You have come to see your doctor complaining of leaking urine and maybe because you have a bulging sensation through the vagina or both. You could be suffering of a combination of stress incontinence with a Pelvic Organ Prolapsed Syndrome (POPS). There are different treatment options available and your doctor will be able to help you find the best solution for you. This will depend on the type and causes of your incontinence and the type of your pelvic organs prolapse as well as your future plans in preserving sexual functions or even reproduction ability. Medical, physical and social factors may affect the choice for treatment.
1- Physical therapy
1- Pelvic Support restoration; Vaginal approach:
a- Native tissue repair
b- Biological graft
c- Synthetic mesh
2- Pelvic Support restoration; Abdominal approach:
a- Laparoscopic assisted Sacro-colpopexy
This supplemental information explains surgical treatment options that can provide relief from POPS. However, surgery is not suitable for everyone and you should discuss all treatment therapies available to you with your doctor.
A surgical vaginal treatment option, involves the fitting and anchoring of an special biological graft or a synthetic mesh to repair the pelvic floor support, this will be necessary in advanced cases of POPS where the native tissue (endopelvic fascia) is to stretch out to be repair, in cases of failure from previous surgical treatment or in the presence of high risk for the same problem if only native tissue is used. The uses of graft and mesh’s materials have been shown in studies to greatly reduce the risk of recurrences.
On October 20, 2008, the FDA issued a Public Health Notification on serious complications associated with surgical mesh placed through the vagina to treat POPS and stress incontinence. Subsequently, on July 13, 2011, the FDA released a safety communication update on the transvaginal placement of surgical mesh for POPS. http:/www.fda.gov/medicaldevices/safety/alertsnotices/ucm
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