vaginal mesh surgery

No Vaginal Mesh Surgery in Sacrohysteropexy!

Regarding Vaginal Mesh Surgery and Sacrohysteropexy

Very sadly, there has been considerable adverse news concerning vaginal mesh surgery in the United Kingdom. Women’s lives have been affected and there has been discussion about why this happened and the risks concerned. Understandably there is much concern surrounding the outcomes and increasingly, there are articles in the press that are not necessarily clear and specific about the types of uterine prolapse surgery affected. This is a primary concern for ladies trying to work out the best course of action to take and very worrying for those who have already had surgery.

Following the recent press coverage of potential litigation regarding vaginal mesh implants:-

Mr Broome would like to reassure all his patients who have undergone or are due to have a sacrohysteropexy operation for utero-vaginal prolapse that there is absolutely no risk of vaginal mesh erosion following this procedure.

Unlike vaginal mesh surgery implants a sacrohysteropexy prolapse repair is an abdominal procedure (usually keyhole) whereby mesh is used as a sling to support the womb permanently. There are no vaginal incisions and the sling is attached between the cervix and sacral bone at the back of the pelvis. The mesh will never erode through these attachments and will never come into contact with the vagina.

Mr Broome has undertaken over 2000 sacrohysteropexy procedures over the past 14 years and has had no cases of vaginal mesh erosion and he is confident that this will remain the case in the future due to the very different anatomical approach used when compared to vaginal mesh implants.

why hysterectomy

Is a hysterectomy always the best option?

When women are diagnosed with a uterine prolapse, they are often advised that a hysterectomy is the only viable treatment option for them. Unfortunately, this can lead to many women undergoing surgery unnecessarily. Whilst a hysterectomy can provide relief from prolapse symptoms, there are other, less invasive, uterine prolapse treatments available.

Although many women are willing to undergo surgery for prolapse problems, a hysterectomy has permanent consequences and will prevent the patient from carrying children in the future. Due to this, many women of childbearing age are unwilling to commit to this type of treatment. As they aren’t always advised of the alternative prolapse treatments which are available, they can be left dealing with severe prolapse symptoms.

In addition to this, a hysterectomy can require a lengthy period of recovery. Whilst the operation is considered to be fairly routine in many cases, patients may find that it takes weeks or months for them to fully recover from the invasive procedure. By exploring other options and different forms of prolapse surgery, women can find far less invasive treatment methods at The Pelvic Clinic.

Can a sacrohysteropexy alleviate prolapse symptoms?

Designed to support the uterus, a sacrohysteropexy can be used to alleviate prolapse symptoms permanently. During the procedure, surgical mesh is placed under the uterus in order to prevent it from placing unnecessary pressure on the surrounding muscles and tissues. As a result, prolapse symptoms are relieved and patients no longer suffer from the painful and embarrassing issues associated with the condition. Mr Broome enters the mesh abdominally which is a cleaner method than through the vagina.

Whilst many women experience a prolapsed uterus after childbirth, they may still want to have additional children in the future. Unlike a hysterectomy, a sacrohysteropexy needn’t prevent patients from conceiving or carrying children.

With many women struggling to cope with uterus pain and discomfort caused by a prolapse, a sacrohysteropexy offers an effective, permanent and minimally invasive solution.

Having performed over 1,000 procedures, with a success rate of 100%, Mr Jonathan Broome, Consultant Gynaecologist, is well-equipped to carry out the sacrohysteropexy procedure on patients. By using uterine prolapse staging to determine the severity of the condition, an appropriate treatment plan can be put in place quickly and efficiently.

uterine prolapse

The four stages and symptoms of uterine prolapse

A lady’s uterus, or womb, is similar in shape to an upside-down pear. Along with the bowel and bladder, the uterus is supported by a set of muscles running between the pubic bone and tailbone (or coccyx). The muscles function rather like a hammock, collectively referred to as your pelvic floor, or levator ani muscles. The pelvic organs, including the uterus, as suspended by connective tissue and ligaments, all working together to hold everything in place.

