Prolapse is a condition where the bladder or rectum is falling because the vaginal walls and pelvic support structures are stretched due to age, genetics, childbirth or hormonal changes. It is a common condition, affecting about 30% of women.
The bladder and rectum begin to travel down toward the vaginal opening, and sometimes even protrude out of the vagina. Patients will feel pressure or a bulge, or they might notice a “ball” when they are bathing. Some women also have problems with the function of the bladder and rectum, such as constipation or difficulty emptying the bladder. Occasionally there is discomfort with intercourse.
We have many effective surgical options to repair prolapse. Dr. Christi has spent her career mastering these options to give her patients the best surgery with the best results. Prolapse repair includes 3 basic levels: Robotic Sacrocolpopexy, Transvaginal Graft repair, and Vaginal Native Tissue repair.
Robotic Abdominal Sacrocolpopexy (ASC)
ASC is the preferred treatment for moderate to severe prolapse. This safe and effective surgery produces durable results and is considered the gold standard among pelvic surgeons. The technique uses the incredible technology of the Da Vinci Robot to lift the entire vagina, using small laparoscopic instruments. The robot allows for magnified visualization of the structures and very precise instrument control.
Only 4 small abdominal incisions are required, and the recovery is very quick. Dr. Christi performs this surgery several times each week and has perfected the technique with excellent outcomes. She has a 99.9% success rate and has always been able to get the job done with scopes. Dr. Christi has a perfect conversion-to-open surgery rate and blood transfusion rate of 0%.
Transvaginal Graft prolapse repair
Transvaginal graft repair is a good option if you have moderate to severe prolapse, but cannot have abdominal surgery due to excessive scar tissue. This surgery is done through the vagina with no abdominal incisions, and has a quick recovery. Depending on the patient, either a mesh or biological graft will be used. Dr. Christi has extensive experience with both, making this a very safe and effective procedure.
Vaginal Native Tissue prolapse repair
Also called “plication,” Vaginal Native Tissue repair is best for mild to moderate prolapse. It is a vaginal surgery where the vaginal walls are trimmed and tightened, using absorbable sutures with no grafts. Dr. Christi tailors the vagina to provide support for the surrounding organs to improve their function, and ensures that sexual function is maintained by not tightening the vagina too much. It is a delicate balance that requires years of experience to perfect.
As a pelvic-floor surgery specialist, Dr. Christi has more experience in these techniques than most surgeons in Houston, and can confidently determine the best option for you. Not only is she trained as a urologist, but also as a urogynecologist. Because Dr. Christi has many different options at her disposal, you can rest assured that she will recommend the best option and provide the most expert surgery possible.
Call our office at 281.717.4003 and schedule a consultation to determine which prolapse repair is right for you.