November 5, 2010

Uterine Suspension Thailand –Vaginal Pessary for Correcting the Problem!

Why the uterine suspension required?

Uterine suspension is one of the advanced surgical process that required to remove the pain from pelvic and dyspareunia area. Basically two types process are using in the uterine suspension such as: laparotomy, laparoscopy according to the patients requirement. In most of the cases the surgeons are asking to try the vaginal pessary for the correct uterine position before the uterine suspension. There are several processes uterine suspension including sacrospinous ligament suspension, uterosacral ligament suspension, and abdominal sacral colpopexy.

Are their any risks in the process?

In every surgical process minimal risk must be their. In this regard top class surgeons and best hospital loaded with advanced surgical technology are helping the patients to avoid risk. The traditional medicine suggests the removal of uterus (hysterectomy) when there is the uterine prolapse. Also, in cases of the severe uterine & vaginal prolapse hysterectomy followed by the vaginal reconstruction might be most beneficial therapy. But, there are women who select to keep the uterus particularly in whom uterus is just mildly and moderately prolapsed. Decision to attempt uterine & vaginal support is made just after the full informed consent is made with patient having operation. The most important aspects of surgery is lack of the long term data that is supporting utilization in uterine & vaginal prolapse surgery.

Dr. Miklos & Dr. Moore can perform the laparoscopic uterine surgery in the selected patients. Uterine support surgery they perform is totally based on restoration of normal supportive endopelvic. Drs. Miklos & Moore have not performed the uterine suspension surgery without even correcting some other vaginal prolapse defects present. Also, it is the experience that anybody having the uterine suspension can likely need paravaginal repair, and possibly posterior repair or procedure for the urinary incontinence.

There are a lot of methods of the uterine suspension that includes sacrospinous ligament suspension, the abdominal Sacral Colpopexy (and mesh between the uterus & tailbone) as well as uterosacral ligament. Dr. Miklos & Dr. Moore routinely perform laparoscopic approach or using mesh to suspend uterus (sacrohysteropexy) or else in a few cases uterosacral ligaments.