In the event this system of muscles and tissues are damaged or weakened, the uterus is at risk of moving out of place and dropping down, towards the vagina. This is known as uterine prolapse.

Common causes of prolapse

Several elements commonly cause a uterus to prolapse, including vaginal childbirth, severe coughing, obesity, hormonal changes following the menopause, and straining on the toilet. Initial treatment for a prolapse is strengthening the pelvic floor muscles using exercises like Kegels.

Additional support can be provided by a pessary inserted into the uterus. This will reduce the symptoms of prolapse. If a combination of pelvic floor exercises and pessary are unsuccessful, the prolapse is more severe and will require surgical intervention.

Symptoms of uterine prolapse

Several signs indicate a prolapsed uterus, including:

– The feeling of pressure or heaviness in the vagina
– A distinct bulge, or lump inside, or protruding from, the vagina
– Pain during sexual intercourse.

The four stages of uterine prolapse

There are four steps to a uterine prolapse, which indicate the extent to which the uterus has descended. It’s possible that the bladder and bowel, as part of a group of pelvic organs, may also drop as a result of the prolapse. The four stages of uterine prolapse are:

Stage 1: The uterus has descended into the upper part of the vagina
Stage 2: The uterus is almost at the vaginal opening
Stage 3: The uterus is protruding from the vagina
Stage 4: The uterus has descended to the point it is entirely outside the vagina.

If you need help or advice on uterine prolapse, please get in touch – we’re here to help.

Recovering from prolapse surgery

Uterine prolapse is a condition that can occur in women after a particularly difficult vaginal delivery of a child. The pelvic floor muscles lose their ability to support the uterus properly, and it slips down; this impairs sexual functions and can cause bleeding, constipation and other symptoms. Often, prolapse surgery is the only way to treat the condition.

An alternative to hysterectomy, sacrohysteropexy is a surgery that mitigates uterine prolapse by resuspending the uterus using a synthetic mesh to lift it back into place, and Mr Jonathan Broome, our Consultant Gynaecologist, is one of the UK’s leading surgeons in this procedure. The corrective procedure comes in the form of open surgery or the less-invasive laparoscopic surgery using keyhole incisions. Mr Broomes method of inserting mesh is done through the abdomen which is a cleaner way than inserting it vaginally.

Whether you have a hysterectomy or sacrohysteropexy, some people tend to fear surgery not only because of the risks involved but because of its effect on daily life. Of course, any operation takes time to heal, but there are ways to help your recovery along.

First of all, nutrition is vital. While you are still in the hospital, they will recommend a specific diet, often liquid, that will help you to get better. Even though you might not be hungry, remember that your body needs the nutrients to heal. Sipping something sour or tangy like teas and bitters helps improve the appetite. Find something that suits your taste to get you in the mood for the essential act of eating.

Secondly, look after your immune system. Some drugs administered around surgery like antibiotics and general anaesthesia can lower your t-cell count. Be sure to have a proper intake of vitamins to keep your immune system healthy to defend your body against infections that will only extend your period of recovery. This is something you can do in the weeks and months prior to surgery by engaging in a healthy diet.

Finally, remember to exercise your body but not to strain yourself. Exercise helps blood flow and boosts your metabolism. It can be something as simple as taking a walk once in a while or stretching your legs and arms. Just to be careful; ask your physician when considering what form of exercise you want to undertake to avoid injuring yourself.

Most of all, exercise a measure of patience. The body needs time to heal and you will be happier if you let it do it properly. If you’d like to discuss the options for prolapse surgery available to you, contact us at The Pelvic Clinic today.

prolapsed uterus

Is a hysterectomy the right treatment for me?

If you’ve suffered a difficult labour with your children, you may be suffering symptoms of a prolapsed uterus. This can often be very uncomfortable, and prevent you from doing activities that you’d normally enjoy. In some cases, it could prevent you from having more children. Often, doctors will recommend a hysterectomy to remove the uterus, but this isn’t your only option.

