Pelvic Reconstructive Surgery Specialist

What is pelvic organ prolapse?

Pelvic organ prolapse occurs when one or more of your pelvic organs drop out of position. That can happen to any of the following, and the medical term for the appropriate surgery follows:

• Bladder (cystocele)
• Vagina
• Uterus (urethra)
• Small bowel (enterocele)
• Rectum (rectocele)

Pelvic organ prolapse is often less serious than it sounds and can be corrected through a relatively simple surgical procedure.

What causes pelvic organ prolapse?

There are numerous factors that can cause a pelvic organ to change position. Some of the more common causes include:

• Pregnancy and childbirth
• Constipation
• Obesity
• Certain cancers
• Hysterectomy
• Chronic respiratory conditions

If you notice the following symptoms, schedule a diagnostic appointment with Dr. Pourzand:

• Sensation of fullness or pressure in your pelvic region
• Lower back pain
• Painful sex
• Abnormal bleeding
• Constipation

These symptoms can indicate several different conditions, which is why getting an accurate diagnosis is so important.

How is pelvic organ prolapse diagnosed?

Dr. Pourzand uses several diagnostic tools to determine the cause of your symptoms. Imaging plays an important role in diagnosing pelvic organ prolapse. Ultrasound, CT scans, X-rays, or even an MRI can help determine if your pelvic organs have shifted in position.

What’s the process for pelvic reconstructive surgery?

A procedure called colporrhaphy can help repair weakened pelvic floor tissue that’s left your pelvic organs poorly supported. Dr. Pourzand places your bladder into the proper position and sutures it securely in place.

Rectocele repair involves reconnecting torn tissue between your rectum and vagina. This type of surgery can often be done through your vagina with no need for external incisions.

Ligament suspension surgery shortens or tightens the strong connective tissues that support your uterus, bladder, and vagina. Sacrocolpopexy can restore proper positioning of a prolapsed cervix. A procedure called perineorrhaphy reinforces the muscles near your vaginal opening and is often done in conjunction with other pelvic reconstructive procedures.

There are numerous surgical approaches that address pelvic organ prolapse. Schedule an appointment with Dr. Pourzand today to explore which options are right for you.  

What is labiaplasty?

The labia are the inner and outer folds of the vulva, which are located on either side of the vagina. Labiaplasty is a procedure designed to shorten the labia and improve their appearance.

If your labia are longer than normal, you may notice that they get twisted or pulled in certain circumstances. You may also be embarrassed by their appearance. In either of these situations, you may opt for labiaplasty to improve the appearance of your vagina and prevent other problems.

During labiaplasty, you’ll be under sedation, local anesthesia, or general anesthesia. The doctor will remove tissue and reshape the labia. In most cases, the doctor will use absorbable sutures to close the wound. After the procedure is complete, you can usually go home on the same day.

Like all surgical procedures, labiaplasty carries some risks. The most common risks are bleeding, infection, and hematoma. Dryness, scarring, and pain during intercourse are also a possibility with this procedure. However, the team at Enliven, PC, has significant experience with labiaplasty, and they know how to perform the procedure with as few risks as possible.

The full results may not be visible for up to six months. Most patients who have labiaplasty are happy with the results.

Labiaplasty isn’t right for everyone. For example, if you have conditions that make you a high-risk surgical patient, you may not be a good candidate for labiaplasty. The doctor can help you determine if this procedure is the right choice for you.

*Individual results may vary.