Female Pelvic Surgery
Female pelvic surgery is a type of procedure performed to fix problems with the organs or bone structures in the pelvic area of women. Pelvic surgery is often performed for urinary incontinence, to repair damaged organs due to trauma or to treat a serious medical condition, such as cancer or pelvic nerve conditions. Pelvic surgery ca 00004000 n be used to correct a pelvic organ prolapse. Sometimes female pelvic surgery is used to treat problems with reproductive organs such as the uterus, cervix, fallopian tubes, ovaries or parts of the vagina. Sometimes the organs are removed altogether, as in the case of a hysterectomy.
Having a uterus removed poses risks such as a bulging or protruding vagina. Symptoms include a bulge or lump in the vaginal area, difficulty with urination or bowel movements, pain, bleeding and infection. The lump can be removed by a type of pelvic surgery called sacrocolpopexy. Sacrocolpopexy is performed through the stomach area and involves using a mesh to connect and support the vagina to the tailbone. This procedure helps relieve painful symptoms and provide women with restoration to their vaginal area and surrounding anatomy. Although it has a high rate of success, it does pose risks of side effects such as bleeding, infection and blood clots.
It is common for pelvic surgery to be used to correct bladder problems such as bladder stones, obstructions or incontinence. When a person’s bladder is not functioning correctly, surgery, including bladder reconstruction, may be performed to fix these problems. In cases of cancer, doctors may remove the bladder and then surgically create a way for the person’s body to release urine.
A common type of female pelvic surgery is pelvic organ prolapse surgery. Also known as pelvic prolapse, this condition refers to pelvic organs moving from their normal position due to a weak pelvic floor. In some cases, the bladder may descend and protrude into the vagina. This condition is common with older women, especially those who have had children. Symptoms include loss of bladder or bowel control, increased urination, bladder infections, excessive vaginal discharge and pain during sex. Pelvic prolapse can be corrected via a type of pelvic surgery called pelvic reconstruction. This type of surgery is performed vaginally and uses an implant to strengthen weakened pelvic tissues. Although pelvic reconstruction helps relieves pain, it is a very complex procedure and involves removing organs and surrounding areas and rearranging them in a way that brings about proper body function.
Pelvic surgery is also performed in cases of pelvic fracture. Pelvic fractures are characterized by unstable pelvic bones, internal bleeding and severe pain. They are often caused by trauma, such as falls or vehicle accidents. Although they occur rarely, surgery is often required to stabilize the pelvic ring, restore the anatomy, allow rehabilitation and provide comfort to the patient. Without surgery, the fracture may not ever heal and may cause chronic pain. In cases where hemorrhaging occurs with a pelvic fracture, surgery is needed urgently to stabilize the pelvis. Death can result if surgery is not performed in a timely manner.
Frequently Asked Questions
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QUESTION:
Successful pregnancy after uterine artery embolization ?
I a 29 year wanting to conceive a child in a few years. I have a large fibroid in my uterus that will have be removed before conceiving and carrying full term is possible. I DONT want to have any type of surgery for fibroid removal. Another opt. is uterine artery embolization. Not enough research yet to determine if this would cause infertility. Does anyone know of possible pregnancy results after this procedure?-
ANSWER:
I don’t think anyone (anyone HERE especially) can tell you what your chances will be of maintaining your fertility after having this procedure. While uterine artery embolization is an effective treatment for uterine fibroids, the effects that it has on the ability to become pregnant, on the development of the fetus, and the ability to carry the fetus to term have not been determined. There are some reports of women becoming pregnant after the uterine artery embolization process and having successful pregnancies. However, there is no conclusive data or scientific results that establish the safety of uterine fibroid embolization on fertility and pregnancy. You already know this.
MY advice to you would be to have a second opinion about this BEFORE the procedure. Another doctor may not agree with 1) the fibroid needing to be removed/treated before starting your family and 2) A UAE being the best course of treatment for you. Please get another opinion (or two) before deciding to do something that *may* permanently affect your ability to have children.
Good luck.
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QUESTION:
Myomectomy or Uterine Artery Embolization Procedure?
