Urogynecology
Surgical Procedures for Vaginal Prolapse and Urinary Incontinence (Urogynecology)
Pelvic floor weakness, urinary incontinence, and prolapse are common yet often underestimated conditions that may be caused by pregnancy, childbirth, obesity, hormonal changes during menopause, or heavy physical strain. Treatment options are diverse – ranging from conservative therapies to surgical interventions.
Procedures for Incontinence Issues:
Initially, you will undergo a thorough examination and receive conservative treatment during our urogynecology consultation. If medications, pessary use, and physical therapy do not bring the desired results, we offer the following surgical procedure:
- Tension-Free Vaginal Tape (TVT): A small tape is placed under the urethra to support it and prevent involuntary urine leakage. This low-risk procedure can be performed under local or regional anesthesia. Success rate: 70–90%.
Procedures for Prolapse Issues:
Vaginal prolapse (genital descent) involves the dropping of organs such as the bladder, uterus, or rectum. This often leads to symptoms like involuntary urine loss, frequent urge to urinate, a feeling of pressure in the pelvic area, or pain during intercourse. Here, too, conservative measures are applied initially, such as estrogen creams or pelvic floor training. Additionally, we offer the following surgical options:
- Anterior Colporrhaphy: In cases of bladder prolapse, the connective tissue between the bladder and vagina is tightened with sutures. This method, which does not use mesh material, is well-established and particularly suitable for less severe prolapse.
- Posterior Colporrhaphy: A surgery to stabilize the posterior vaginal wall to prevent rectal prolapse. Success rate: 70–95%.
These questions are addressed in the video
- What is the pelvic floor?
- What symptoms occur with bladder prolapse?
- What does a gynecological examination involve?
- What surgical treatment options are available?
- How does a vaginal bladder prolapse surgery (anterior colporrhaphy) work?
- Are there risks or chances of recurrence?
- What should I know about recovery – and how does the surgery affect quality of life and sexuality?
Vaginal Surgery for Bladder Prolapse – Causes, Symptoms & Treatment Options
Bladder prolapse, urinary incontinence, or pelvic floor weakness affects more than half of all women at some point in their lives and can significantly impact quality of life. Common symptoms include a feeling of pressure in the vagina, involuntary urine leakage, or difficulty emptying the bladder. But when should you seek medical evaluation? When is treatment necessary? And what therapy options are available? In this video, Dr. Julia Ihrig – specialist in gynecology and obstetrics and head of the urogynecology consultation at gynhealth – explains the causes, symptoms, and modern treatment options for pelvic floor disorders. Learn more about what you can do to improve your well-being and quality of life – or feel free to contact us directly. Our goal is always to support you in feeling comfortable, confident, and healthy.