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Vagina shapes front
Vagina shapes front







  • Tighten (contract) your pelvic floor muscles - the muscles you use to stop urinating.
  • To perform Kegel exercises, follow these steps: A strengthened pelvic floor provides better support for your pelvic organs and relief from symptoms associated with anterior prolapse. Kegel exercises are exercises you can do at home to strengthen your pelvic floor muscles. The benefits of surgery can last for many years, but there's some risk of prolapse happening again - which may mean another surgery at some point.Įxplore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. Pelvic floor exercises or a pessary may help relieve your symptoms in the meantime. If you're pregnant or thinking about becoming pregnant, you might need to delay surgery until after you're done having children. If your anterior prolapse is accompanied by stress incontinence - leaking urine during strenuous activity - your doctor may also recommend one of a number of procedures to support the urethra (urethral suspension) and ease your incontinence symptoms. For anterior prolapse associated with a prolapsed uterus, your doctor may recommend removing the uterus (hysterectomy) in addition to repairing the damaged pelvic floor muscles, ligaments and other tissues. Your doctor may use a special type of tissue graft to reinforce vaginal tissues and increase support if your vaginal tissues seem very thin. Often, the surgery is performed vaginally and involves lifting the prolapsed bladder back into place using stitches and removing any excess vaginal tissue. If you still have noticeable, uncomfortable symptoms despite the treatment options above, you may need surgery to fix the prolapse. Many women use pessaries as a temporary alternative to surgery, and some use them when surgery is too risky.

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    Your doctor or other care provider fits you for the device and shows you how to clean and reinsert it on your own. A pessary does not fix or cure the actual prolapse, but the extra support the device provides can help relieve symptoms. A vaginal pessary is a plastic or rubber ring inserted into your vagina to support the bladder. These exercises can help improve your symptoms, but may not decrease the size of the prolapse. Biofeedback involves using monitoring devices that help ensure you're tightening the proper muscles with optimal intensity and length of time. Kegel exercises may be most successful at relieving symptoms when the exercises are taught by a physical therapist and reinforced with biofeedback. Your provider or a physical therapist can give you instructions for how to do these exercises and can help you determine whether you're doing them correctly. These exercises - often called Kegel exercises or Kegels - help strengthen your pelvic floor muscles, so they can better support your bladder and other pelvic organs. If you do have symptoms of anterior prolapse, first line treatment options include: Your provider may recommend a wait-and-see approach, with occasional visits to monitor your prolapse. Mild cases - those with few or no obvious symptoms - typically don't require treatment.

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    Treatment depends on whether you have symptoms, how severe your anterior prolapse is and whether you have any related conditions, such as urinary incontinence or more than one type of pelvic organ prolapse. A health care provider can fit a pessary and help provide information about which type would work best.

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    The device fits into the vagina and provides support to vaginal tissues displaced by pelvic organ prolapse. Your provider might also run a test on a urine sample to look for signs of a bladder infection, if it seems that you're retaining more urine in your bladder than is normal after urinating. If you have significant prolapse, you might be tested to see how well and completely your bladder empties.

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    This information also helps guide treatment decisions. You may fill out a form that helps your provider assess your medical history, the degree of your prolapse and how much it affects your quality of life.

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    To check the strength of your pelvic floor muscles, you'll be asked to contract them, as if you're trying to stop the stream of urine. You'll likely be asked to bear down as if during a bowel movement to see how much that affects the degree of prolapse. During the exam, your provider looks for a tissue bulge into your vagina that indicates pelvic organ prolapse. You may be examined while lying down and possibly while standing up. Diagnosis of anterior prolapse may involve:







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