Pelvic organ prolapse ( POP ) is the abnormal descent or dropping down of one or more of the pelvic organs from their normal position, causing them to bulge into the vagina. These pelvic organs include the urinary bladder, urethra, uterus, small bowel and rectum
A detailed medical history, that includes your symptoms and history of your pregnancies and other medical problems will be taken. From your history, the doctor gets an idea of the severity of the prolapse. For example, your doctor will consider your age, symptoms of vaginal bulge and difficulty in having sex due to the bulge. Be open about your problems to help your doctor arrive at the best diagnosis.
It’s like taking a small nap! All you will feel is a small needle prick during your preparation for the procedure. The entire surgery takes about 30 minutes.
You will normally be able to start drinking water shortly after the procedure and can start eating as soon as you are hungry. You will be able to get out of bed a few hours after surgery. You are likely to have some pain after the procedure that is easily controlled with painkillers. You can expect a small amount of bleeding and wearing a pad will protect your clothes from getting soiled.
If your operation is planned as a day care procedure you can go home as soon as the effect of the anaesthetic has worn off, you have passed urine and you are comfortable, eating and drinking. Since a general anaesthetic is used, it is advisable that a responsible adult take you home and stay with you for 24 hours.Before you are discharged you will be advised about post-operative care, painkillers and laxatives.
You will normally open your bowels within 2-3 days of your operation. This may be uncomfortable at first and there could be a sense of ‘urgency’ (need to rush to the toilet). You may notice mild blood loss after each bowel movement but this will gradually reduce over the next few days. Maintain hygiene, and wash and keep the operation site clean. It is important to maintain a regular bowel movement that should be well formed but soft. You may need to take prescribed laxatives for 2-4 weeks. Eating a high fibre diet and increasing water/fluid intake will help.
