Vaginal prolapse repair surgery with mesh
|
|
- Byron Heath
- 4 years ago
- Views:
Transcription
1 Vaginal prolapse repair surgery with mesh Your doctor has recommended a vaginal reconstructive procedure using mesh to treat your condition. The operation involves surgery to reattach the vagina to its original supports. In some instances your doctor may suggest removal of the uterus as part of your operation to correct prolapse. Overview Sometimes the overstretched vaginal wall tissues forming the prolapse (bulge) may not be suitable for a standard repair particularly when a prior vaginal repair has failed, or the tissues are weak and the prolapse is very large. Unfortunately even after the most careful repairs a recurrent prolapse may occur in 10-30% of women. This is more likely if the woman continues to experience high pressures in her abdomen (eg: constipation, heavy lifting or straining, smoker s cough, or significantly overweight). In such cases your specialist may discuss consideration of insertion of vaginal mesh to provide a new supporting layer beneath the bladder or above the rectum. Various products are available mostly in the form a mesh kits containing synthetic polypropylene mesh. These products have been used in vaginal prolapse surgery over the last decade with encouraging results particularly for the repair of large bladder and/or vaginal vault prolapses where synthetic mesh has been shown to be superior to traditional repair. Current recommendations Vaginal mesh placement only be considered for women over the age of 50 years with large and recurrent prolapses particularly where other risk factors for failed traditional repair are present such as chronic cough or straining with very weak supporting tissues. Mesh should be avoided in the presence of pre-existing chronic pelvic pain or infection and prolonged steroid use and caution exercised in the presence of multiple other risk factors such as smoking, morbid obesity and diabetes. Your specialist will be happy to discuss the pros and cons of vaginal mesh use in your prolapse repair with you.
2 Types of procedures which may require the use of vaginal mesh Anterior and Posterior Repair (repair of the front and back wall of the vagina) Incisions of the skin inside the vagina are made to access the supporting tissue of the vagina. This may involve the front or the back walls of the vagina or both, depending on the type of prolapse you have. Traditionally absorbable stitiches are placed to tighten the supporting tissue of the vaginal and reattach it to the ligaments that hold the vagina in place. In some women, mesh will be used to reinforce the prolapse repair The incisions inside the vagina are then closed with stitches that will dissolve in a few weeks At the end of the operation a catheter will be inserted into the bladder to drain urine and a gauze pack will be placed in the vagina to prevent bleeding. These will be easily removed by the nursing staff one to two days post operatively Sacrospinous Fixation This operation is performed to elevate and support the top part of the vagina. Usually 2 permanent stitches are placed into a tough fibrous structure known as the sacrospinous ligament. The stitches are then secured to the top of the vagina just beneath the skin. Sometimes the procedure is done on both sides (bilateral sacrospinous fixation) and usually performed along with one of the other procedures listed on this page. This stitch may cause some temporary discomfort in the buttock which may persist for up to three months. Laparoscopic Mesh Sacro-Colpopexy This technique uses keyhole instruments to place mesh to attach the top, front and back walls of the vagina to the front of sacrum, (sacral bone at the lower end of the spine),. This procedure elevates the vagina and corrects the prolapse. It is arguably the most complex prolapse procedure and is usually reserved for more difficult cases or where other types of surgery have already failed. There is a risk of mesh exposure ( erosion ) of about 4%, as with vaginal mesh placement. Studies have shown that when performed by experienced surgeons it is a very effective procedure. Success Rates for Prolapse Surgery It is generally believed that between 10-30% of women may require a second operation to treat prolapse in the future. This may be due to the recurrence of an old prolapse or development of a new type of prolapse. Complications after Surgery for Prolapse These risks of surgery can be divided into general risks associated with any operation and risks specific to the surgery you are having. General risks of surgery These include Risk wound, chest or urinary tract infection, 2-11% major haemorrhage requiring blood transfusion, 1-4% blood clots in the legs or lungs <1% risks of the anaesthetic including heart attacks or strokes. <1%
3 Risks relating to mesh Some concerns have been raised about complications of mesh placement in the vagina. This has resulted in considerable debate amongst experts worldwide. Although available data is somewhat conflicting, experts agree that generally these complications are similar to traditional surgery apart from mesh erosion (limited exposure of mesh in the vagina which occurs in about 2-5% of cases). Risks specific to prolapse These include Risk Injury to adjacent organs including, Bowel or Ureter <1% Bladder <1% Pelvic haematoma (blood clot) 1-2% Chronic Pelvic or Vaginal Pain 2-5% Mesh erosion 2-5% Abnormal scarring of the vagina can also occur causing painful intercourse in approximately 2-7% and in rare cases make sex difficult or impossible. This may be more common with Mesh augmentation. When laparoscopic surgery is planned an open (abdominal) operation may occasionally be required to complete the surgery due to technical difficulties. The above list is not exhaustive and does not include all possible risks. If you have any further concerns please feel free to ask your specialist. Length of stay in hospital With vaginal or laparoscopic prolapse surgery you will usually go home within 2-4 days of surgery. Recovery 6-8 weeks Pelvic floor exercises, weight reduction may all reduce the incidence of recurrence of prolapse. Pelvic floor exercises should be taught and supervised by a physiotherapist who specialises in pelvic floor defects. Ideally these should be initiated prior to having surgery to maximise your pelvic floor function and reduce the potential for recurrent prolapse. Please speak to our reception staff for contact details or a referral.