Why your doctor may have recommended a hysterectomy

A prolapsed uterus can result in some nasty symptoms, ranging from mildly uncomfortable to very painful and sometimes debilitating. Some women may experience a constant feeling of pressure on the pelvis or a dull backache. Other symptoms include spotting or bleeding from the vagina, or even bladder leakage, which can often be embarrassing and stop you doing sports or enjoying intercourse. When these symptoms are present, a doctor may diagnose a prolapsed uterus. They may suggest removing the uterus – and sometimes the ovaries – using a surgical procedure called a hysterectomy.

Is a hysterectomy right for me?

Making the decision to have a hysterectomy needs to be taken very seriously. Although a fairly common surgical procedure, it will take you a little while to recover and you may feel tired and unwell for some time afterwards. The biggest thing to consider is whether or not you would like to have more children, as a hysterectomy will leave you unable to conceive.

What are my other options?

You may have been told by your doctor that a hysterectomy is your only option, but here at The Pelvic Clinic, we can offer you the chance to choose a treatment to suit you. Our Consultant Gynaecologist Mr Broome is an experienced surgeon who can perform a variety of minor surgical procedures that may relieve your symptoms. You could choose to have a sacrohysteropexy, which is performed via low-risk keyhole surgery and allows you to keep your uterus, or even vaginal wall repair. Our experts are here to advise you on a procedure that is right for you. At The Pelvic Clinic, a hysterectomy is not your only choice when it comes to surgery for your prolapse.

no to hysterectomy for prolapse

Do I need a hysterectomy after a prolapse?

Uterine prolapse occurs when the tissue around the pelvic organs becomes weak and the uterus and vagina are pushed down. Childbirth commonly causes this and around 50% of cases occur this way. Weakening ligaments as someone ages, or factors which cause stress, such as constipation or coughing, can also trigger a prolapse.

To understand it, simply imagine the pelvic organs are housed in a large bag. If there was a hole in the bottom of the bag, then things could slip out and fall down. The strength of the bag – or the muscles in the pelvic floor – are the deciding factor in avoiding a prolapse.

Once a prolapse occurs the traditional method of treatment would be to go straight to a hysterectomy. However, a prolapsed uterus after childbirth or other conditions requiring prolapse surgery can be effectively managed with a sacrohysteropexy performed by an expert.

What is a sacrohysteropexy?

This is a laproscopic (or keyhole) operation which is not well known among the general public. As a result, women who may still have fertile years ahead of them choose to have their reproductive organs removed. This need not be the case and women can go on to have further, or initial pregnancies.

During a sacrohysteropexy procedure, small cuts are made in the stomach and around the bikini line before a telescope and instruments are inserted to look around the pelvis. Once they are properly positioned, a mesh is inserted and fixed to the cervix and backbone with metal staples to support the pelvic organs. This is a much cleaner way to insert mesh rather than through the vagina.

Because there are no more than four small cuts used to insert the mesh, recovery time is fast. Patients would usually need to stay for just one night in hospital.

This is a highly specialised procedure and can only be completed by highly skilled surgeons. Mr Jonathan Broome, Consultant Gynaecologist at The Pelvic Clinic, is one of the leading surgeons in the sacrohysteropexy procedure in Britain. He has performed over 1,000 of these operations and has a 100% success rate. Contact us today for more information on how you can avoid a hysterectomy following prolapse.

sacrohysteropexy

What is a sacrohysteropexy?

Sacrohysteropexy is a medical procedure for dealing with uterine prolapse. Although the procedure has been around for many years, it is still relatively unheard of by many women. However, it can be an effective way of treating prolapse, and most importantly, it is far less invasive than undergoing a full hysterectomy.

One of the main problems with having a hysterectomy (apart from the intense trauma and long recovery period) is that in up to 50% of cases, it results in urinal incontinence. This is due to the close proximity of the bladder to the uterus. Uterus removal also takes away any support the bladder has and as a result, can interfere with bladder function.

