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Prolapse Surgery

Uterine Prolapse - Kegel8 Can Help

Pelvic organ prolapse occurs when one of your pelvic organs ‘drops’ because it is no longer held in the correct position. There are four stages of prolapse, 1 being the mildest and 4 being the most severe – stage 3 and 4 are also known as procidentia, which means the prolapsed organ protrudes out of the body.

Any pelvic organ can prolapse, and common prolapse conditions include bladder prolapse (cystocele), urethral prolapse, uterine (womb) prolapse, vaginal vault prolapse, bowel prolapse (enterocele) and rectal prolapse (rectocele).

Before resorting to surgery, there are other, more conservative treatment options for prolapse, including pelvic floor exercise (which we of course recommend strongly) and the use of a vaginal pessary. However, if your surgeon decides that surgery is the best option, you will want to know about your prolapse surgery. There are a number of different options available, depending on the type of prolapse.

What are the different types of prolapse surgery?

  • Vaginal Repair: prolapse surgery often involves vaginal repair. This may include a vaginal hysterectomy where your uterus is removed via the vagina. This won’t leave a scar as all the stitches are internal. Once this has been done, the surgeon will often use a mesh (TVT) to help support your vagina and prevent further prolapse.
  • Posterior Intravaginal Sling Plasty: sometimes women suffer vaginal prolapse after hysterectomy. To treat this, the surgeon will place a mesh inside the vagina to ‘anchor’ it and help to support the vagina.
  • Sacrospinous Fixation: to support the vagina, sometimes the surgeons will place one or two very deep internal stitches inside you. The stitch goes into a strong ligament in your pelvis, called the sacrospinous ligament, and this aims to help to prevent your prolapse from coming back.
  • Sacrocolpoplexy: if you have a particularly severe or complicated prolapse, surgeons may perform this type of operation. The surgeons will make a cut across your abdomen, to fix the vagina to the bone to the back of your pelvis. This will then be supported by a mesh to give stronger support and help to hold things in place.

What are the risks of prolapse surgery?

As with any surgery, there are risks associated with prolapse surgery.

  • TVT mesh erosion: in the news recently, there have been some TVT scares. With prolapse surgery, there is the risk that the mesh used to support your internal organs can erode or become infected. This is a small risk, but may require further surgery to remove the mesh or repair it.
  • Further prolapse: it has been shown that about a third of women who undergo prolapse surgery end up having further surgery because there is a strong link between prolapse – if a woman has had one prolapse, it is possible that she may get another. That is why it is so important to strengthen the pelvic floor both before and after surgery.
  • Not all symptoms may improve: many women find that although they no longer have the ‘bulging’ or ‘dragging’ associated with prolapse after surgery, they still may suffer with incontinence or constipation because prolapse surgery only treats the symptoms, not the underlying cause of prolapse. Again, it is vitally important to strengthen the pelvic floor, not only to prevent your prolapse from recurring, but to help treat the incontinence symptoms too.

The Kegel8 Ultra 20 Electronic Pelvic Toner features a programme especially for those of us suffering from pelvic organ prolapse. Strengthening your pelvic floor muscles before and after prolapse surgery with a pelvic floor toner will greatly improve your surgical outcome and help you to avoid further prolapse surgery in the future.

After prolapse surgery with or without pelvic floor repair, it’s vitally important to Kegel exercise – this will give you the best possible surgical outcomes. You can do the 'manual' squeeze and lift exercises or you can invest in a pelvic floor toner to automatically strengthen and tone your pelvic floor. It’s important to remember that you should not use electronic stimulation for around 3 months after surgery, until your surgeon gives the all-clear.

Kegel8 are here to help you, so if you need any advice on how a Kegel8 pelvic toner can help with prolapse, please call us – we’re always happy to help.

Alleviate the symptoms of pelvic organ prolapse & strengthen the pelvic floor in just 12 weeks, with the help of the Kegel8 Ultra 20 & Amanda Savage!

Amanda Savage is one of the UK’s leading specialist pelvic floor and women’s health physiotherapists, who has worked in the field for over 20 years offering supervised pelvic floor muscle training and support for the recovery of pelvic organ prolapses, incontinence and pelvic surgeries. With post-graduate qualifications, including a master’s degree from the University of Cambridge, she has also gained full membership of the Professional Network of Pelvic, Obstetric & Gynaecological Physiotherapy (POGP). As a Kegel8 ambassador, Amanda Savage has worked alongside us for many years in the development of our best-selling device, the Kegel8 Ultra 20 V2 Electronic Pelvic Toner, to ensure its efficacy. In addition, she has been integral to ensuring all supporting information and instructions are medically accurate so that the device is used correctly/effectively, and treatment is tailored to the specific condition of the user.

Find out more about Amanda Savage, her qualifications, experience, knowledge, and affiliations here.

Amanda Savage

Comes complete with an easy exercise plan, created by Amanda Savage, to get results in 12 weeks!

Here at Kegel8, we are all too aware of the discomfort, not to mention the anxiety, that is caused by pelvic organ prolapse. So, if you are experiencing an uncomfortable ‘dragging’ sensation, are struggling with bladder and bowel control, bowel emptying and a lack of intimate sensation, you are certainly not alone! Indeed, more common that you may realise, pelvic organ prolapse affects millions of people worldwide. And we are extremely familiar with the impact it has on both physical and emotional well-being, as well as on life in general.

It’s true that, left untreated, the symptoms of pelvic organ prolapse will simply worsen over time. However, they should by no means be accepted as an inevitability! Indeed, regular pelvic floor exercise has been proven to build muscle and tone, creating a thicker support shelf for the organs to rest on. This essentially holds them up and keeps them in place. In addition, much like any other exercise, it builds strength and tone to ensure the muscles do not tire easily and can react quickly to provide additional support during strenuous activities. This improved endurance and strength also helps with bladder and bowel control. So, by simply performing regular pelvic floor exercise, you can get your life back on track!

The included easy exercise plan was created by Amanda Savage to prevent, treat, and alleviate the associated symptoms of pelvic organ prolapse. It is proven to build muscle and tone and create a thicker support shelf for the organs to rest on, essentially holding them up and keeping them in place. In addition, this simple exercise regime will improve endurance and ensure the muscles do not tire as easily, so that they can react quickly and provide the optimum support when performing strenuous activities. This improved endurance and strength also helps with bladder and bowel control and the contractions have been shown to calm the nerves responsible for a sensitive bladder. The plan even encourages the user to practise contracting their muscles alongside the machine, which prepares them for ‘real life’ scenarios when they don’t have access to the machine.

So, why opt for an electronic pelvic floor exerciser rather than performing your Kegels independently?

It is thought that many women push downwards when performing independent pelvic floor exercises, which, rather than strengthening the muscles, can lead to further damage. In addition, it can be difficult to locate and target the correct muscles, making exercise less effective. The Kegel8 Ultra 20 V2 Electronic Pelvic Toner removes the guesswork and essentially acts as a Sat-Nav for your pelvic floor muscles, correctly targeting and stimulating a contraction within them using a small electric current. These contractions build strength and tone in a matter of weeks! With 20 clinically proven pelvic floor exercise programmes which vary in frequency, intensity and duration, the Ultra 20 is proven to treat a variety of different conditions, including pelvic organ prolapse and bladder/bowel control and emptying. And, in addition to tailored programmes, the specific 12-week exercise plans created by Amanda Savage advise exactly how the device should be used, depending upon the condition, to ensure the very best treatment.