4 What to expect after prolapse surgery Hospital Stay Length of stay With a vaginal or laparoscopic pelvic floor repair surgery you will usually go home within 2-4 days of surgery. Post operative pain Within a day of your vaginal or laparoscopic operation, most patients require only oral pain medications and are usually up and walking around. Urinary Catheter A soft latex tube (catheter) may be required to drain the bladder for hours to allow it to rest after surgery. After incontinence surgery a small number of women may have ongoing difficulty emptying their bladder and thus require a catheter for a longer period of time. In these cases you can go home with a urinary drainage bag and return a week or 2 later to have the catheter removed. Alternatively you may be taught to insert a small catheter to empty your bladder on a regular basis until your bladder function returns to normal. Vaginal bleeding A small amount of vaginal bleeding is common after vaginal surgery and it may persist for up to 6 weeks. It can sometimes be associated with an unusual odour. Have some ultrathin sanitary pads on hand do not use tampons
5 For the first two weeks following discharge from hospital Restrict your activity no washing, ironing, vacuuming, changing bed linen etc Rest as much as possible have an afternoon lie down for 1 2 hours Very short, frequent walks around the house Do not lift anything heavier than 2-3kgs You may have a sudden, moderate vaginal loss around eight to ten days, which should then stop Please tell your doctor about any vaginal discharge that is offensive, becomes heavier than a period, or is associated with a fever and feeling unwell. For the next two to four weeks (weeks 4-6 of your recovery) It is important that you do not do any heavy work or lift more than 4-5kgs including shopping bags, washing baskets and children! Frequent short walks increasing over time is beneficial (i.e minutes building to minutes) Avoid playing sport, gym work and impact exercises such as jogging and jumping You may notice some stitch fragments on your pad this is normal You may return to non-strenuous employment around 6 weeks of surgery. General Advice As a general rule, if it hurts do not do it! Take regular pain relief until discomfort/pain has resolved codeine based pain relief can cause constipation so best to be avoided. Intercourse should not be resumed until eight weeks after surgery (assuming all bleeding and discharge has settled) or following your post operative appointment It is advisable not to drive a car until completely comfortable and feeling well. This may be anywhere between 2-6 weeks. Do not plan a long trip even as a passenger for at least a couple of weeks after your discharge from hospital. Gentle swimming is fine once all vaginal discharge has settled Prevent constipation Avoid straining when opening your bowels. If this is a problem increase your fibre and fluid intake (have at least 1-1½ litres of water per day). Coloxyl tablets (1-2 tablets once or twice a day) or movicol may also be useful. Pelvic floor exercises may be commenced when they can be done comfortably. Remember to contract your pelvic floor muscles with any exertion (i.e coughing, sneezing, laughing etc). Drs Munday, Ritossa and Semmler updated October 2012
VAGINAL MESH FAQ. How do you decide who should get mesh as part of their repair?
