Treatments

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Treatment

Depending on the type of pelvic prolapse you are experiencing and its severity, there are a number of treatments available. Talk to your doctor about the treatment that is right for you. Non-surgical treatments Depending on the severity of the prolapse, your doctor will prescribe different therapies. They might include the following. Kegel exercises help strengthen pelvic floor muscles and may help relieve some symptoms of minor prolapse. These exercises involve identifying the pelvic floor muscles that purposely interrupt the flow of urine in midstream, and then tightening these muscles for three seconds and relaxing them for three seconds. Kegel exercises are commonly repeated 10 to 15 times per session, at least three times per day. A vaginal pessary is a device that is placed into the vagina to support surrounding structures and is similar to the outer ring of a diaphragm. Like a diaphragm, a pessary usually is made of silicone and is fitted by your doctor. Surgical treatments Sometimes, surgery is needed to repair prolapse. These usually are performed under regional or general anesthesia. Surgical options include: Sacral Colpopexy—A surgical procedure that attaches one end of mesh to the top of the vagina and the other end to the upper part of the tailbone or lower part of the spine. Straight-In^TM from AMS is a repair system designed to treat vaginal vault prolapse in an open or laparoscopic procedure. Graft Augmented Repairs—Some surgeons will utilize a synthetic or biologic graft to augment their prolapse repairs because the tissue has been weakened and needs to be reinforced. InteXen^TM, is a biologic graft made from porcine dermis that is used in prolapse repairs. IntePro^TM is a soft, large pore synthetic mesh that is used in prolapse repairs. Prolapse Repair Systems—AMS has developed two revolutionary prolapse repair systems that take graft augmented vaginal surgery to a new level by standardizing minimally invasive approaches to restore function. Apogee^TM is a vaginal vault suspension procedure. When combined with IntePro or InteXen apical and posterior wall repairs can be made. Perigee^TM is a surgical solution for bladder prolapse (cystocele) that is peformed vaginally using InteXen or IntePro.