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altiushospital · 4 years

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Family Planning Methods - Altius Hospital

Contraception (anti-conception medication) avoids pregnancy by meddling with the ordinary procedure of ovulation, treatment, and implantation. There are various types of anti-conception medication that demonstration at various focuses in the process. NO SINGLE METHOD IS APPLICABLE TO ALL.

What are Contraceptive inserts and infusions?

Hormonal contraception for ladies is accessible as inserts and infusions. These strategies, especially the embed, are more viable than prophylactic pills and rings, yet like other preventative techniques, may cause symptoms and don't give assurance from Sexually transmitted diseases.

Inserts

The prophylactic embed . is a hormonal, pole molded gadget that is embedded under the skin at the internal side of the upper arm. .it has a hormone that stops ovulation and makes the liquid at the opening to the uterus (belly) thicker, preventing sperm from overcoming.

The prophylactic embed goes on for a long time, is near 100 percent successful and suits most ladies who can't take manufactured oestrogens. The embed is placed in by a specialist under nearby soporific.

Infusions (Depo)

The preventative infusion . is a hormonal injection.this technique stops ovulation and makes the liquid at the opening to the uterus thicker, preventing sperm from traversing. The prophylactic infusion is an exceptionally compelling . .Infusion IS GIVEN AT the interim of 2 or 3 months.

Give me a data about Contraceptive intrauterine gadgets (IUDs)?

The IUD is a little plastic gadget with included copper or hormones that is placed into the uterus by a specialist. It can remain set up for as long as 10 years, contingent upon the sort utilized. Ladies who need to get pregnant or are having issues can undoubtedly have the IUD taken out before.

The two kinds of IUD (copper and hormonal) are more than 99 percent compelling and work by changing the coating and condition of the uterus so sperm can't endure. On the off chance that any sperm do endure and treat an egg, the egg can't adhere to the mass of the uterus, which implies a pregnancy can't occur.

The hormonal IUD (Mirena0) makes periods lighter or stop out and out. It might should be taken out due to hormonal side effects, for example, cerebral pains, bosom delicacy, skin inflammation and expanded craving, yet this is uncommon. The copper IUD will in general make periods heavier, yet doesn't cause hormonal reactions.

The hormonal IUD gradually and consistently discharges a modest quantity of hormones, which may make the liquid at the opening to the uterus thicker, preventing sperm from traversing. This may likewise forestall pregnancy by somewhat change the hormones that control the menstrual cycle.

What is Emergency contraception?

Crisis contraception, otherwise called 'a next day contraceptive', is a hormonal strategy for contraception that may stop ovulation. It tends to be taken to abstain from getting pregnant in a crisis circumstance, for example, in the wake of having unprotected sex, if a condom sneaks off or breaks during sex, or if the preventative pill is missed. It forestalls 85 percent of. pregnancies that would somehow or another have occurred.

Shouldn't something be said about Contraceptive pills and vaginal rings?

Hormonal contraception for ladies is likewise accessible with a specialist's remedy as a pill (oral contraception) or a vaginal ring .. These techniques are extremely successful (99.7 percent) .Pills and vaginal rings may cause symptoms and don't give insurance from STIs.

Joined pill

The joined pill contains engineered types of the hormones estrogen and progesterone. It stops ovulation and makes the liquid at the opening to the uterus thicker, preventing sperm from traversing.

There are numerous sorts of joined pills with various dosages and hormones. This strategy is by and large not prescribed for ladies who are in danger of coronary illness, for example, smokers who are more than 35 years old.

Small scale pill

The small scale pill contains a manufactured type of just a single hormone, progesterone. It makes the liquid at the opening to the uterus thicker, preventing sperm from traversing.

Vaginal ring

The vaginal ring has comparable hormones to the joined pill and works similarly.

The vaginal ring discharges a low portion of hormones and spares making sure to take a pill consistently. It is additionally as simple to place in as a tampon and, similar to the joined pill, is 99.7 percent viable whenever utilized the correct way.

Male and female condoms likewise reduce the danger of STIs. Hindrance techniques can be successful whenever utilized the correct way every time you engage in sexual relations.

What are the Permanent techniques for contraception?

Cleansing is a perpetual technique for contraception that includes having a surgery. Female and male sanitization are powerful, yet these strategies don't give insurance from STIs.

What are Natural strategies for contraception?