VAGINAL MESH FAQ How do you decide who should get mesh as part of their repair? Each patient with pelvic organ prolapse (POP) is considered individually. In younger women, women with an uncomplicated prolapse
Having a tension-free vaginal tape (TVT) operation for stress urinary incontinence
Having a tension-free vaginal tape (TVT) operation for stress urinary incontinence This leaflet explains more about tension-free vaginal tape (TVT) including the benefits, risks and any alternatives, and
Women s Health. The TVT procedure. Information for patients
Women s Health The TVT procedure Information for patients What is a TVT procedure? A TVT (Tension-free Vaginal Tape) procedure is an operation to help women with stress incontinence the leakage of urine
Surgery for Stress Incontinence
Directorate of Women s Services Surgery for Stress Incontinence Tension Free Vaginal Tape Information for Patients Direct dial number Ward 40 0191 282 5640 Stress Incontinence Stress incontinence is a
Patient. Frequently Asked Questions. Transvaginal Surgical Mesh for Pelvic Organ Prolapse
Patient Frequently Asked Questions Transvaginal Surgical Mesh for Pelvic Organ Prolapse Frequently Asked Questions WHAT IS PELVIC ORGAN PROLAPSE AND HOW IS IT TREATED? Q: What is pelvic organ prolapse
The main surgical options for treating early stage cervical cancer are:
INFORMATION LEAFLET ON TOTAL LAPAROSCOPIC RADICAL HYSTERECTOMY (TLRH) FOR EARLY STAGE CERVICAL CANCER (TREATING EARLY STAGE CERVICAL CANCER BY RADICAL HYSTERECTOMY THROUGH KEYHOLE SURGERY) Aim of the leaflet
Vaginal Repair- with Mesh A. Interpreter / cultural needs B. Condition and treatment C. Risks of a vaginal repair- with mesh
The State of Queensland (Queensland Health), 2011 Permission to reproduce should be sought from ip_officer@health.qld.gov.au DO NOT WRITE IN THIS BINDING MARGIN v2.00-03/2011 SW9226 Facility: A. Interpreter
SACROSPINOUS FIXATION
SACROSPINOUS FIXATION Information Leaflet Your Health. Our Priority. Page 2 of 9 What is a vaginal vault prolapse? The vagina is held in position by the body's natural supporting structures. A vaginal
VAGINAL TAPE PROCEDURES FOR THE TREATMENT OF STRESS INCONTINENCE
VAGINAL TAPE PROCEDURES FOR THE TREATMENT OF STRESS INCONTINENCE AN INFORMATION LEAFLET Written by: Department of Urology May 2011 Stockport: 0161 419 5698 Website: w w w. s t o c k p o r t. n h s. u k
Total Vaginal Hysterectomy with an Anterior and Posterior Repair
Total Vaginal Hysterectomy with an Anterior and Posterior Repair What is a total vaginal hysterectomy with an anterior and posterior repair? Total vaginal hysterectomy is the removal of the uterus and
Vaginal hysterectomy and vaginal repair
Women s Service Vaginal hysterectomy and vaginal repair Information for patients Vaginal hysterectomy and vaginal repair This leaflet is for women who have been advised to have a vaginal hysterectomy.
Colposuspension for Stress Incontinence
Colposuspension for Stress Incontinence Patient information Leaflet BSUG Patient Information Sheet Disclaimer This patient information sheet was put together by members of the BSUG Governance Committee
Excision of Vaginal Mesh
What is excision of vaginal mesh? This procedure is done to remove mesh from the vagina. When is this surgery used? If mesh has eroded into the vagina, bladder, urethra, or bowel If there is pain associated
PROLAPSE AND ITS TREATMENT
PROLAPSE AND ITS TREATMENT Information Leaflet Your Health. Our Priority. Page 2 of 14 What is a prolapse? A prolapse occurs when the muscles and ligaments supporting the uterus become weak and the vaginal
Sacrohysteropexy for Uterine Prolapse
Sacrohysteropexy for Uterine Prolapse Patient Information Leaflet BSUG Patient Information Sheet Disclaimer This patient information sheet was put together by members of the BSUG Governance Committee paying
Information for patients having Total Laparoscopic Hysterectomy (TLH)
1 TOTAL LAPAROSCOPIC HYSTERECTOMY LEAFLET (For patients, relatives and hospital personnel) Information for patients having Total Laparoscopic Hysterectomy (TLH) You have been given this information sheet
About the Uterus. Hysterectomy may be done to treat conditions that affect the uterus. Some reasons a hysterectomy may be needed include:
Hysterectomy removal of the uterus is a way of treating problems that affect the uterus. Many conditions can be cured with hysterectomy. Because it is major surgery, your doctor may suggest trying other
Information for Patients
