PELVIC RECONSTRUCTIVE SURGERY

Dr. Samuels offers a number of different options for pelvic reconstructive surgery. Depending on the precise nature of your problem, she will recommend the treatment that is right for you, the one that has the best chance to improve your health and quality of life.

Pelvic Organ Prolapse

Pelvic organ prolapse is a relatively common condition where, due to inadequate support usually caused from gravity, age, or the effects of pregnancy, the bladder, uterus or rectum will seem to fall into and out of the vaginal opening.

Women often refer to this condition as a fallen bladder or fallen rectum and describe feeling a bulge in the vagina. There are a number of treatment options available, and Dr. Samuels can recommend the one that is best for you.

Pelvic Organ Prolapse

Pelvic organ prolapse is a relatively common condition where, due to inadequate support usually caused from gravity, age, or the effects of pregnancy, the bladder, uterus or rectum will seem to fall into and out of the vaginal opening.

Women often refer to this condition as a fallen bladder or fallen rectum and describe feeling a bulge in the vagina. There are a number of treatment options available, and Dr. Samuels can recommend the one that is best for you.

 

 

Fallen Bladder Repair (Cystocele)

Fallen Bladder refers to the bulge created by weakened support structures around the bladder. This can happen due to age, childbirth, or genetics.

Women will complain of feeling a bulge toward the front of the vagina. It is often accompanied by problems with urination. While this condition is not life-threatening, it does affect the quality of life of most women who have this condition. There are good treatment options available.

In most cases, a surgical approach is optimal, but in some patients, non-surgical options may help considerably, depending on the extent of the fallen bladder.

Fallen Rectum Repair (Rectocele)

Fallen Rectum refers to the bulge created by weakened support structures around the rectum. Caused by age, childbirth, genetics, or chronic constipation, women will complain of feeling a bulge toward the back of the vagina, often accompanied by problems with defecation.

This is not a life-threatening condition, but it does affect the quality of life of the women with this condition. Dr. Samuels can offer a number of good treatment options, some surgical and some non-surgical as well, depending on the extent of the fallen rectum.

Mesh Repair

Mesh has been used for decades in the body for various repairs. With respect to pelvic floor repair, mesh has caused trouble for some women, and although she is trained in mesh repair, it is not typically Dr. Samuels’ first choice of treatment.

However, in an extreme minority of patients, mesh can be a good option. For women who already have mesh placed and are unhappy with the outcome, Dr. Samuels is trained to remove this mesh with concurrent restoration of the pelvic floor.

Perineoplasty

The perineum is the area between the vagina and the rectum. Due to aging, prolapse, genetics, and childbirth, this area can become mildly or significantly disfigured.

This contributes to the size of the opening of the vagina. Women complain of feeling loose or that sex no longer feels the same. This affects sexual satisfaction and ability to attain orgasm.

This repair is often done surgically.

 

Vaginal Rejuvenation / Vaginoplasty

With age, childbirth, and genetics, just as the skin of our hands, legs, and faces begins to loosen, so does the skin of the vagina.

For some women, this may appear as if the vagina is turning inside out, or in more severe cases, this might look like a fallen bladder or rectum.

More commonly though, women experiences loss in sensation during sex and a feeling of looseness. This procedure has both aesthetic and functional purposes to the repair.

Unlike most plastic surgeons, Dr. Samuels does a full depth repair, which incorporates muscle repair and removal of excess tissue for a better cosmetic and functional result.