Time for you to Talk About Pelvic Organ Prolapse

 

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Pelvic Organ Prolapse Victor Nitti, MD & Christopher Tarnay, MD | UCLAMDChat

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Time to Chat About Pelvic Organ Prolapse Pelvic Organ Prolapse, or POP, is too often brushed aside by health care professionals. It’s up to women to communicate the severity of their symptoms and the problems they cause. It’s Time to Talk to Your Doctor about Pelvic Organ Prolapse.

By Joseph Maccarone, MD, Urogynecologist—Virtua Female Pelvic Medicine. Pelvic organ prolapse (POP) is a common condition affecting 1 in 3 women. It occurs when a woman’s pelvic organs drop downward due to a lack of support from the muscles and connective tissues in the pelvic floor. Pelvic floor disorders (urinary incontinence, fecal incontinence, and pelvic organ prolapse) affect one in five women in the United States.

1 Pelvic organ prolapse is less common than urinary or fecal incontinence but affects almost 3% of U.S. women. 1 Pelvic organ prolapse happens more often in older women and in white and Hispanic women than in younger women or. IT’S TIME TO TAKE PELVIC ORGAN PROLAPSE OUT OF THE CLOSET By Sherrie J. Palm. Pelvic organ prolapse.

Pessary. Urogynecology. Terms that all women should be familiar with, terms that few women are. Pelvic organ prolapse is a common female health condition that has probably been around since the beginning of mankind yet sadly remains in the closet.

Pelvic organ prolapse (POP) occurs when there is a shift in the optimal position of the pelvic organs (in women those are the uterus, rectum, and bladder). Symptoms may include a feeling of pressure or heaviness in the perineum, altered flow of urine, a feeling of falling out, constipation or straining, and discomfort during intercourse. What is Pelvic Organ Prolapse? There are 5 types of pelvic organ prolapse: cystyocele (bladder drops and bulges into the vaginal canal), rectocele (large bowel or rectum bulges into the vaginal wall), enterocele (intestines), vaginal vault (vagina caves in on itself, possibly after uterus is removed-hysterectomy), and uterine (uterus).

Pelvic Organ Prolapse is basically when your insides fall our your vagina. Yikes! Stephanie Dolgoff reports on how she solved her POP problem. As embarrassing as pelvic organ prolapse can be to talk about, it’s something you need to discuss with your primary care physician or gynecologist.

Letting it go can leave urine in your bladder, which can lead to urinary tract infections. Pelvic organ prolapse, a type of pelvic floor disorder, can affect many women. In fact, about one-third of all women are affected by prolapse or similar conditions over their lifetime.

Posting here all the time at the moment!3 weeks ago I had quite a horrendous labour. 1 hour of pushing to discover baby was in a bad position faile. Talk » Childbirth » Pelvic organ prolapse?!

Possible TMI!

List of related literature:

Gastrointestinal complications following abdominal sacrocolpopexy for advanced pelvic organ prolapse.

“Campbell-Walsh Urology” by Alan J. Wein, Louis R. Kavoussi, Andrew C. Novick, Alan W. Partin, Craig A. Peters
from Campbell-Walsh Urology
by Alan J. Wein, Louis R. Kavoussi, et. al.
Elsevier Health Sciences, 2011

MANAGING YOUR PELVIC ORGAN PROLAPSE What Is Pelvic Organ Prolapse?

“Ferri's Clinical Advisor 2019 E-Book: 5 Books in 1” by Fred F. Ferri
from Ferri’s Clinical Advisor 2019 E-Book: 5 Books in 1
by Fred F. Ferri
Elsevier Health Sciences, 2018

O’Boyle A, Woodman P, O’Boyle J, et al: Pelvic organ support in nulliparous pregnant and nonpregnant women: A case control study.

“High Risk Pregnancy E-Book: Management Options Expert Consult” by David K. James, Philip J. Steer, Carl P. Weiner, Bernard Gonik
from High Risk Pregnancy E-Book: Management Options Expert Consult
by David K. James, Philip J. Steer, et. al.
Elsevier Health Sciences, 2010

Pelvic organ prolapse is identified visually for any organ protruding outside of the vaginal introitus and provoked by asking the patient to strain and cough to determine the extent of the prolapse.

“The Nurse Practitioner in Urology” by Michelle Lajiness, Susanne Quallich
from The Nurse Practitioner in Urology
by Michelle Lajiness, Susanne Quallich
Springer International Publishing, 2016

In all women with symptomatic pelvic organ prolapse, several areas of function need to be discussed including urinary, bowel, sexual, and other pelvic complaints.

“Comprehensive Gynecology” by Gretchen M. Lentz, David M. Gershenson
from Comprehensive Gynecology
by Gretchen M. Lentz, David M. Gershenson
Elsevier Mosby, 2012

Alternatively, if the uterus is still in place, the peritoneum is opened posterior to the uterus and the flap is dissected posteriorly between the rectum and the vagina.