Notes Information for Patients Sling procedure for urinary stress incontinence Aysha Qureshi Version 1, June 2010 Review date June 2013 Date of publication: June 2010 Ref: RUH GYN/002 Royal United Hospital
Caring for your perineum and pelvic floor after a 3rd or 4th degree tear
Caring for your perineum and pelvic floor after a 3rd or 4th degree tear Most women, up to nine in ten (90%), tear to some extent during childbirth. Most tears occur in the perineum, the area between the
Epigastric Hernia Repair
Epigastric Hernia Repair WHAT IS EPIGASTRIC HERNIA REPAIR? 2 WHAT CAUSES IT? 2 WHAT DOES TREATMENT/MANAGEMENT INVOLVE? 2 WHAT WOULD HAPPEN IF THE HERNIA WAS NOT TREATED? 3 EPIGASTRIC HERNIA REPAIR 3 WHAT
X-Plain Inguinal Hernia Repair Reference Summary
X-Plain Inguinal Hernia Repair Reference Summary Introduction Hernias are common conditions that affect men and women of all ages. Your doctor may recommend a hernia operation. The decision whether or
Laparoscopic Ventral Rectopexy
Laparoscopic Ventral Rectopexy Patient information leaflet What is a laparoscopic ventral rectopexy? It is a keyhole operation, performed whilst you are asleep; the rectum is suspended back into its normal
An operation for stress incontinence Tension-free Vaginal Tape (TVT)
Saint Mary s Hospital The Warrell Unit An operation for stress incontinence Tension-free Vaginal Tape (TVT) Information for Patients 1 Stress Incontinence Stress incontinence is a leakage of urine occurring
Total Abdominal Hysterectomy
What is a total abdominal hysterectomy? Is the removal of the uterus and cervix through an abdominal incision (either an up and down or bikini cut). Removal of the ovaries and tubes depends on the patient.
Surgical removal of fibroids through an abdominal incision-either up and down or bikini cut. The uterus and cervix are left in place.
What is an abdominal myomectomy? Surgical removal of fibroids through an abdominal incision-either up and down or bikini cut. The uterus and cervix are left in place. When is this surgery used? Treatment
Recto-vaginal Fistula Repair
What is a recto-vaginal fistula repair? Rectovaginal fistula repair is a procedure in which the healthy tissue between the rectum and vagina is closed in multiple tissue layers. An incision is made either
An Operation for Stress Incontinence. Tension Free Vaginal Tape - TVT (Retropubic tape)
An Operation for Stress Incontinence Tension Free Vaginal Tape - TVT (Retropubic tape) Patient Information Leaflet BSUG Patient Information Sheet Disclaimer This patient information sheet was put together
Radical Hysterectomy and Pelvic Lymph Node Dissection
Radical Hysterectomy and Pelvic Lymph Node Dissection Tena koutou katoa, Kia orana, Talofa lava, Malo e lelei, Fakaalofa lahi atu, Taloha Ni, Ni Sa Bula Vinaka, Greetings and Welcome to National Women's
Hysterectomy. What is a hysterectomy? Why is hysterectomy done? Are there alternatives to hysterectomy?
ROBERT LEVITT, MD JESSICA BERGER-WEISS, MD ADRIENNE POTTS, MD HARTAJ POWELL, MD, MPH COURTNEY LEVENSON, MD LAUREN BURNS, MSN, RN, WHNP OBGYNCWC.COM What is a hysterectomy? Hysterectomy Hysterectomy is
Macroplastique injection for stress urinary incontinence
Macroplastique injection for stress urinary incontinence Information for patients This information sheet answers some of the questions you may have about having a Macroplastique injection. It explains
An operation for prolapse Sacrospinous Fixation Sacrospinous Hysteropexy
Saint Mary s Hospital Gynaecology Service Warrell Unit An operation for prolapse Sacrospinous Fixation Sacrospinous Hysteropexy Information For Patients 1 What is a prolapse? Prolapse is a bulge or lump
Total Vaginal Hysterectomy
What is a total vaginal hysterectomy? Is the removal of the uterus and cervix through the vagina. Removal of the ovaries and tubes depends on the patient. Why is this surgery used? To treat disease of
Get the Facts, Be Informed, Make YOUR Best Decision. Pelvic Organ Prolapse
Pelvic Organ Prolapse ETHICON Women s Health & Urology, a division of ETHICON, INC., a Johnson & Johnson company, is dedicated to providing innovative solutions for common women s health problems and to
Spigelian Hernia Repair
Spigelian Hernia Repair WHAT IS A SPIGELIAN HERNIA? 2 WHAT CAUSES IT? 2 WHAT DOES TREATMENT/ MANAGEMENT INVOLVE? 2 WHAT WOULD HAPPEN IF THE HERNIA WAS NOT TREATED? 2 SPIGELIAN HERNIA REPAIR 3 WHAT ARE
Consumer summary Minimally invasive techniques for the relief of stress urinary incontinence
