Pelvic organ prolapse is a hernia (bulging of an organ like uterus) of the pelvic organs through the vaginal opening. All of the pelvic organs (bladder, uterus, and rectum) are supported by a complex “hammock” of muscles, ligaments, and fibers that attach to the bony anatomy of the pelvis. Overtime, these muscles and tissue develop problems. Some women develop pelvic floor disorders following childbirth. And as women age, pelvic organ prolapse and other pelvic floor disorders become more common.
In severe cases of prolapse, patients commonly feel or see a “ball” or protrusion from the vagina. Usually, symptoms for a specific pelvic floor problems should prompt questioning for all other related pelvic organs as well.
Depending on where the weakness in the pelvic floor occurs, it may affect one or multiple organs of the pelvis. Weakness of the front side vaginal wall near the bladder results in a cystocele, often called a dropped bladder. An enterocele refers to a weak spot in the vaginal ceiling causing uterine prolapse. Defects of the backside vaginal wall near the rectum results in a rectocele. Dr. Prema uses special techniques to identify the correct type or types of prolapse and offer the best, effective treatment.
At Prema Kothandaraman M.D, custom treatment solutions are available based on the symptoms and diagnosis. The individual patient’s comfort level, desires, life styles and other personal factors allow Dr. prema to decide the best option for everyone on an individual basis.
Depending upon the severity one or more of the following treatment options are available:
Pelvic floor simulation
Dr. Prema Kothandaraman is the leading Urogynecological surgeon in the San Gabriel Valley. She is the most sought after surgeon for these types of surgeries in the Huntington Memorial Hospital.
Feel free to email us regarding any scheduling or general questions!