Pelvic floor repair surgery in Leeds
At Nuffield Health Leeds Hospital, our team of gynaecology experts have vast experience performing pelvic floor repairs. Read more…
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2 Leighton Street, Leeds, LS1 3EB
What is the pelvic floor and what is its function?
The muscles, ligaments and connective tissue that hold a women’s internal organs in place are known as her pelvic floor. The bladder, bowel, uterus, vagina and rectum are all held in place by the pelvic floor.
A women's brain controls her pelvic floor muscles to help these organs function as they should. However medical conditions such as childbirth or sustaining an injury can cause a weakness or a tear in the pelvic floor muscles called pelvic floor disease.
At Nuffield Health Leeds Hospital we work with a team of consultant surgeons who are experts in repairing pelvic floor muscles.
What happens during pelvic floor repair?
- Your surgeon in Leeds may perform several procedures during your pelvic floor operation
- You should have a detailed discussion with your consultant to determine which option is most suitable for you
- Anterior repair - this procedure repairs the weak muscles in the front wall of the vagina that support the bladder (anterior prolapse)
- An anterior repair is usually performed under general anaesthetic
- This operation usually takes approximately half an hour
- Your surgeon will make a cut in the anterior (front) wall of your vagina so they can push your bladder and urethra back into place
- They will stitch the support tissues together to provide better support for your bladder and urethra
- They may cut away a small part of the vaginal wall to remove tissue left over from the repair
- Posterior repair - this procedure repairs the muscles in the back wall of your vagina that support your bowel (posterior prolapse)
- A posterior repair is usually performed under a general anaesthetic
- This operation also takes approximately half an hour
- Your consultant will make a cut in the back (posterior) wall of your vagina so they can push your bowel back into place
- They will use stitches to tighten the supporting tissues along the length of the back wall of your vagina
- They may need to cut away a small part of the vaginal wall to remove excess tissue
- If the muscles on either side of your entrance to your vagina are weak they may use stitches to tighten them as well
- You should expect a slight discharge or bleeding from your vagina but you should let a member of the healthcare team know if this becomes heavy.
Going home after pelvic floor repair surgery
- You will usually be able to go home after 2 - 3 days
- For the first 2 weeks at home you should rest, relax and continue to do the exercises that you were shown in hospital
- It is best not to have sex for about 6 weeks or at least until any bleeding or discharge has stopped
- Avoid standing for too long and do not lift anything heavy
- You can go back to work once your doctor has said you are well enough to do so (usually after 6 - 8 weeks)
- Consult your surgeon before returning to any exercise or strenuous activities
- You should continue your pelvic-floor exercises as soon as possible after the operation and keep doing them for life
- This will help to prevent a return of any prolapse and reduce the risk of you becoming incontinent.
Specific complications of pelvic floor repair can include:
- Urinary infection
- Difficulty passing urine
- Damage to the bladder or bowel.
A strong pelvic floor can be the key to preventing, improving or curing urinary stress incontinence – as well as a range of other women’s health issues. Rachel Bromley demonstrates simple exercises you can do to help take back control of your bladder.