ASERNIP S Australian Safety and Efficacy Register of New Interventional Procedures Surgical Consumer summary Minimally invasive techniques for the relief of stress urinary incontinence (Adapted from the
Pelvic Organ Prolapse FAQs
What is prolapse? Prolapse is a hernia of the vagina that a woman may feel as a bulge or pressure. This is referred to in many different ways, including dropped bladder, dropped uterus, dropped vagina,
Preparing for your laparoscopic pyeloplasty
Preparing for your laparoscopic pyeloplasty Welcome We look forward to welcoming you to The Royal London Hospital. You have been referred to us for a laparoscopic pyeloplasty, which is an operation using
Stress incontinence in Women
Stress incontinence in Women Exceptional healthcare, personally delivered Operations for Stress Incontinence Introduction Stress incontinence is a medical word used to describe the type of leakage that
Inguinal Hernia (Female)
Inguinal Hernia (Female) WHAT IS AN INGUINAL HERNIA? 2 WHAT CAUSES AN INGUINAL HERNIA? 2 WHAT DOES TREATMENT / MANAGEMENT INVOLVE? 3 DAY SURGERY MANAGEMENT 3 SURGICAL REPAIR 4 WHAT ARE THE RISKS/COMPLICATIONS
Laparoscopic Nephrectomy
Laparoscopic Nephrectomy Information for Patients This leaflet explains: What is a Nephrectomy?... 2 Why do I need a nephrectomy?... 3 What are the risks and side effects of laparoscopic nephrectomy?...
Transobturator tape sling Female sling system
Transobturator tape sling Female sling system Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
Colposuspension for stress urinary incontinence
Colposuspension for stress urinary incontinence Information for patients This leaflet sheet answers some of the questions you may have about colposuspension. It explains the benefits, the risks and the
Bladder reconstruction (neo-bladder)
Bladder reconstruction (neo-bladder) We have written this leaflet to help you understand about your operation. It is designed to help you answer any questions you may have. The leaflet contains the following
An Operation for Stress Incontinence. Transobturator Tape (TOT, TVT-O)
An Operation for Stress Incontinence Transobturator Tape (TOT, TVT-O) Patient Information Leaflet BSUG Patient Information Sheet Disclaimer This patient information sheet was put together by members of
An Operation for Anterior Vaginal Wall Prolapse
An Operation for Anterior Vaginal Wall Prolapse Patient Information Leaflet BSUG Patient Information Sheet Disclaimer This patient information sheet was put together by members of the BSUG Governance Committee
Bard: Continence Therapy. Stress Urinary Incontinence. Regaining Control. Restoring Your Lifestyle.
Bard: Continence Therapy Stress Urinary Incontinence Regaining Control. Restoring Your Lifestyle. Stress Urinary Incontinence Becoming knowledgeable about urinary incontinence Uterus Normal Pelvic Anatomy
Royal College of Obstetricians and Gynaecologists. Information for you after a mid-urethral sling operation for stress urinary incontinence
Royal College of Obstetricians and Gynaecologists Information for you after a mid-urethral sling operation for stress urinary incontinence Who is this information for? What is stress urinary incontinence?
INDEPENDENT REVIEW OF TRANSVAGINAL MESH IMPLANTS
INDEPENDENT REVIEW OF TRANSVAGINAL MESH IMPLANTS Analysis of NHS information on surgery for stress urinary incontinence and pelvic organ prolapse in Scotland Contents 1 Introduction 1 Treatment for these
LOSS OF BLADDER CONTROL IS TREATABLE TAKE CONTROL AND RESTORE YOUR LIFESTYLE
LOSS OF BLADDER CONTROL IS TREATABLE TAKE CONTROL AND RESTORE YOUR LIFESTYLE TALKING ABOUT STRESS INCONTINENCE (SUI) Millions of women suffer from stress incontinence (SUI). This condition results in accidental
Laparoscopic Cholecystectomy
Laparoscopic Cholecystectomy Removal of Gall Bladder Page 12 Patient Information Further Information We endeavour to provide an excellent service at all times, but should you have any concerns please,
Femoral Hernia Repair
Femoral Hernia Repair WHAT IS A FEMORAL HERNIA REPAIR? 2 WHAT CAUSES A FEMORAL HERNIA? 2 WHAT DOES TREATMENT/ MANAGEMENT INVOLVE? 3 DAY SURGERY MANAGEMENT 3 SURGICAL REPAIR 4 WHAT ARE THE RISKS/COMPLICATIONS
Information and advice following placement of seton for anal fistula
Oxford University Hospitals NHS Trust Information and advice following placement of seton for anal fistula page 2 What is a fistula? You can get an anal fistula as a result of an infection or a collection
What do I need to know about Mesh Implants in Prolapse Surgery?