Regular techniques, known as normal family arranging, depend on observing body changes during the menstrual cycle to know when a lady is generally rich. These progressions are utilized as a manual for realize when to have intercourse and when to abstain from engaging in sexual relations. Strategies incorporate observing changes to the internal heat level's and the liquid at the opening to the uterus.

The viability of normal family arranging shifts, contingent upon which strategy or blend of techniques is utilized. Regular family arranging doesn't give insurance from STIs. Entirely eccentric and not suggested

Does a Contraceptive offers insurance from STIs?

It is essential to rehearse more secure sex, just as to avoid a unintended pregnancy. Not all techniques for contraception give insurance from STIs. The most ideal approach to reduce the danger of STIs is to utilize obstructions, for example, male and female condoms .

In the event that I intend to have an infant, how not long after in the wake of halting the anti-conception medication pill would i be able to consider?

Most ladies ovulate again around about fourteen days subsequent to halting the pill. When you ovulate once more, you can get pregnant. In the event that this occurs during your first cycle off the pill, you might not have a period by any means. Check a pregnancy test on the off chance that you've had unprotected intercourse and your period hasn't returned.

What occurs on the off chance that I quit taking the conception prevention pill and my period doesn't return?

On the off chance that you don't have a period for a while, you may have what's known as post-pill amenorrhea. The pill keeps your body from making hormones engaged with ovulation and feminine cycle. At the point when you quit taking the pill, it can set aside some effort for your body to come back to ordinary generation of these hormones.

Your period ordinarily continues inside a quarter of a year after you quit taking the pill. Be that as it may, a few ladies, particularly the individuals who took the pill to control their menstrual cycles, might not have a period for a while.

On the off chance that you don't include a period inside a quarter of a year, take a pregnancy test to ensure you're not pregnant and afterward observe your primary care physician.

What occurs on the off chance that I take conception prevention pills while pregnant?

Try not to stress in the event that you continued taking your anti-conception medication pill since you didn't have any acquaintance with you were pregnant. When you discover that you're pregnant, quit taking the conception prevention pill and counsel specialist.

I have taken contraception pills for a considerable length of time and need to stop.

Would i be able to stop whenever or would it be advisable for me to complete my present pill bundle?

At the point when you at long last stop the pill, you can anticipate some dying, which may change the cadence of your menstrual cycle. In any case, you can stop whenever.

Do anti-conception medication pills cause weight gain?

Numerous ladies think so. In any case, thinks about have demonstrated that the impact of the conception prevention pill on weight is little - on the off chance that it exists by any means.

Rather, you might be holding increasingly liquid, which can make you feel as though you've put on weight, especially in your bosoms, hips and thighs. The estrogen in anti-conception medication pills affects (fat) cells, making them bigger however not increasingly various.

How contraception pills influence malignant growth chance?

Logical proof proposes utilizing contraception pills for longer timeframes expands your danger of certain tumors, for example, cervical malignancy and liver disease, yet the outcomes aren't reliable.

On the other side, the conception prevention pill may diminish your danger of different kinds of malignant growth, including ovarian disease and endometrial malignant growth.

Be that as it may, the present pills have a much lower estrogen portion, and later investigations show no expansion in bosom disease hazard on the off chance that you take anti-conception medication pills. Concentrates likewise have discovered no connection between bosom malignant growth hazard and utilization of conception prevention pills in ladies who have a family ancestry of bosom disease.

Do contraception pills influence cholesterol levels?

Contraception pills can influence your cholesterol levels. Contraception pills with more estrogen can have a marginally helpful by and large impact on your blood lipid levels. As a rule, however, the progressions aren't critical and don't influence your general wellbeing.

Do contraception pills influence circulatory strain?

Contraception pills may marginally expand your pulse. On the off chance that you take conception prevention pills, have your circulatory strain checked routinely. In the event that you as of now have hypertension, converse with your primary care physician about whether you ought to think about another type of contraception.

Can ladies more seasoned than age 35 keep taking contraception pills?

In case you're solid and you don't smoke, you can keep taking contraception pills after age 35. Nonetheless, contraception pills aren't suggested in case you're 35 or more seasoned and you smoke as a result of the danger of cardiovascular illness. All things considered, you have to stop smoking before you can securely keep utilizing anti-conception medication pills.

What is lasting disinfection?

Female cleansing (likewise alluded to as tubal ligation) incorporates various methods and procedures that give changeless contraception to ladies. The most widely recognized strategies forestall pregnancy by disturbing the patency of the fallopian tubes. This counteracts origination by blocking transport of sperm from the lower genital tract to an ovulated oocyte.IN guys it is vasectomy.,which squares vas deferens that conveys sperms.

