Pelvic Plastic Surgery

Pelvic plastic surgery is a surgical procedure that repairs and tightens weakened pelvic floor tissues causing pelvic organ prolapse. This surgery can be performed through small incisions in the vagina or abdomen and is typically done under local or general anesthesia. 골반필러

The most common procedures are to support a prolapsed bladder or rectum, tighten the anterior (front) wall of the vagina, and reconstruct the area between the rectum and vagina. In addition, the outer lips of the labia minora can be reduced or reshaped to improve sexual comfort and reduce the risk of infection.

Native tissue repair, also called natural tissue repair, reconstructs the weakened underlying tissues that cause pelvic organ prolapse by using stitches to close and tighten the tissue. This is accomplished through either a vaginal or abdominal approach under a regional or general anesthetic using sutures that will eventually dissolve or be replaced by scar tissue.

A cystocele repair is used to correct prolapse of the bladder while a rectocele repair tightens a prolapsed rectum. We also perform sacrocolpopexy to support the prolapse of the front and back wall of the vagina. Previously, many surgeons placed mesh through the vagina to support a prolapsed organ such as the bladder or rectum.

However, this type of surgery is no longer done in the United States because it has been linked to an increased rate of problems with the mesh including vaginal exposure, dyspareunia (painful intercourse) and uterine prolapse.

Sacral colpopexy is a minimally invasive surgical procedure that corrects the prolapse of the front and back wall, or vault, of the vagina. It also can be performed to correct a uterine or vulva prolapse that resulted from a prior hysterectomy. This surgery is similar to a traditional vaginal sacrocolpopexy, but it uses a different type of mesh that provides better results and lower rates of complications such as mesh erosion into viscera or persistent pain after surgery.

Another type of mesh surgery is placed outside the body through the abdomen and is used to treat prolapse of the uterus, vaginal walls or the sacrum. This type of procedure is also known as a sacrocolpopexy or a sacrohysteropexy.

These surgeries are usually performed through a small incision in the abdomen and are generally done under a general anesthetic. The surgery may be done under a robot or laparoscopic technique.

Some patients have a weak sphincter that can lead to stress incontinence (leakage of urine with coughing, sneezing or strenuous activity). In these cases, we can perform a procedure called the Burch procedure that helps to strengthen the neck of the bladder or urethra.

We can also perform a urethral bulking injection that is done in office to help with leakage and can be repeated after a few months or years as needed. Other treatments include sacral neuromodulation that involves placing a device under the skin to stimulate a nerve in the lower spine (sacral nerve) to provide urinary control. 골반필러