Saint Mary s Hospital Gynaecology Service Warrell Unit What do I need to know about Mesh Implants in Prolapse Surgery? Information for Patients What is a mesh? A mesh is a material used in prolapse surgery.
Umbilical or Paraumbilical Hernia Adults
Umbilical or Paraumbilical Hernia Adults WHAT IS AN UMBILICAL OR PARAUMBILICAL HERNIA? 2 THE OPERATION? 2 ANY ALTERNATIVES 3 BEFORE THE OPERATION 3 AFTER YOUR SURGERY - IN HOSPITAL 4 POSSIBLE COMPLICATIONS?
Periurethral bulking agent for stress urinary incontinence (macroplastique)
PLEASE PRINT WHOLE FORM DOUBLE SIDED ON YELLOW PAPER Patient Information to be retained by patient affix patient label Who is this leaflet for? This leaflet provides information about having an injection
Surgery for stress incontinence:
Surgery for stress incontinence: information for you Published February 2005 by the RCOG Contents Page number Key points 1 About this information 2 What is stress incontinence? 2 Do I need an operation?
Laparoscopic Hysterectomy
Laparoscopic Hysterectomy Department of Gynaecology Patient Information What is is a a laparoscopic hysterectomy? hysterectomy? A laparoscopic hysterectomy is an operation performed under general anaesthetic
Laparoscopic Bilateral Salpingo-Oophorectomy
Laparoscopic Bilateral Salpingo-Oophorectomy What is a? This is a surgery where your doctor uses a thin, lighted camera and small surgical tool placed through a small (1/2 inch) incision usually in the
Contents. Overview. Removing the womb (hysterectomy) Overview
This information is an extract from the booklet Understanding womb (endometrial) cancer. You may find the full booklet helpful. We can send you a free copy see page 9. Overview Contents Overview Removing
Laparoscopic Hysterectomy
Any further questions? Please contact the matron for Women s Health on 020 7288 5161 (answerphone) Monday - Thursday 9am - 5pm. For more information: Royal College of Obstetrics and Gynaecology Recovering
Hysteroscopy. What is a hysteroscopy? When is this surgery used? How do I prepare for surgery?
What is a hysteroscopy? This is a procedure where a doctor uses a thin tube with a tiny camera to look inside the uterus. There are no incisions. Saline solution is used to expand the uterus in order to
INFORMATION FOR PATIENTS CONSIDERING LAPAROSCOPIC INGUINAL HERNIA REPAIR
INFORMATION FOR PATIENTS CONSIDERING A LAPAROSCOPIC INGUINAL HERNIA REPAIR Prepared By Mr Peter Willson Consultant Surgeon Contents 1. Background... 3 2. What is an inguinal Hernia?... 3 3. What are the
Posterior (back) vaginal wall repair
34 Posterior (back) vaginal wall repair Patient Information Women and Children - Obstetrics and Gynaecology Posterior vaginal wall prolapse Contents About this booklet What is a posterior vaginal wall
Royal College of Obstetricians and Gynaecologists. Information for you after an abdominal hysterectomy
Royal College of Obstetricians and Gynaecologists Information for you after an abdominal hysterectomy Who is this information for? This information is for you if you are about to have, or you are recovering
Laparoscopic Colectomy. What do I need to know about my laparoscopic colorectal surgery?
Laparoscopic Colectomy What do I need to know about my laparoscopic colorectal surgery? Traditionally, colon & rectal surgery requires a large, abdominal and/or pelvic incision, which often requires a
An operation for prolapse Laparoscopic Sacrohysteropexy
Saint Mary s Hospital Gynaecology Service Warrell Unit An operation for prolapse Laparoscopic Sacrohysteropexy Information for Patients What is a prolapse? Uterine prolapse is a bulge or lump in the vagina
An operation for prolapse Colpocleisis
Saint Mary s Hospital Gynaecology Service Warrell Unit An operation for prolapse Colpocleisis Information for Patients What is a prolapse? A prolapse is a bulge or lump in the vagina caused by sagging
Orthopaedic Spine Center. Anterior Cervical Discectomy and Fusion (ACDF) Normal Discs
Orthopaedic Spine Center Graham Calvert MD James Woodall MD PhD Anterior Cervical Discectomy and Fusion (ACDF) Normal Discs The cervical spine consists of the bony vertebrae, discs, nerves and other structures.