When to plan?

Female sterilization may be performed immediately after childbirth (postpartum sterilization) or at a time unrelated to a pregnancy (interval sterilization). Most postpartum sterilization procedures are performed at time of cesarean delivery or after a vaginal delivery .Most interval sterilization procedures are performed via laparoscopy.

What are the indications?

The only indication for sterilization is the patient's desire for permanent contraception. Ultimately, the choice is made by the patient, but the decision requires thorough counseling about permanent sterility and the risk of regret.

There are no medical conditions that are strictly incompatible with laparoscopic sterilization; however, there may be factors that make women more suitable for a particular route of sterilization or other contraceptive options.

How effective is laparoscopic sterilization in preventing pregnancy?

Laparoscopic sterilization is highly effective 100%

Why laparoscopy?

For women who no longer want children, sterilization by laparoscopy provides a safe and convenient form of contraception. Once completed, no further steps are needed to prevent pregnancy. Tubal ligation also does not change a woman's menstrual cycle or cause menopause.

Its day care surgery

Done under general anaesthesia.

Lesser pain

No scar

Recovery in a day

How is laparoscopic sterilization performed?

In laparoscopy, an instrument called a laparoscope is inserted through a small incision made in or near the navel. Another small incision may be made for an instrument to close off or remove the fallopian tubes. The fallopian tubes can be closed off by bands or clips. They also can be cut and closed with special thread or sealed with an electric current. The laparoscope then is withdrawn. The incisions are closed with stitches or special tape.

What are the risks associated with laparoscopic sterilization?

Sterilization by laparoscopy has a low risk of complications. Its vey safe.

What should I expect after having laparoscopic sterilization?

After surgery, you will be observed for a short time to be sure that there are no problems. Most women can go home 2-4 hours after the procedure.. You may feel some discomfort or have other symptoms that last a few days

What are some alternatives to sterilization?

Long-acting reversible contraception, such as the intrauterine device or implant, last for several years. They are about as effective at preventing pregnancy as sterilization. They can be removed at any time if you want to become pregnant.

How is the Recovery from the surgery?

After surgery, patients stay in a recovery room and are observed for any possible complications. Patients are discharged same day after they receive instructions for home recovery. Patients are asked to see . for a follow-up appointment within.10 days

When to contact your doctor?

Contact immediately if you experience any of the following:

Persistent nausea and vomiting for more than 24 hours.

Temperature over 100 degrees Fahrenheit for more than 24 hours

Redness, swelling, drainage or bleeding around the incision

After the first day of surgery: Heavy bleeding with clots or soaking a sanitary pad within 2 hours

Am I ready for sterilization?

A woman should carefully weigh her decision to undergo sterilization by laparoscopy. Though this procedure has been successfully reversed in some women, in almost all cases it causes a permanent loss of fertility.

Women who are unsure if they still want children should choose a less permanent form of contraception, such as birth control pills, an intrauterine device (IUD), or a barrier method (such as a diaphragm). Discuss these alternatives with your .doctor

Your partner may also consider having a vasectomy, a method of male sterilization that involves severing and tying the vas deferens, a tube that transports sperm.

Any relation to Vaginal bleeding and menstruation?

Vaginal spottingup to .few days after surgery is normal. Many women do not have their next normal menstrual cycle for few weeks after surgery.

When to resume Sexual activity?

You can resume sexual activity one week after surgery.

What is tubal recanalisation?

"Tubal Reversal," also called "Tubal Sterilization Reversal," or "Tubal Ligation Reversal," or "Micro surgical Tubal Reaganomics," is a surgical procedure that can restore fertility to women after a tubal ligation. By rejoining the separated segments of the fallopian tube, tubal reversal can give women the chance to become pregnant again.

WHAT ARE THE CHANCES OF PREGNANCY AFTER REVERSAL?

Approximately 2 out of every 3 patients will become pregnant after tubal ligation reversal

Why only laparoscopic procedure for sterilization reversal?

Feasibility of laparoscopic tubal sterilization reversal is confirmed, as well as the benefits offered by laparoscopic procedures in terms of quality of life.

Evolution of techniques, skill competency and constant material improvements have allowed this type of surgical procedure to be performed by laparoscopy.

