At the Institute for Incontinence and Vaginal Reconstruction, we offer a variety of vaginal reconstruction procedures including sling procedures, robotic surgery, bladder augmentation, and vaginal prolapse repair. Our doctors in Los Angeles use the most advanced procedures to provide a solution for your condition, whether it is vaginal prolapse, incontinence, or trauma.
If you would like to schedule a vaginal reconstruction consultation at our facility in Beverly Hills, please contact us by calling today!
Vaginal Reconstruction Procedures
The term “sling” causes confusion and frequently significant hesitancy for patients because it has been used to encompass many different procedures and techniques. For simplification in this section, a sling is simply referring to surgery to help patients with stress incontinence.
Stress incontinence is a specific type of urinary leakage caused by activity that increases abdominal pressure such as coughing, laughing, sneezing, exercise, and going from sitting to standing. The sling is a support to the urethra to try to prevent this leakage. It can be made from mesh, animal based dermis, cadaveric fascia, or your own tissues harvested from another site on the body.
A sling procedure is performed through the vagina and sometimes requires small incisions in the inner thigh or lower abdomen as well. The recovery time is short, usually 1 to 2 weeks, but restrictions on activities continue for 6 to 8 weeks. The rate of success and durability of the procedure depends on the material used, surgical approach, as well as the severity of leakage experienced by the patient before the operation. It is important to note that this procedure is not the same procedure that has received so much media attention for the use of mesh, and it continues to be considered safe by the FDA and the use of mesh with a mid-urethral sling continues to be the “gold” standard in incontinence treatment.
One of the most exciting advances in vaginal reconstruction has been incorporation of the daVinci robot technology in the repair of significant pelvic floor decent and repair. Its main use is with a procedure called sacral colpopexy, which lifts the corrects all types of pelvic prolapse, and in some cases can be done without hysterectomy. It is also useful in repairing vaginal fistula. The new technology does not replace well known and successful approaches to surgery, but simply allows the surgeon in Los Angeles to accomplish the same results through very small incisions in the belly, decreased blood loss and frequently a faster recovery time.
Vaginal Prolapse Repair
The main non-surgical option for vaginal prolapse is use of a pessary, which is a small plastic device that is fitted in the vagina to help keep the pelvic floor in proper position. This may be fitted by a urologist or gynecologist and occasionally must be refitted or sized. It is an excellent option for women who are not sexually active, or who wish to avoid surgery but have significant issues due to vaginal prolapse. It does require maintenance care with a physician for regular cleaning and tissue evaluation to assure no problems surface.
Surgical approaches for vaginal reconstruction in Beverly Hills can be done through the vagina using various techniques and materials to recreate the support for the bladder, rectum, uterus, or vaginal vault. On occasion, a hysterectomy is needed to facilitate vaginal repair. Vaginal prolapse repair can also be achieved by using and abdominal approach with the da Vinci robotic system. This procedure allows the surgeon to recreate support for the entire pelvic floor with a low rate of vaginal prolapse recurrence, minimal blood loss and faster recovery as compared to a traditional open abdominal approach.
This type of vaginal prolapse repair is sometimes referred to as a bladder sling or rectal sling. Although the term helps to create a visual picture, it has often also created confusion when evaluating patients with previous pelvic surgeries and trying to deduce exactly what surgery was completed in the past. It also has led to alarm in patients who have undergone successful and complication free mid-urethral slings when seeing and hearing advertisements regarding FDA warnings regarding mesh and “bladder slings.”
Learn more about vaginal reconstruction by visiting WebMD.com.
One possible solution for small capacity bladders is the use of bowel tissue to increase the size of the bladder. Bladder augmentation is usually a procedure reserved for patients in Beverly Hills who have exhausted many other options and continue to have issues with frequency and incontinence.
Bladder augmentation is most often used in patients with a neurologic issue leading to bladder dysfunction, such as multiple sclerosis. It has also been used for patients suffering from severe bladder dysfunction resulting from pelvic radiation, severe interstitial cystitis, or intractable overactive bladder without obvious cause. The main idea with this approach is to allow the patient to maintain a functional bladder where the urethra can still be used in a normal fashion. This procedure is a serious undertaking and involves many risks and potential complications not only during the procedure and recovery, but also after recovery if proper maintenance and care is not continued.
Contact a Female Urology Specialist Today
At our center in Beverly Hills, we provide our patients with treatment for a variety of urological conditions and vaginal reconstruction options. To schedule a consultation with one of our expert doctors and urologists for vaginal reconstruction in Los Angeles, please contact us today.
Next, learn about vaginal prolapse.