Uterine prolapse is a widely experienced condition

A prolapse of the uterus is something that many women experience. It can happen because of childbirth, as a result of the enormous stretching of the muscle tissue. Also, in later life, when women go through the menopause, the lack of oestrogen that typifies menopause, results in the floor of the pelvis losing its elastic strength.

Although uterine prolapse is not dangerous, it is extremely uncomfortable. When the womb descends, it will rub on any underwear and this can result in the area becoming infected and an ulcer forming on the cervix.

A sacrohysteropexy is far less invasive than a hysterectomy.

While a hysterectomy is an effective prolapse surgery procedure, it is very invasive. It leaves patients very weak and they can take months to fully recover. A sacrohysteropexy, on the other hand, is a laparoscopic procedure which, because it is far less invasive, has a fast recovery time – as quick as two weeks.

The sacrohysteropexy operation involves the insertion of a small piece of flexible mesh which is used to raise the uterus and hold it firmly in position so that it cannot drop.

Although there has been some adverse publicity in recent weeks, the insertion of a mesh sling is a procedure that is supported by the MHRA (Medicines and Healthcare products Regulatory authority). It is a cleaner entry method, entered abdominally and not vaginally. It is especially relevant to women who have pelvic problems but still wish to have babies.

It’s important to find the right clinic and use a top surgeon

Finding the right clinic and the right surgeon to carry out the procedure is important. Many women choose to use the services The Pelvic Clinic; a clinic where Mr Jonathon Broome has carried out in excess of 1,000 successful sacrohysteropexies. To find out more about how we can help you or the women in your life, contact us today.

 

causes of prolapse

What causes a uterine prolapse?

Generally, a uterine prolapse occurs because the muscles which support the uterus lose strength. As these muscles weaken, they are unable to support the uterus effectively and, as a result, a prolapse occurs.

Prolapse staging allows medical professionals to determine the severity of the condition and provide an appropriate treatment plan. Patients with a grade 1 uterine prolapse may have milder symptoms, whereas patients suffering with a grade 3 prolapse may have a more severe condition and suffer more pronounced symptoms.

Many women suffer a prolapsed uterus after childbirth and it’s not uncommon for them to seek treatment for the condition. Whilst childbirth is a leading cause of uterine prolapse, it is not the only cause. Women without children can still experience a prolapse if there are other causes of muscle weakness present.

What are the most common prolapse symptoms?

Symptoms can vary between patients but some of the most common uterine prolapse symptoms are pain, discomfort and incontinence. As the uterus lacks support, increased pressure is placed on the surrounding areas and symptoms become apparent.

Although a uterine prolapse can be successfully treated, some women find the condition embarrassing and are somewhat reluctant to access medical assistance. Unfortunately, the symptoms can have a devastating impact on the patient and may restrict their activities considerably.

Is prolapse surgery available?

Hysterectomies are often offered to women as a form of prolapse surgery but they do have permanent consequences. Women will be unable to carry a child following a hysterectomy, for example. Due to this, it is an unsuitable form of treatment for many patients.

Fortunately, there is alternative surgery for prolapse problems. A sacrohysteropexy is less invasive than a hysterectomy and involves using medical mesh (introduced through keyhole ports and NOT vaginally) to support the uterus, rather than removing it.

As a leading surgeon, Mr. Jonathan Broome has performed over 1000 of these prolapse surgeries with a success rate of 100%. As a sacrohysteropexy provides a permanent solution to uterine prolapse and enables the patient to have children in the future, if they wish to do so, it is a more suitable form of treatment for many patients.

To find out more about the effectiveness of prolapse repair surgery, contact The Pelvic Clinic today on 01204 772400.

uterus pain

Dealing with uterus pain

For many women, uterus pain is a well-known symptom and something which often turns into an ongoing problem. Whilst a significant number of women do seek medical help for uterus problems, a solution isn’t always forthcoming.

Unfortunately, many women experience uterus pain for a long period of time before they are fully diagnosed or offered any treatment. As a result, their condition may have worsened before they receive treatment and they may be experiencing an increased number of side effects.

