Some of the common surgeries for managing pelvic floor issues include:
Sling Procedures: These are primarily used to treat stress urinary incontinence. A sling, made of synthetic mesh or biological material, is positioned around the urethra to support it and prevent unintentional urine leakage.
Here are the common 10 type of surgeries for pelvic dysfunction:
Pelvic Organ Prolapse Repairs:
Anterior and Posterior Colporrhaphy: This is a repair for anterior (front) and posterior (back) vaginal wall prolapse.
Vaginal Vault Suspension: For supporting the top of the vagina, often following a hysterectomy.
Sacrocolpopexy: This involves attaching the top of the vagina to the sacral bone using mesh.
Colpocleisis: This involves closing off most or all of the vaginal canal, mainly recommended for elderly women who are not sexually active.
Sacral Neuromodulation (InterStim): A device is implanted to stimulate the sacral nerves, helping manage urgency urinary incontinence and symptoms of overactive bladder.
Artificial Urinary Sphincter: A device is implanted to help men with urinary incontinence, especially after prostate surgery.
Rectocele and Enterocele Repair: Surgical repairs to correct bulging of the rectum or small bowel into the vagina.
Perineorrhaphy: This procedure repairs a weakened perineal body, often performed along with posterior colporrhaphy.
Botox Injections: For some people with overactive bladder symptoms, Botox can be injected into the bladder muscle to help it relax and improve symptoms.
Urethral Bulking: Injections are made into the tissues around the urethra to help it close more effectively, primarily to treat stress urinary incontinence.
Anal Sphincter Repair: For fecal incontinence, damaged muscles at the end of the rectum can be surgically repaired.
The type of surgery recommended usually depends on the severity and type of pelvic floor disorder, as well as the patient’s overall health, age, and desire for future childbearing.