Hysterectomy with Pelvic Floor Repair (PFR)

The most common surgery for prolapse is a Vaginal Hysterectomy (pelvic floor repair), which is a broad term used to describe simple surgical repairs of the pelvic floor. More specifically, the term anterior repair refers to correction of the front wall of the vagina; and posterior repair refers to correction of the back wall of the vagina. If the uterus is prolapsing, it may be removed (hysterectomy). If the patient has already had a hysterectomy, then the top of the vagina (vault) can be lifted up and supported.

Who Needs Hysterectomy with Pelvic Floor Repair (PFR)

Hysterectomy with Pelvic Floor Repair (PFR) may be recommended for individuals who experience:

Pelvic organ prolapse: Pelvic organ prolapse occurs when the pelvic organs, such as the uterus, bladder, or rectum, descend or protrude into the vaginal canal. This can cause symptoms such as a bulging sensation, pelvic pressure, urinary incontinence, or difficulty with bowel movements.

Pelvic floor dysfunction: Pelvic floor dysfunction refers to a variety of conditions that affect the strength, coordination, or relaxation of the pelvic floor muscles. Symptoms can include urinary or fecal incontinence, chronic pelvic pain, or discomfort during sexual intercourse.

When to See a Specialist

If you experience symptoms such as pelvic organ prolapse, urinary incontinence, chronic pelvic pain, or other pelvic floor dysfunction symptoms that significantly affect your quality of life, it is advisable to consult with a specialist. They will evaluate your condition, conduct a thorough examination, and determine if Hysterectomy with Pelvic Floor Repair (PFR) is an appropriate treatment option for you.

Procedure

The specific steps involved in Hysterectomy with Pelvic Floor Repair (PFR) can vary depending on individual circumstances and the surgeon’s approach. However, the general procedure may include:

• Anesthesia: You will be administered either general anesthesia (where you are asleep) or regional anesthesia (such as spinal or epidural anesthesia) to ensure you are comfortable and pain-free during the procedure.

• Incision: The surgeon will make an incision in the abdominal area to access the pelvic organs. The size and location of the incision may vary based on factors such as the type of hysterectomy (laparoscopic, abdominal, or vaginal) and the extent of pelvic floor repair needed.

• Removal of the uterus: If a hysterectomy is required, the surgeon will carefully detach the uterus from surrounding structures and remove it from the body.

• Pelvic floor repair: The surgeon will repair any weakened or damaged pelvic floor muscles, ligaments, or tissues using sutures or mesh to restore support to the pelvic organs and improve pelvic floor function.

• Closure: Once the necessary repairs are completed, the surgeon will close the incisions using sutures or surgical staples.

Road to Recovery:

• After the procedure, you will be monitored in a recovery area before being transferred to a hospital room or discharged home.

• Pain management measures will be provided to ensure your comfort during the recovery period.

• The length of the hospital stay and overall recovery time can vary depending on the extent of the surgery and individual healing.

Risk Management

As with any surgical procedure, there are risks associated with Hysterectomy with Pelvic Floor Repair (PFR). These risks may include infection, bleeding, blood clots, injury to surrounding organs or structures, or adverse reactions to anesthesia. Your healthcare team will take appropriate measures to minimize these risks.

Benefits of Hysterectomy with Pelvic Floor Repair (PFR)

Relief from symptoms: Hysterectomy with Pelvic Floor Repair (PFR) aims to alleviate symptoms associated with pelvic organ prolapse and pelvic floor dysfunction, such as pelvic pressure, urinary incontinence, or chronic pelvic pain.

Improved quality of life: By addressing the underlying issues, this procedure can improve your overall quality of life by restoring normal pelvic floor function and eliminating discomfort or embarrassment related to pelvic organ prolapse or dysfunction.

Frequently Asked Questions

1. Will I still be able to have sexual intercourse after Hysterectomy with Pelvic Floor Repair (PFR)?

   The ability to have sexual intercourse after the procedure can vary depending on individual factors and the extent of pelvic floor repair. It is advisable to discuss this with your surgeon to understand the potential impact on sexual function and receive appropriate guidance.

2. How long does it take to recover from Hysterectomy with Pelvic Floor Repair (PFR)?

   Recovery time can vary depending on several factors, including the type of procedure performed, individual healing ability, and adherence to post-operative instructions. Generally, it can take several weeks to several months to fully recover and resume normal activities.

3. Will I experience any changes in bladder or bowel function after the procedure?

   In some cases, Hysterectomy with Pelvic Floor Repair (PFRcan improve bladder and bowel function by addressing pelvic floor dysfunction. However, it is important to discuss any concerns or potential changes in bladder or bowel function with your healthcare provider.

4. Are there any alternative treatments to Hysterectomy with Pelvic Floor Repair (PFR) for pelvic organ prolapse or pelvic floor dysfunction?

   Depending on the severity of your condition, there may be nonsurgical treatment options available, such as pelvic floor physical therapy, lifestyle modifications, or the use of vaginal pessaries. Your healthcare provider will assess your individual case and discuss the most appropriate treatment options for you.

5. Will I experience pain or discomfort after the procedure?

   It is common to experience some pain, discomfort, or swelling after Hysterectomy with Pelvic Floor Repair (PFR). Your healthcare team will provide you with pain management strategies and instructions on how to manage post-operative discomfort.