounding them become very weak. This can lead to the following complications:

• Anterior prolapse:  When the bladder sags into the vagina due to the weakening of the connective tissue between the bladder and vaginal wall, it causes anterior prolapse. This is known as a cystocele.

• Posterior vaginal prolapse: When the wall of tissue that separates the rectum from the vagina weakens or tears. It is also known as a rectocele.

• Small Bowel Prolapse: When the small intestine slides into the lower pelvic cavity and presses up against the vaginal wall. This is also called enterocele.

Diagnosis:

In addition to a complete medical history and physical examination, our experts may recommend the following examinations:

• A pelvic exam to confirm uterine prolapse and to determine how weak your pelvic muscles are.

• MRI or CT scan to get a look at your kidneys and other pelvic organs
  
   

Treatment

If the uterine prolapse does not bother you, you may not require treatment at all. However, if you experience difficult symptoms, the treatment will be determined by the severity of the symptoms. Our experienced and skilled gynecologists will recommend a surgical or non-surgical treatment plan based on the degree of the prolapse, overall health, age, and whether or not you wish to have children in the future. The treatment options may include:

Non-Surgical Management:

• Pelvic Floor Muscle Training: These exercises help improve symptoms besides strengthening the pelvic floor muscles, which support the uterus.

• Pessary: A pessary is a rubber or plastic device that fits around the cervix to support the uterus and keep it in place. It is inserted by a healthcare provider and needs regular cleaning. It may need to be removed before sexual activity.

• Estrogen Therapy: Estrogen can be prescribed in various forms such as pills, patches, or creams to strengthen vaginal walls, especially when using a pessary.

Surgical Treatment:

• Hysterectomy: A hysterectomy involves the removal of the uterus, which can be performed either through the vagina or through the abdomen. At Felix Hospital, we offer the latest treatment for uterine prolapse laparoscopically. If you're looking for hysterectomy surgery in Noida, our expert team uses minimally invasive techniques to ensure faster healing and fewer complications.

• Prolapse Repair Without Hysterectomy: This procedure repositions the uterus and may involve suspending it by reattaching pelvic ligaments. This surgery can be done through the vagina or abdomen and may be preferred for those who still wish to retain fertility.

• Pelvic Repair Procedures: In some cases, additional surgeries may be needed to repair other pelvic organs if they also prolapse. These may involve stitching, vaginal closure, or insertion of mesh to support the tissues.

Prevention

Here are some lifestyle tips that can minimize your chance of prolapse:

• Keep a healthy weight and exercise regularly.

• Perform Kegel exercises to strengthen the pelvic floor muscles.

• Stop smoking. This lowers the chances of developing a chronic cough, which can place further strain on your pelvic muscles.

• Using proper lifting techniques while lifting heavy objects.

• Avoid constipation and straining to poop.
   

Why Choose Felix Hospital for Uterine Prolapse Treatment for Elderly?

At Felix Hospital, we provide the latest treatment for uterine prolapse based on the underlying cause. Our team of experienced gynecologists use cutting- edge technology to ensure quality treatment to our patients. 

Here’s what makes us the best choice for uterine prolapse treatment (surgical & medical):

• Experienced team: We have highly skilled and experienced specialists.

• Clinical excellence: We have proven experience in handling even the most complicated cases accurately and precisely.

• Multidisciplinary approach: Our team works closely with other specialists.

• State-of-the-art technology: We have the latest technologies for diagnosing and treating cases with unconventional methods.

• Personalized care: We provide quality treatment to each patient as per the individual requirement to ensure personalized care.

FAQs

1. Can uterine prolapse occur again?

Ans. Yes, a prolapse might recur. There are more chances if you have a severe prolapse, are severely obese, or are under the age of 60.

2. How prevalent is uterine prolapse?

Ans. Uterine prolapse is a common condition. The likelihood of having a prolapse increases with age. If you have had several vaginal deliveries, you are also more likely to have uterine prolapses.

3. What are the possible risks of surgery for uterine prolapse?

Ans. Potential risks include heavy bleeding, blood clots in the legs, and infections. There’s also a chance of injury to nearby organs such as the bladder, ureters, or bowel during the procedure. At Felix Hospital, we provide the latest uterine prolapse treatment (surgical and medical). To schedule an appointment, contact us.

4. Can I force a uterine prolapse back up?

Ans. No, you cannot put your uterus back in position on your own. Only a trained surgeon can do it. If you experience any symptoms, schedule an appointment with an experienced gynecologist to seek timely treatment.