Laparoscopic Tubal Reversal is a minimally-invasive surgical procedure (laparoscopy), using small, specially-designed instruments to repair and reconnect the fallopian tubes.

General anesthesia has been Patients are sent home the same day of surgery. The few stitches that are placed will be under the skin and will be absorbed by the body, without need for removal.

When performed by a trained laparoscopic tubal reversal surgeon, laparoscopic tubal reversal combines the success rates of micro-surgical techniques with the advantages of minimally-invasive surgery - namely faster recovery, better healing, less pain, fewer complications, and no large disfiguring scars.Laparoscopic surgery can be more expensive than an open surgery using a 2 to 3 inch incision because it requires additional surgical equipment.

For More data Contact Us:

Telephone: +91 8023151873 | +91 9900031842

Fax: +91 8023116750

Email: [email protected] | [email protected]

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altiushospital · 4 years

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Laparoscopic Cervical Encerclage

Cervical incompetence is characterized by painless dilatation of the incompetent cervix and results in miscarriages and preterm delivery during second trimester.

Cervical incompetence occurs in 0.5% to 1% of all pregnancies and has a recurrence risk of 30%. Patients typically present with cervical dilatation in the absence of uterine activity after first trimester usually.

Cervical cerclage can be placed via trans vaginal, open -trans abdominal, or laparoscopic trans abdominal approach, preferably before pregnancy.

A laparoscopic approach is superior to the trans abdominal approach in terms of surgical outcomes, cost, and postoperative morbidity.

A laparoscopic approach to cervical cerclage placement is a potentially effective adjunct to the treatment of women at high risk of recurrent preterm birth.

Laparoscopic and trans abdominal approaches both yield similar obstetric outcomes, and laparoscopic cerclage may be a superior method in terms of surgical outcomes, as suggested by several studies.

Laparoscopic surgical techniques have now increasingly replaced traditional abdominal approaches to gynecologic surgery.

Laparoscopic cervical cerclage is a minimally invasive, extremely safe , cosmetically better pain and bleeding is lesser, intra abdominal adhesion are less, patient feels better postoperative effective procedure in properly selected patients and should replace the traditional laparotomy technique.

When To Time Procedure?

LAPAROSCOPIC cerclage placement can be performed prior to conception or in early pregnancy. Preconception placement provides optimum exposure and reduces risks of excessive bleeding and injury to the pregnancy.

Is It better than a vaginal Approach?

DEFINITELY. Time and again laparoscopy is the best method in treatment of various disease states in this modern medicine.

When the stitch has to be removed?

The cerclage remains inside till delivery. It is released during the caesarean section in the operation theater.

What Are The Risks Of Having A Cerclage Placed?

The likelihood of risks occurring is very minimal, and most health professionals feel a cerclage is a life-saving procedure that outweighs the possible risks involved.

What anesthesia is given?

its general anesthesia preferably.

What will be the recovery period?

Generally 2-3 days as with all the Laparoscopy procedures depending on your ability to recover.

Who are the candidates for laparoscopic cerclage?

Previous failed vaginal cerclage with scarring or lacerations rendering vaginal cerclage technically very difficult or impossible.

Absent or very hypo-plastic cervix with history of pregnancy loss fitting classical description of cervical insufficiency.

Which trimester it has to be planned?

The procedure is planned at the end of the first trimester or the early second trimester, after fetal viability has been documented and initial ultrasound evaluation of the pregnancy and preliminary blood tests have ruled out any major congenital malformation.

When not to have a cerclage?

Active labor.

Active vaginal bleeding.

Abruptio placenta.

Premature rupture of membranes.

Chorioamnionitis.

Prolapsed membranes.

Vaginal spotting.

What about postoperative care?

Elective cerclage is typically an ambulatory procedure. The patient is discharged after recovery from the anesthetic and when she is able to ambulate and void.

how to follow up?

Frequent visits as informed by your doctor report immediately in case of pain or spotting or bleeding or leaking.

What is the success rate?

Cervical cerclage helps prevent miscarriage or premature labor caused by cervical incompetence. The procedure is successful in 85% to 90% of cases. Cervical cerclage appears to be effective when true cervical incompetence exists

Why Doesn't Every Woman Who Has Had A Preterm Baby Need A Cerclage?

Only women with an abnormal or "incompetent" cervix can be helped by a cerclage. However, even with the help of a cerclage, other problems can cause labor to begin too early.

What About Future Pregnancies?