“Geriatric Urology” by Tomas Lindor Griebling
from Geriatric Urology
by Tomas Lindor Griebling
Springer New York, 2014

Injury to the ureter is the most serious complica­tion of hysterectomy and usually occurs during the abdominal procedure, particularly during a difficult dissection for PID, endometriosis, or pelvic cancer.

“Hacker & Moore's Essentials of Obstetrics and Gynecology E-Book” by Neville F. Hacker, Joseph C. Gambone, Calvin J. Hobel
from Hacker & Moore’s Essentials of Obstetrics and Gynecology E-Book
by Neville F. Hacker, Joseph C. Gambone, Calvin J. Hobel
Elsevier Health Sciences, 2009

In all women with symptomatic pelvic organ prolapse, several areas of function must be discussed and potentially addressed, including urinary, bowel, sexual, and other pelvic complaints.

“Comprehensive Gynecology E-Book” by Rogerio A. Lobo, David M Gershenson, Gretchen M Lentz, Fidel A Valea
from Comprehensive Gynecology E-Book
by Rogerio A. Lobo, David M Gershenson, et. al.
Elsevier Health Sciences, 2016

If the ureter can be clearly identified transperitoneally by its peristalsis and found to be safely beneath the level of the infundibulopelvic ligament, oophorectomy can be performed without opening the pelvic sidewall peritoneum.

“Clinical Reproductive Medicine and Surgery” by Tommaso Falcone, William W. Hurd
from Clinical Reproductive Medicine and Surgery
by Tommaso Falcone, William W. Hurd
Mosby/Elsevier, 2007

Pelvic organ prolapse in the Women’s Health Initiative: gravity and gravidity.

“Urogynecology and Reconstructive Pelvic Surgery E-Book” by Mark D. Walters, Mickey M. Karram
from Urogynecology and Reconstructive Pelvic Surgery E-Book
by Mark D. Walters, Mickey M. Karram
Elsevier Health Sciences, 2006

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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  • I am an Arvigo Therapy practitioner which is also known as Mayan Abdominal Massage. It is a non evasive treatment for uterine or bladder prolapse that was developed in Belize, Central America. There are now practitioners around the world that do this treatment. It works to reposition the organs in the pelvic floor. Often times women believe this is something that they have to live with but there is help out there. I have been treating uterine and bladder prolapse for years and there is hope! Please do some research on this treatment and find a practitioner in your area:)

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  • Im 29 years old dont smoke,have kids and im not overweight. I have a bladder prolapse. I discoverd it friday july 17 it freaked me out when i found it the only reason i looked was being intimate with my other half was causing a lot of pain and bleeding. But what most likely caused my prolapse is chronic constipation and heavy lifting. Im still waiting to be seen by my gynecologist. It cant happen soon enough im super stressed out! I wish someone would have told me this could happen! I would have been more on top of my constipation. Iv now started taking miralax and making more effort to eat more fiber and fruits and vegetables. My prolapse is still inside but it blocks the entryway. Iv been working on kegel exercise. I know why women are hesitant to bring it up to their doctor. When i went to my doctor lets say he lacked sensitivity and made a comment about how i should just use more lube. when he should have asked if iv been using lube? because i told him what officially made me make an appointment was one the really painful intercourse an bleeding plus finding the weid mass inside. So to make the comment just use more lube upset me in an already very uncomfortable situation! The good news is the Specialist I’ve been referred to have all had way more professional courtesy then my primary doctors here over the past few years I have vented on Facebook about how I feel the healthcare system has failed me because I cannot seem to find a primary care doctor that takes a proactive approach to my health I know they exist because I had a very good doctor when I was a kid and my other half has a great doctor as well if it wasn’t for insurance I would have switched to his doctor already due to this incident. I have message my doctor in reference to the comment that was made in hopes that in the future I can receive better care!!

  • Thanks Dr.s for explaining so well.I was so scaired.I didnt know my options.I plan to get operated. Hopefully I can even. go there.Thanks.

  • This is an excellent presentation! Very informative and helpful to all of us out here with various forms and stages of pelvic organ prolapse.

  • I am in NY, if I come to LA (my son leaves there) how long will I stay in the Hospital and also regarding the Insurance (I have Medicare (covers 80%) and AARP Insurance (Covers the other 20%). Please let me know.

  • Thank you so so much for sharing. I also struggle with prolapse after giving birth to my first child, and it had been devastating and also caused periods of depression for me post-partum. I used to be a passionate runner and I am devastated that running and racing is no longer in the cards for me. Everything that you say very much resonates with me, including the decision over how to give birth to a second child, and the jealously over women that can still do HIIT workouts. Sending so much love.