Docteur Kadoch

Gynécologue Accoucheur à Paris.

Chirurgien, Obstétricien.

RDV Mondocteur.fr RDV Doctolib.fr

I have a prolapse. Why is this happening and what should I do?

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Genital prolapse is the abnormal protrusion of pelvic organs lining the walls of the vagina.

We distinguish:

|Type of prolapse |Organ concerned |

|cystocele |Bladder |

|the hysterocele |uterus |

|rectocele |rectum |

|the enterocele |the cul-de-sac (the top of the vagina) |

|the colpocele |the bottom of the vagina |

Treatment:

It depends on the stage of the prolapse on clinical examination and any associated urinary disorders (sought by a urodynamic examination):

-surgery: it is proposed in case of real discomfort The two techniques are:

-intervention by perineal approach (with or without hysterectomy associated)

-the promontofixation: laparotomy or laparoscopy (with or without associated hysterectomy) - several rehabilitation sessions sphincterotomy-perineal (including in cases of surgical treatment)

-local hormonal treatment with estrogen

-pessaries: These rings are used to retain silicone bodies pending surgery. They are associated with estrogen therapy limiting local vaginal discharge.