Most women who need a cerclage in one pregnancy will need to have a cerclage placed in future pregnancies.

For More data Contact Us:

Telephone: +91 8023151873 | +91 9900031842

Fax: +91 8023116750

Email: [email protected] | [email protected]

Follow the links:

Gynecologist in Bangalore | IVF Treatment Center in Bangalore | Urogynaecology Treatments in Bangalore | Fibroid Natural Treatment in Bangalore

#Altius Hospital #Hysteroscopic Surgeries #cystoscopy hospital #Pelvic Floor Disorders #Best Fibroid Surgeon #Urodynamic Test Cost in Bangalore #Vaginoplasty in Bangalore #ovarian cysts treatment

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Laparoscopic Tubal Ligation Treatment

Sterilization is any of a number of medical techniques that intentionally leave a person unable to reproduce.

It is a method of birth control.. Sterilization methods include both surgical and non-surgical, and exist for both males and females.

Sterilization procedures are intended to be permanent.

What is sterilization by laparoscopy?

Sterilization by laparoscopy is a common procedure used to perform tubal ligation in women. Tubal ligation is a method of sterilization that involves obstruction of the Fallopian tubes. Laparoscopy enables the surgeon to complete tubal ligation by making a small incision near the navel. This smaller incision reduces recovery time after surgery and the risk of complications. In most cases, the woman can leave the hospital within hours after laparoscopy.

WHEN TO CHOOSE STERILIZATION?

A woman should carefully weigh her decision to undergo sterilization .Though this procedure has been successfully reversed in some women, in almost all cases it causes a permanent loss of fertility.

Your partner may also consider having a vasectomy, a method of male sterilization that involves severing and tying the vase deferens, a tube that transports sperm.

LAPAROSCOPIC STERILIZATION

sterilization by laparoscopy provides a safe and convenient form of contraception. Once completed, no further steps are needed to prevent pregnancy. Tubal ligation also does not change a woman's menstrual cycle or cause menopause.

UNDER general anesthesia ,A small incision is then made near the navel. A laparoscope, a thin viewing tube about the width of a pencil, is passed through this incision and the abdomen is inflated to make the organs easier to view.

A special device for grasping the Fallopian tubes is inserted through a second, small incision The Fallopian tubes are sealed with a band or clip that is placed over the tubes.

After surgery, patients stay in a recovery room and are observed for any possible complications. Patients are discharged generally same day, after they receive instructions for home recovery. Patients are asked for a follow-up appointment within-10 days.

Recovery-Bandage can be removed the morning after the surgery. Steri-strips, which resemble tape, can be removed 2 to 3 days after surgery.

Patients can return to normal work 1 day after surgery.

Vaginal bleeding and menstruation

Vaginal bleeding/spotting up to 2-3 weeks after surgery is normal. Many women do not have their next normal menstrual cycle for 4 to 6 weeks after surgery. When your normal cycle returns, you may notice heavier bleeding and more discomfort than usual for the first two to three cycles.

Sexual activity

You can resume sexual activity 3 week after surgery.

Is tubal sterilization reversal?

Reversal of the procedure is done in our center by laparoscopic tubal recanalisation.

Laparoscopic technique .- of tubal reacanalization minimizes injury to delicate tissue in and around fallopian tubes and helps to ensure clear passage within the tubes for the sperm and the ovum.

This improved surgical technique has resulted in live births in 70-80% . The overall success in terms of intrauterine pregnancy after reversal of sterilization by microsurgery is about 60-80%

Laparoscopic technique for reversal of sterilization can provide better results than conventional surgery.

Although micro surgical reversal achieved 100% potency rate in our patients, certain factors, like duration of sterilization, technique of sterilization, and the length of the tube remaining after reversal, played a crucial role in deciding the pregnancy rate. Besides the magnification and atraumatic technique, tubal length > 4cm and time interval between sterilization and reversal of < 5 years resulted in better pregnancy rate.

Although the micro surgical technique has its own limitations, its proper application has brought a ray of hope to women seeking sterilization reversal like wishing to be pregnant after death of a child,or women opting for childbirth from second marriage.

What to be considered for women with failed tubal re canalization?

Women with severe Fallopian tube disease who are not good candidates for tubal re canalization may consider IVF and embryo transfer as an alternative

Am I too old to undergo a tubal reversal?

it is important to understand that age is an important factor in predicting success following a tubal reversal procedure. Highest success is achieved when a tubal reversal is performed in women who are under the age of 40.