Does uterine prolapse pain always occur?

Uterine prolapse pain is certainly not uncommon but you won’t necessarily suffer pain if you’re experiencing a prolapse. Patients may present with side effects, such as discomfort or bleeding, but not report a significant amount of pain.

As every patient differs, not everyone will experience the same symptoms. Incontinence, for example, is a common symptom of a uterine prolapse but not every patient will suffer from this. Whilst many patients may experience uterine prolapse pain, the absence of significant pain shouldn’t exclude the possibility of a prolapse being the cause of your issues.

Undergoing prolapsed uterus surgery

If you’ve already been diagnosed with a prolapsed uterus, you may have been offered a hysterectomy. Whilst this is a viable form of treatment, many women are unaware that there is an alternative, less invasive treatment available.

A sacrohysteropexy, or prolapse repair, is a better form of treatment for many women, particularly if they would like to have children in the future. Whilst a hysterectomy removes the possibility of carrying a child, a sacrohysteropexy does not prevent the patient from conceiving or carrying a child.

Is a prolapse repair permanent?

When conducting a prolapse repair, the surgeon effectively repositions the uterus and ensures that it is held in place with a form of surgical mesh. Performed by a laparoscopic procedure, this offers women a permanent solution to a uterine prolapse. Important point to mention: Mr Broome inserts his mesh via tiny keyhole ports which is a clean method. Please do not confuse this with other ways of mesh introduction

Despite its success rate, many patients are still unaware that a sacrohysteropexy is a viable treatment option and many medical practitioners may not even be familiar with the procedure. As a less invasive form of treatment, with permanent results and a high success rate, however, a sacrohysteropexy is ideal for numerous women.

To find out more about prolapse repair surgery, contact The Pelvic Clinic today.

avoid hysterectomy for prolapse

Avoid a hysterectomy after a severe uterine prolapse

If you’re suffering from uterus problems or a uterine prolapse, you may have already consulted your GP or sought medical advice. In most instances, patients are advised that a hysterectomy is the only viable solution. Whilst a hysterectomy may alleviate uterus pain and provide an effective surgical solution to uterine prolapse pain, it certainly isn’t the only option available.

As many women are hesitant about undergoing a hysterectomy, they can be left with prolapse problems or uterine prolapse bleeding for months, or even years. With symptoms such as pain, discomfort and incontinence occurring because of a prolapse, the condition can affect every part of a patient’s life.

Are you a candidate for prolapse repair surgery?

Before considering a hysterectomy, why not look into the possibility of prolapse repair or sacrohysteropexy? Designed to deliver complete freedom from prolapse symptoms and uterine prolapse pain, a sacrohysteropexy is an extremely effective alternative.

Rather than undergoing a significant operation, as in the case of hysterectomies, prolapse repair surgery can be carried out laparoscopically. Generally, this means that the procedure itself takes a shorter amount of time and recovery time is significantly reduced.

Does a sacrohysteropexy offer a permanent solution?

As a form of prolapsed uterus surgery, a sacrohysteropexy provides an effective and permanent solution to prolapse problems. To date, Mr. Jonathan Broome, Consultant Gynaecologist at The Pelvic Clinic, has performed well over 1000 prolapse repair surgeries and has a 100% success rate.

For women who have spent years dealing with uterus pain, incontinence and discomfort, this type of prolapse repair surgery offers a new lease of life and a lifestyle free from pain.

Can you have children after a sacrohysteropexy?

When women of childbearing age are told a hysterectomy is the only way to alleviate prolapse symptoms, they can be left with an impossible choice. If they wish to conceive in the future, a hysterectomy clearly isn’t a viable solution to their medical condition.

Following a sacrohysteropexy, however, women will still be able to conceive and carry a child safely. As the uterus is stabilised, rather than removed, there is no barrier to conception or pregnancy. In fact, this form of prolapse repair surgery can even prevent a recurrence of the condition following childbirth.

To find out more about prolapse repair surgery, contact The Pelvic Clinic today on 01204 772400.