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Vaginal Relaxation New York

Thirty million American women suffer from symptoms of vaginal relaxation and stress urinary incontinence. Many women have difficulty controlling their urine in certain situations, such as walking or coughing, or they may notice changes in their bowel habits. These two symptoms may be related to a common set of problems that may occur as a result of childbirth, aging, sagging, or a combination of all three. Grouped together, these problems are referred to as pelvic relaxation

Many women suffer unnecessarily from conditions involving pelvic relaxation. Appropriate diagnosis and treatment will often restore patients to a life free of the aggravations and discomforts associated with pelvic relaxation.

Various forms of pelvic relaxation require treatment that is usually covered by insurance. The pelvic organs include the vagina, uterus, bladder, and rectum. These organs are held in position by three types of supports: 1) muscles, 2) sheets of tissue called fascia 3) and ligaments. When these supports become damaged, one or more of the pelvic organs may sag and occasionally even protrude outside the vagina. These are called pelvic support defects.

During childbirth as the baby passes through the birth canal, the muscles, fascia, and ligaments separate and may be weakened. This weakening gradually worsens and, in later years, may cause the pelvic organs to drop from their normal positions.

Occasionally, this weakening of the muscles and tissue may occur in women who have never had children. In these women, the cause may be:

  • Inherited weakness of the supporting tissues
  • Unusual strain placed on the supporting tissues by a chronic
  • Cough
  • Unusual increases in abdominal pressure
  • Obesity

The general symptoms associated with pelvic relaxation depend on which organs are affected. Often there is a feeling of heaviness or fullness. Small or moderate amounts of urine may be lost with normal physical activities such as laughing, coughing, walking, or running. In more advanced and rare cases a mass may actually protrude from the vaginal opening. Based on the organ or organs involved, pelvic support defects can be defined more specifically as:

  • Cystocele
  • Perineocele
  • Urethrocele (most of the time the cystocele and urethrocele occur in combination – cystourethrocele)
  • Rectocele
  • Enterocele
  • Uterine prolapse

A cystocele occurs when the bladder falls or descends from its normal position. The most common symptom associated with cystocele is difficulty in completely emptying the bladder. This can be associated with bladder infections. Large cystoceles can cause the bladder to overfill and allow small amounts of urine to leak. Leakage is most common during walking or coughing.

Perineocele is a herniation between the bottom of the vagina and the rectum or anal sphincter.

A urethrocele usually occurs in conjunction with a cystocele. Both of these conditions result in involuntary loss of urine, particularly when there is increased pressure in the abdomen caused by walking, jumping, coughing, sneezing, laughing, or sudden movements.

Rectoceles happen when the rectum bulges into or out of the vagina. Rectoceles usually occur as a result of injuries sustained during childbirth. With a weakened or bulging rectum, bowel movements become more difficult.

An enterocele is the bulging of small intestines into the back wall of the vagina.

Uterine prolapse occurs when the uterus falls or is displaced from its normal position. There are varying degrees of severity depending on the descent. This produces a general feeling of heaviness and fullness.

The diagnosis of these problems includes a thorough history and physical examination. Other test depending on the circumstances include a “Q-tip” test, urodynamic studies (painless fifteen to twenty minute computerized bladder and urethra functional studies), urethrocystoscopy (instrument used to evaluate the inside of the bladder and urethra), X-rays of the urinary system.

For all practical purposes, definitive treatment is surgical correction of the specific defects.




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