Pelvic Reconstruction- Procedure, Recovery and Benefits

Pelvic reconstruction is a surgical intervention aimed at restoring the stability and resilience of the pelvic floor. This procedure is essential for addressing conditions where the ligaments and muscles supporting the pelvic floor become weakened or damaged, often as a result of childbirth. During pelvic reconstruction, physicians address each prolapsing organ individually, reconstructing the supportive layers or removing the affected organ if necessary. This treatment is effective not only for pelvic organ prolapse but also for managing chronic conditions, injuries from heavy lifting, or previous surgeries.

How is pelvic reconstruction performed?

Pelvic reconstruction is typically conducted through the vaginal route. In an anterior pelvic reconstruction, an incision is made along the vaginal mucosa covering the displaced bladder. A catheter is then inserted into the urethra to facilitate the opening of the vaginal mucosa and expose the bladder wall.

Various techniques can be employed for anterior repair, with one common method involving an incision along the front vaginal wall, extending from the entrance to near the top of the vagina. Surgeons utilize absorbable stitches to reinforce the weakened layers.

The procedure usually lasts between 30 to 60 minutes. If combined with a vaginal hysterectomy, the total duration may extend to 1 to 2 hours.

What is the recovery time of Pelvic reconstruction?

The recovery duration following pelvic reconstructive surgery varies depending on individual circumstances and the patient’s specific condition. Typically, it takes approximately three weeks post-surgery to resume full activity levels. Patients are generally advised to abstain from sexual activity for around three to four weeks following the procedure, as vaginal incisions may cause discomfort during intercourse. During the initial weeks of recovery, it is recommended to avoid heavy lifting, strenuous exercise, and activities that may exert excessive strain on the pelvic area.

What are the benefits of Pelvic reconstruction?

  • Improved pelvic floor integrity: The surgery restores strength and stability to the pelvic floor, alleviating symptoms associated with pelvic organ prolapse and other pelvic floor disorders.
  • Enhanced quality of life: By addressing pelvic floor dysfunction, the surgery can alleviate discomfort, pain, and urinary incontinence, leading to an improved overall quality of life.
  • Restored functionality: Patients may experience restored bladder and bowel function, as well as improved sexual function, following pelvic reconstructive surgery.
  • Reduced risk of complications: The procedure helps reduce the risk of complications associated with pelvic organ prolapse, such as recurrent urinary tract infections or bowel dysfunction.
  • Increased confidence: Patients often report feeling more confident and comfortable in their bodies following successful pelvic reconstructive surgery, allowing them to engage in daily activities without limitations or discomfort.

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