236. Prolapse - Surgical and Non Surgical Options

236 – Prolapse – Surgical and Non-Surgical Options

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Dr. Sonya Ephraim, MD, FACOG, FPMRS, is a urogynecologist and the founder of Allure Pelvic Wellness and Aesthetic Gynecology in Deer Park, Illinois, outside of Chicago. She talks about how she decided to go back to do a fellowship in female pelvic medicine.

In this episode, we talk a lot about prolapse and touch on- 

·      What is pelvic organ prolapse?

·      Why prolapse needs a rebranding – so much shame

·      Risk factors for prolapse

·     

What are the signs and symptoms?

·     

Our tips for treating constipation

·     

Prolapse risk goes up after menopause – we discuss

the likely role of hormones and decreased muscle strength.

·     

The impact of prolapse on those suffering

·     

Why we hate calling it “bladder prolapse”

·     

How the bladder can be affected by vaginal

prolapse and what may and may not improve

·     

How do we know if we have prolapse

·     

How do we know if we should treat prolapse

·     

Risk of de novo stress urinary incontinence

when prolapse is fixed, either with pessary or surgery

·     

What is a pessary and what are the risks of a

pessary.

·     

Can you be sexually active with prolapse?

·     

The role of pelvic floor physical therapy and prolapse.

·     

Surgical treatment options:

o  

One size does not fit all.

o  

Obliterative surgery – colpocliesis

o  

Hysteropexy vs. hysterectomy

o  

Minimally invasive options – suture or mesh based (sacrocolpopexy) procedures

o  

New treatment options (EnPlace) benefits and data

o  

The cervix as a sexual organ for some people and the consideration of cervix/uterine preservation in prolapse surgery.

·     

Modern prolapse repair is safe, effective and recovery is not too stressful for most women.

·     

Post surgery instructions and rehab – vaginal estrogen and pelvic floor physical therapy

·     

The risk of recurrent prolapse

·     

When to consider adding a sling to your prolapse procedure

·     

Just because someone or something said you have prolapse, doesn’t mean you need surgery

Instagram.com/allurebydrsonya

https://allurepelvicwellness.com/

#EnPlace,

#PelvicOrganProlapse, #WomensHealth #PelvicHealth

My previous Prolapse episodes

21 – pelvic organ prolapse master class

138 – February Live – Hormones,

prolapse, pelvic floor PT and more

161 – “I Just need to put something in

my vagina”, Prolapse, and how PT helps

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