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Part 1: Gynaecology and vaginal prolapse repair

The article here is the first in a line that deals with the topic of gynaecology. Vaginal repair is the first topic, which focuses on prolapsed problems and their diagnosis.

Vaginal prolapse (utreovaginal prolapse) is a critical condition and comes with geniourinary and defecatory problems as a consequence. Pelvic organ prolapse is prevalent and associated with significant health-related quality of life and economic consequences. References to prolapse of the womb were first made in ancient Egypt, dating back to 1550 BC. When there is a significant descent of the vaginal apex often following a hysterectomy, it is known as a vaginal prolapse.

The Apical prolapse refers to the prolapse of the vaginal apex regardless of the presence of the uterus. Clearly this is not a new condition, but appears to be on the rise in line with greater life expectancy. Utervaginal prolapse is expected to gradually increase during the next 40 years from 3.3 million to 4.9 million.

A prolapse of the vaginal apex may be followed by an enterocele. Whereas complete vaginal eversion is obvious, lesser degrees of prolapse and the presence of enterocele are more difficult to discern and require careful evaluation of anterior, posterior, and apical compartment defects.

The symptoms for all prolapses are similar, there maybe a feeling of heaviness and pain especially when standing and during intercourse. There could be a protusion or a feeling of stretching or pulling in the pelvic region.

If you are thinking of a surgery procedure, it will depend on the type of prolapse present and which organ is causing the discomfort. You should be able to discuss the which type of surgery is necessary with your gynaecologist. The procedure is usually carried out with private health care under general anaesthetic and involves a one to three day admission.

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