However, many women over the age of 40 have excellent ovarian reserve (strong functioning ovaries) and can be quite successful in achieving pregnancy following a tubal reversal.

Various tests can be performed to determine a woman's ovarian reserve prior to undergoing a tubal reversal. If it is determined that a woman's ovarian reserve is reduced, alternatives to tubal reversal, such as in vitro fertilization (IVF) can be offered.

For More data Contact Us:

Telephone: +91 8023151873 | +91 9900031842

Fax: +91 8023116750

Email: [email protected] | [email protected]

Follow the links:

Gynecologist in Bangalore | IVF Treatment Center in Bangalore | Hysteroscopic Surgeries in Bangalore | Urogynaecology Treatments in Bangalore

#Altius Hospital in Bangalore #Cystoscopy Hospital in Bangalore #pelvic floor disorders & treatments #Best Fibroid Surgeon in Bangalore #Urodynamic Test Cost in Bangalore #Vaginoplasty in Bangalore #3D Laparoscopic Surgery in Bangalore

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altiushospital · 4 years

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Laparoscopic Sling Procedures

The uterus, or womb, is a muscular structure that's held in place by pelvic muscles and ligaments.

If these muscles or ligaments stretch or become weak, they're no longer able to support the uterus, causing prolapse.

Uterine prolapse occurs when the uterus sags or slips from its normal position and into the vagina, or birth canal.

Uterine prolapse may be incomplete or complete. An incomplete prolapse occurs when the uterus is only partly sagging into the vagina. A complete prolapse describes a situation in which the uterus falls so far down that some tissue rests outside of the vagina.

What is vaginal vault?

The vaginal vault is the expanded region of the vaginal canal at the internal end of the vagina. The vaginal vault may prolapse after a hysterectomy, as there is no uterus supporting the interior end of the vagina. The incidence of vaginal vault prolapse is approximately 15% after hysterectomy due to uterine prolapse, and approximately 1% after hysterectomy due to other reasons.

What is sacrocolpopexy?

Sacrocolpopexy is a procedure to correct prolapse of the vaginal vault (top of the vagina) in women who have had a previous hysterectomy. The operation is designed to restore the vagina to its normal position and function.

How is it done?

Sacrocolpopexy Reconstruction is achieved with an open abdominal technique or with the use of minimally invasive techniques means laparoscopy.

The specific treatment approach is chosen in accordance with the type and degree of pelvic organ prolapse, as well as the severity of symptoms.

The key aspect of sacrocolpopexy is the suspension of the vaginal apex to the sacral promontory in a manner that recreates the natural anatomic support .

What happens during surgery?

Sacrocolpopexy is performed either through an abdominal incision or 'keyholes' under general anesthesia.

The vagina is first freed from the bladder at the front and the rectum at the back.

A graft made of permanent synthetic mesh is used to cover the front and the back surfaces of the vagina. The mesh is then attached to the sacrum (tail bone). The mesh is then covered by a layer of tissue called the peritoneum that lines the abdominal cavity; this prevents the bowel from getting stuck to the mesh. Sacrocolpopexy can be performed at the same time as surgery for incontinence or vaginal repair for bladder or bowel prolapse.

What are the types of prolapse ?

Anterior defects with herniation of the urinary bladder creates a cystocele.

A rectocele occurs from posterior vaginal wall defects-rectum prolapses.

Apical defects include uterine prolapse or uterovaginal prolapse, vaginal cuff prolapse after hysterectomy, and enteroceles.

An enterocele is protrusion of the intestines into the apical vaginal wall and can be in either the anterior or posterior compartment.

All these types can occur with or without uterine prolapse or can be seen post hysterectomy.

What are Risk factors for pelvic organ prolapse ?

Increasing age.

Increasing body mass index (obesity).

Increasing gravidity/ number of pregnancy.

Increasing parity.

Number of vaginal deliveries.

Macrosomic delivery/bigbaby delivery.

Chronic obstructive pulmonary disease.

Constipation.

Strenuous activity, weight bearing, or strenuous labor.

What are the Symptoms ?

Vaginal bulge.

Pelvic pressure.

Bleeding.

Infection.

Splinting or digitation (the need to manually assist in reducing prolapse, often to void or defecate).

Back pain.

What are the Concomitant symptoms ?

Urinary incontinence symptoms, such as stress, urgency, or postural incontinence.

