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Pelvic floor prolapse: finding new support in life.

Pelvic floor prolapse: finding new support in life.

Is pelvic floor prolapse really a cause for concern? Those who take a closer look discover the path back to healing and normality that so many women have already taken together with Asst. Prof. Dr. Resmiye Ermis.

Brief overview: what is worth knowing about pelvic floor prolapse.

The lower area of the pelvis is referred to as the pelvic floor. The pelvic floor muscles play an important role here, as they support and stabilize the organs.

If the pelvic floor muscles are weakened or damaged, the organs can lose their original support and, over time, may even protrude through the vagina.

Many women report a foreign body sensation in the vagina. Pain during sexual intercourse may also occur. The bladder and bowel often cannot be completely emptied. Bladder weakness, chronic bladder infections, and incontinence can also be associated with pelvic floor prolapse. Post-void dribbling is often an early sign.

Typical causes of pelvic floor prolapse include childbirth, weak connective tissue, and improper physical strain such as lifting excessively heavy loads. An unhealthy lifestyle with too little pelvic floor–strengthening activity, significant overweight, and additional burdening factors such as smoking can also pose risks.

Timely action is therefore important here as well, because pelvic floor prolapse can lead to urinary and fecal incontinence. In advanced cases, organs from the pelvic region, such as the vagina itself along with the uterus, bladder, and others, can descend to the point that they protrude from the vaginal area. This advanced form of pelvic floor prolapse is referred to as prolapse.

What indications may be found in the medical history, the anamnesis? This is where Dr. Resmiye Ermis begins. During the subsequent vaginal and rectal examination, possible reflex disorders and incontinence are identified. A cystoscopy, known as cystoscopy, then provides clarity as to which organs are affected.

If pelvic floor training does not lead to success or is not sufficient on its own, surgery is recommended. Dr. Resmiye Ermis operates using minimally invasive techniques and, whenever possible, always with preservation of the uterus. Treatment options include the Dubuisson procedure, as well as the CESA and VASA surgical methods.

In the particularly low-complication pelvic floor prolapse surgery according to Dubuisson, the uterus, cervix, and or vagina are fixed laterally within the pelvis. If the pelvic floor prolapse is already advanced, the CESA method is a suitable option, as it allows the uterus to be preserved despite the prolapse while simultaneously treating incontinence. If the uterus has already been removed, the VASA method offers a promising solution, as it primarily strengthens the weakened ligament structures that led to vaginal prolapse.

If vaginal prolapse is also present, it is likewise corrected in a minimally invasive manner when using the CESA or VASA method. Compared with conventional treatments, the vagina is not opened. The prolapse is corrected from the abdominal cavity, which further simplifies this gentle procedure overall and promotes faster healing.

Many women experience successful treatment of pelvic floor prolapse by Asst. Prof. Dr. Ermis as the beginning of a new chapter in life. Physical strain, as well as worries, uncertainty, and fear, are now a thing of the past. Life gains a new sense of lightness, because there is finally room again for the normal things. Greater awareness of one’s own health, with all its positive effects, also supports a fulfilling life.

When will your new chapter begin after treatment for pelvic floor prolapse? Schedule your appointment with Asst. Prof. Dr. Ermis now at 069-407 15 50. Or send a message to gynaekologie@rotkreuzkliniken.de.

vNOTES surgery:

A good option or not?

vNOTES surgery:

A good option or not?