Patient Information Incontinence & Prolapse Self Help
Patient Information Incontinence & Prolapse Self Help Urogynaecology Introduction This leaflet is produced as a self help guide for women of East and North Herts that are experiencing issues with continence.
Urinary Incontinence (Involuntary Loss of Urine) A Patient Guide
Urinary Incontinence (Involuntary Loss of Urine) A Patient Guide Urinary Incontinence (Urine Loss) This booklet is intended to give you some facts on urinary incontinence - what it is, and is not, and
Do nothing Pelvic floor exercises (PFE Devices Urethral bulking agents
Stress incontinence is the leakage of urine usually caused by an increase in pressure in the abdomen (tummy) e.g. from coughing, sneezing or bending and is due to a weakness in the urethra (urine pipe),
1 in 3 women experience Stress Urinary Incontinence.
A PATIENT S GUIDE 1 in 3 women experience Stress Urinary Incontinence. It s time to talk about SUI Get the facts. This Patient s Guide is intended as a public resource on the issue of Stress Urinary Incontinence
Total Hip Replacement
NOTES Total Hip Replacement QUESTIONS DATES PHONE NOS. Compiled by Mr John F Nolan FRCS for The British Hip Society 2009. A patient s information booklet 16 1 Introduction This booklet has been produced
Please read these instructions carefully before using Poise* Bladder Supports
For the Temporary Management of Stress Urinary Incontinence in Women INSTRUCTIONS FOR USE Please read these instructions carefully before using Poise* Bladder Supports 500000023088 For the Temporary Management
Hysterectomy Vaginal hysterectomy Abdominal hysterectomy
Hysterectomy A hysterectomy is a surgery to remove a woman s uterus. The uterus is one of the organs of the female reproductive system and is about the size of a closed hand. You can no longer have children
Inguinal (Groin) Hernia Repair
Information for patients Inguinal (Groin) Hernia Repair General Surgery Tel: 01473 712233 DMI ref: 11582-09.indd(RP) Issue 1: February 2010 The Ipswich Hospital NHS Trust, 2010. All rights reserved. Not
An Operation for Stress Incontinence Transobturator Tape (TOT, TVT-O)
An Operation for Stress Incontinence Transobturator Tape (TOT, TVT-O) Information for patients Gynaecology Department Phone no: 01625 661161 East Cheshire NHS Trust www.eastcheshire.nhs.uk @eastcheshirenhs
Summa Health System. A Woman s Guide to Hysterectomy
Summa Health System A Woman s Guide to Hysterectomy Hysterectomy A hysterectomy is a surgical procedure to remove a woman s uterus (womb). The uterus is the organ which shelters and nourishes a baby during
RECOVERING WELL. Information for you after an Abdominal Hysterectomy
RECOVERING WELL Information for you after an Abdominal Hysterectomy How to navigate when viewing this information online Contents From the contents page you can quickly and easily access all the topics
University College Hospital at Westmoreland Street. Mid urethral tension-free vaginal tape procedures
University College Hospital at Westmoreland Street Mid urethral tension-free vaginal tape procedures Urology Directorate for women 2 3 If you would like this document in another language or format, or
ARTHROSCOPIC HIP SURGERY
ARTHROSCOPIC HIP SURGERY Hip Arthroscopy is a relatively simple procedure whereby common disorders of the hip can be diagnosed and treated using keyhole surgery. Some conditions, which previously were
How do I know if I need to have surgery?
