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Pelvic Organ Prolapse Beverly Hills

Dr. John R. Miklos and Dr. Robert D. Moore are considered international authorities in minimally invasive Laparoscopic Pelvic and Vaginal Reconstruction surgery. They have performed more laparoscopic vaginal reconstruction than any other practice in the world.

Drs. Miklos and Moore have pioneered many procedures currently used to treat different disorders of the pelvic floor. These disorders include:

 

Pelvic Organ Prolapse

Pelvic Organ Prolapse (POP) occurs when the pelvic floor muscles weaken causing a lack of support. The uterus, bladder, rectum and intestines can bulge out or fall as a result of these weakened muscles.

Causes of POP:

- Childbirth
- Aging / Menopause
- Hysterectomy
- Previous pelvic surgery
- Genetics

Symptoms of POP:

- Vaginal pressure
- Vaginal bulge
- Urinary incontinence
- Back or Pelvic Pain
- Difficulty evacuating rectum

The four main types of pelvic organ prolapse are:

  • Uterine Prolapse
  • Vaginal Vault Prolapse
  • Bladder Prolapse
  • Rectal Prolapse

Figure 1 -NORMAL

Figure 2 – UTERINE PROLAPSE

UTERINE PROLAPSE – The uterosacral ligaments break and the uterus falls down towards the opening of the vagina. Patients with this condition will often experience pressure or a bulge in the vagina and possibly lower back pain as the day progresses.


NORMAL VAULT SUPPORT

VAULT PROLAPSE – MILD

VAGINAL VAULT PROLAPSE – the vaginal vault is defined as the deepest 25% of the vagina and is essentially the same as a uterine prolapse but without a uterus. The deepest 25% of the vagina is no longer supported and falls towards the opening of the vagina. Often a patient will complain of a bulge in the vagina, pressure or lower back pain as the day progresses.


NORMAL BLADDER SUPPORT

CYSTOCELE – BLADDER DROP

CYSTOCELE OR BLADDER PROLAPSE is caused by a loss of support in the anterior vaginal wall. The ceiling of the vagina literally breaks away from the lateral walls and the bladder drops. This type of break is known as a paravaginal defect. Often a patient will suffer from urinary incontinence or difficulty emptying her bladder as well as pressure or a bulge.


NORMAL POSTERIOR VAGINAL WALL

RECTOCELE

RECTOCELE OR POSTERIOR VAGINAL WALL PROLAPSE is a lack of support of the floor of the vagina (the area over the rectum). This results a weakening of the floor allowing the pressure inside of the rectum to push the rectum upward and towards the opening of the vagina. Often a patient will describe problems of pressure, difficulty evacuating her rectum or a bulge at the opening of her vagina. With a rectocele a patient often needs to press down on the vaginal bulge to have a bowel movement, this is known as splinting.

We have surgical patients from
50 States & 54 Countries

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Los Angeles, CA 90069

Beverly Hills 9201 W Sunset Blvd, Suite 406



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