236. Prolapse - Surgical and Non Surgical Options

You Are Not Broken

English - November 05, 2023 11:00 - 53 minutes - ★★★★★ - 556 ratings
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Previous Episode: 235. Menopause Society President – Dr. Lisa Larkin

Next Episode: 237. Libido/Desire Differences in Partners

236 – Prolapse – Surgical and Non-Surgical Options

This podcast is sponsored by Femselect

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Dr. Sonya Ephraim, MD, FACOG, FPMRS, is a urogynecologist and the founder of Allure Pelvic Wellness and Aesthetic Gynecology in Deer Park, Illinois, outside of Chicago. She talks about how she decided to go back to do a fellowship in female pelvic medicine.

In this episode, we talk a lot about prolapse and touch on-

· What is pelvic organ prolapse?

· Why prolapse needs a rebranding – so much shame

· Risk factors for prolapse

·
What are the signs and symptoms?

·
Our tips for treating constipation

·
Prolapse risk goes up after menopause – we discuss
the likely role of hormones and decreased muscle strength.

·
The impact of prolapse on those suffering

·
Why we hate calling it “bladder prolapse”

·
How the bladder can be affected by vaginal
prolapse and what may and may not improve

·
How do we know if we have prolapse

·
How do we know if we should treat prolapse

·
Risk of de novo stress urinary incontinence
when prolapse is fixed, either with pessary or surgery

·
What is a pessary and what are the risks of a
pessary.

·
Can you be sexually active with prolapse?

·
The role of pelvic floor physical therapy and prolapse.

·
Surgical treatment options:

o
One size does not fit all.

o
Obliterative surgery – colpocliesis

o
Hysteropexy vs. hysterectomy

o
Minimally invasive options – suture or mesh based (sacrocolpopexy) procedures

o
New treatment options (EnPlace) benefits and data

o
The cervix as a sexual organ for some people and the consideration of cervix/uterine preservation in prolapse surgery.

·
Modern prolapse repair is safe, effective and recovery is not too stressful for most women.

·
Post surgery instructions and rehab – vaginal estrogen and pelvic floor physical therapy

·
The risk of recurrent prolapse

·
When to consider adding a sling to your prolapse procedure

·
Just because someone or something said you have prolapse, doesn’t mean you need surgery

Instagram.com/allurebydrsonya

https://allurepelvicwellness.com/

#EnPlace,
#PelvicOrganProlapse, #WomensHealth #PelvicHealth

My previous Prolapse episodes

21 – pelvic organ prolapse master class

138 – February Live – Hormones,
prolapse, pelvic floor PT and more

161 – “I Just need to put something in
my vagina”, Prolapse, and how PT helps

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