How do I know if I need to have surgery? Deciding whether or not to have surgery for your bladder, bowel and/or prolapse problems is an individual decision. The success or failure of someone else's operation
Transurethral Resection of Bladder Tumour (T.U.R.B.T)
Transurethral Resection of Bladder Tumour (T.U.R.B.T) Patient Information Introduction This booklet has been written to help you understand the surgery you are about to undergo. It will give you information
Pelvic Floor Exercises for Women
Pelvic Floor Exercises for Women Exceptional healthcare, personally delivered What are pelvic floor muscles? They are layers of muscles stretching like a hammock from the pubic joint at the front of the
TERMINATION OF PREGNANCY- MEDICAL
TERMINATION OF PREGNANCY- MEDICAL Information Leaflet Your Health. Our Priority. Page 2 of 8 You have been offered a medical termination of pregnancy using mifepristone. You will have been given some verbal
Operations for Stress Incontinence. Mid-Urethral Tapes (Retropubic and Obturator)
Operations for Stress Incontinence Mid-Urethral Tapes (Retropubic and Obturator) Patient Information Leaflet BSUG Patient Information Sheet Disclaimer This patient information sheet was put together by
Information for Patients
Healthcare Associated Infections How can I help to reduce Healthcare Associated Infections? Infection control is important to the wellbeing of our patients, and for that reason we have infection control
Urinary Incontinence. Anatomy and Terminology Overview. Moeen Abu-Sitta, MD, FACOG, FACS
Urinary Incontinence Anatomy and Terminology Overview Moeen Abu-Sitta, MD, FACOG, FACS Purpose Locate and describe the anatomy of the Female Urinary System Define terminology related to Incontinence Describe
Weight Loss before Hernia Repair Surgery
Weight Loss before Hernia Repair Surgery What is an abdominal wall hernia? The abdomen (commonly called the belly) holds many of your internal organs. In the front, the abdomen is protected by a tough
Patient Information:
Patient Information: Care of an indwelling Urinary Catheter What is a Urinary Catheter? A catheter is a hollow, flexible tube designed to drain urine from the bladder. Following insertion into the bladder,
Vaginal Hysterectomy and Pelvic Floor Repair
906743-Z-WZZ1040 31/10/2013 16:46 Page 1 Approvals: Gynae Guidelines Group: V1 Sep 07 & Apr 08, V3 Dec 2011/Aug 2012 MSLC: Jan 2012 Divisional Board: V1 Jan 08. V3 Jan 2012 Clinical Guidelines Subgroup:
Urinary Diversion: Ileovesicostomy/Ileal Loop/Colon Loop
Urinary Diversion: Ileovesicostomy/Ileal Loop/Colon Loop Why do I need this surgery? A urinary diversion is a surgical procedure that is performed to allow urine to safely pass from the kidneys into a
Vesico-Vaginal Fistula
Saint Mary s Hospital The Warrell Unit Vesico-Vaginal Fistula Information For Patients Contents Page What is a vesico-vaginal fistula? 3 How does a fistula develop? 3 What tests will I need? 3 How can
SURGERY FOR STRESS URINARY INCONTINENCE PROCEDURE EDUCATION LITERATURE AND CONSENT FORM
SURGERY FOR STRESS URINARY INCONTINENCE PROCEDURE EDUCATION LITERATURE AND CONSENT FORM We recommend that you read this handout carefully in order to prepare yourself or family members for the proposed
URINARY INCONTINENCE
URINARY INCONTINENCE What is urinary incontinence? Urinary incontinence is the uncontrollable loss of urine. The amount of urine leaked can vary from only a few drops when you cough or sneeze to entirely
Laparoscopic Surgery for Inguinal Hernia Repair
Laparoscopic Surgery for Inguinal Hernia Repair What is an Inguinal Hernia Repair? 2 What is a Laparoscopic Inguinal Hernia Repair? 2 Are there any alternatives to Laparoscopic Hernia Repair? 3 Am I a
REPAIR OF A URINARY VAGINAL FISTULA
Procedure Specific Information What is the evidence base for this information? This publication includes advice from consensus panels, the British Association of Urological Surgeons, the Department of
X-Plain Hip Replacement Surgery - Preventing Post Op Complications Reference Summary
X-Plain Hip Replacement Surgery - Preventing Post Op Complications Reference Summary Introduction Severe arthritis in the hip can lead to severe pain and inability to walk. To relieve the pain and improve
Laser of the Vulva. This is a surgery where your doctor will use a laser light to remove unhealthy tissue.
What is laser of the vulva? This is a surgery where your doctor will use a laser light to remove unhealthy tissue. Why is this surgery used? To treat diseases of the vulva Vulvar Intraepithelial Neoplasia
LAPAROSCOPIC OVARIAN CYSTECTOMY
LAPAROSCOPIC OVARIAN CYSTECTOMY Information Leaflet Your Health. Our Priority. Page 2 of 5 About this information This leaflet is for you if you have a cyst on one or both ovaries and are considering surgery.