Can someone help me out? I have a myomectomy set up for Aug. 14th. I went to my pre-op appt. today and my doctor brought up the possibility of the embolization procedure instead. He had actually told me 2 1/2 months ago that it would not be a good idea to do that procedure because I would be able to have another child. Now he said in the last couple of months they have released new research that says it is possible to have a healthy pregnancy after that procedure. I have just a couple of days to decide on the myomectomy or embolization. The fibroid is about 5.5 cm and it is on the back of my uterus, plus I have two cysts on one of my ovaries and a possiblility of endometrioses. Does anyone have any advice to which route would be the best to conceive or of any other procedures that they have heard about? My gut feeling is to go through with the abdominal myomectomy, but I just wanted to see if anyone knew of something else. I am scared of such a new study about pregnancy after.-
ANSWER:
Wow, how interesting! I just had an abdominal myomectomy 1 week ago. I was hesitant at first because I do not have any children but I would like to have some one day. My doctor recommended the abdominal approach because of the difficult location of my fibroids. This may be the same case for you especially seeing that you have a possible cyst on your ovary. Good luck and be brave! I am still recovering but I am glad that I did it!
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QUESTION:
(UFE) Uterine Fibroid Embolization?
My girlfriend (39 years old) has been diagnosed with Fibroids she does not want to have her uterus removed and is not sure about having more kids the doctor said that UFE was the only solution but my mom had the same thing and our doctor gave her a different treatment that did not require the removal of her uterus. I need to know what would be the best choice of action and any other information on this process please help.-
ANSWER:
There is another procedure I’ve read and heard about where they can deal with fibroids using ultrasound. Also, depending on the size of the fibroid as well as location it can be removed thru a surgical procedure called hysteroscopic myomectomy. Sometimes (again depending on location and size) they can remove the fibroid thru laparoscopy.I’ve read about UFE and also heard good things about it.
Here’s the link to a site that may help you find more information. It’s at: http://forums.obgyn.net/womens-health
Also, I would recommend getting another opinion and preferably from someone that does not share the same office of the doctor that she currently uses.
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QUESTION:
Myoma on the uterus?
What are the pros and cons of embolization?-
ANSWER:
pros could be a relatively smaller surgery compared to removal through the vagina or through the abdominal wall. cons, well if this embolisation does not work then they need the full scale surgery anyway. Any surgery, embolisation or open surgery has risk of bleeding and infection. this question will best be answered by your gynecologist, good luck
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QUESTION:
I’m irritable, b*@chy even and I don’t know if it’s anxiety, depression or hormones?
Okay, I do have a strong personality but lately I feel too angry and irritable…like pms everyday. Four years ago I had an embolization to shrink fibroids in my uterus. This was my first indication that my problem was hormonal. Clicking noises bother the hell out of me. I speak too sharply to people sometimes and I feel attacked at certain moments. I’m articulate and generally a nice person but recently I’ve been what even I term a “b@#tch”. Anyone can relate or tell me what could be going on? I’m 43 years old, still get my period regularly, overweight, a professional and usually pretty easy going and fun to be around. HELP! Should I get meds? Take certain vitamins? Xanax? I don’t know and don’t want to just medicate myself with no results. I’m not depressed but have had a few traumatic events happen one after the other. A baby we were adopting was taken away, my uncle died in a car accident and I’m fat (again, after losing 25 lbs, I’ve gained 30 back) HELP!-
ANSWER:
Your, hormones may be causing, just depression, which will lead to having anxiety attacks. You should go see a Dr., their e are many types of med you can be put on. if that does not work, then Put God in your life and let him heel you. And lose that weight, I know sometime that is hard to do, but if you did it once then you can do it again. That might help also, by losing the weight , you will feel like doing more. You will proud of yourself for doing that , and that will get you to believe in yourself again. Good luck, Let me know what happens.
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If you are interested in Uterine Fibroid Embolization (UFE) you need to get a second opinion from an experienced Interventional Radiologist. They are physicians who perform UFE. For more information on UFE and fibroids go to http://www.gotfibroids.com.