Bladder storage symptoms, such as frequency, urgency, or overactive bladder syndrome.

Voiding symptoms, such as hesitancy, slow stream, straining, incomplete emptying, or position-dependent voiding.

Sexual dysfunction symptoms, such as dyspareunia(pain during sex) or obstructed intercourse.

Anorectal dysfunction, such as fecal incontinence, flatal incontinence, fecal urgency, straining to defecate, constipation, and incomplete evacuation.

What is the principle used?

The key aspect of sacral colpopexy is the use of a graft to support the vaginal wall and suspend the vault to the sacral promontory ( tail bone) to give the anatomic support.

Does the surgery need anaesthesia?

Laparoscopic technique is done under general anaesthesia after thorough examination and keeping in mind all comorbidities if any.

Any advantages of laparoscopy?

laparoscopic approach has less blood loss, less hospital stay, almost similar operative time. Less handling of tissues and no adhesions thus minimizing post surgery pain, better cosmetic results, less morbidity, and shorter postoperative recovery periods.

What are the after surgery care tips?

After surgery -patient can be discharged very next day provided :

her recovery is good .

tolerating orally .

well ambulating.

can resume normal activity in days.

Any strenuous activity or heavy lifting should be avoided in the immediate postoperative period, usually 6-8 weeks, to allow adequate time for scar tissue formation.

Activities that generate perineal strain or trauma, such as bicycle riding, should be prohibited.

The patient must refrain from any sexual intercourse during healing.

Additionally, the patient should be instructed to not insert tampons or applicators into the vagina.

A course of antibiotics is often prescribed at discharge.

For postmenopausal patients with significant vaginal atrophy, short-term course of vaginal estrogen therapy is recommended (unless contraindicated) in order to maintain the integrity of pelvic tissues and to maximize surgical success.

What are the Nonsurgical treatments ?

For mild variety of descent-

losing weight to take stress off of pelvic structures.

avoiding heavy lifting.

doing Kegel exercises, which are pelvic floor exercises that help strengthen the vaginal muscles.

taking estrogen replacement therapy.

wearing a pessary, which is a device inserted into the vagina that fits under the cervix and helps push up and stabilize the uterus and cervix.

what about sexual life after surgery?

Sexual activity/sexual urge will not be hampered with the surgery with added benefits of correction for incontinence and mass protruding from vagina.

Will I feel weak after surgery?

surgery will not hamper your physical strength or makes you weak with joint pain as thought always and does not deteriorate daily activity .

Laparoscopic sacrocolpopexy is safe cost effective and cosmetic and patient can really consider this option after weighing risks and benefits.

What is LAPAROSCOPIC SACRO CERVICOPEXY ?

Sacrocervicopexy is a procedure similar to sacrocolpopexy,done for uterine prolapse ie., when the uterus is still intact , in which a graft material is used to suspend the cervix to the ligament on the pelvic bone(anterior longitudinal ligament Os sacrum).

Sacrocervicopexy can be performed either with uterine preservation or after supracervical hysterectomy.

Moreover, it preserves the integrity of ligaments, which are the main supports of the vaginal apex.

Laparoscopic sacrocervicopexy is an effective option for women with pelvic organ prolapse who desire uterine preservation.

What will be the time period to go back to work ?

2-3 Days

Dietary restrictions if any?

To have a balanced diet.

Any form of exercises to be followed postop ?

Any form of physical activity say yoga,meditation,walking ,sport to keep urself fit n fine.

will there be weight gain later?

Well, Not Exactly. Surgery does not make you put on weight.might be the restriction of physical inactivity self imposed can lead to weight gain.

will there be low back ache after surgery ?

No, not because of surgery. it could be due to loss of bone mineral density which can be tackled with supplementary medicines and physical activity.

For More data Contact Us:

Telephone: +91 8023151873 | +91 9900031842

Fax: +91 8023116750

Email: [email protected] | [email protected]

Follow the links:

Laparoscopic Surgery Treatment in Bangalore | Laparoscopic Gynaecologist in Bangalore | 3D Laparoscopic Surgery in Bangalore

#Gynecologist in Bangalore #Uterus Removal Surgery in Bangalore #Laproscopic Uterus Removal Surgeries #Hysteroscopic Surgeries in Bangalore #Cystoscopy Hospital in Bangalore #Pelvic Floor Disorders & Treatments in Bangalore #Best Fibroid Surgeon in Bangalore #Urodynamic Test Cost in Bangalore

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