Call by telephone
at +31(0)73 - 7200 993
Ask your question
|+31-(0)73 - 7200 993|
Through an internal examination and an ultrasound we’ll be able to tell how severe the prolapse is and what organs it involves. When the bladder is prolapsed we will ask you to keep a record of your urinations to get information about the functionality of your bladder in your daily life. This will involve keeping a record of how much you drink and pee, as well as when you drink and pee. This examination will mostly be done with women who also have other issues with their bladder, such as urine incontinence. Aside from that we will also examine the functionality of the bladder through urodynamic examination if needed, and check for potential infections of the urethra. Through the urodynamic examination we will get information about the way the bladder functions when it fills up, and when you cough, pee, etc.
It’s also possible the pelvic floor muscles don’t function properly, which in some cases means a physiotherapist will be consulted to look at the functionality of the muscles.
A large part of the pelvic floor issues can be treated by training the muscles. That happens under the guidance of our specialist pelvic physiotherapist. Depending on the nature and size of the prolapse there are also other treatments possible. We could, for example, place a ‘ring’ (pessarium) that very simply works to keep the organs in place, without you noticing it at all. In other cases it may be necessary to operate.
The pelvic floor is a tendon plate, that is strung between small hip bones (between the tailbone and pelvic bone, and between the two ischium humps) kind of like a hammock. The pelvic floor has two main functions: 1) the carrying of the pelvic organs (bladder and intestine), and 2) the closing of various openings (urethra and anus).
One common pelvic floor complaint is the sagging of the vagina. Almost half of all women will experience this at some point during their life. This often happens because of giving birth earlier in her life, but the issues will get worse as she gets into menopause.
Of these women 20 percent will be so affected by this that she will visit a doctor. The tendons and muscles at that time won’t be able to keep the organs in the abdomen in their place. It can happen, for example, that the bladder (partly) sags through the vagina, or the uterus itself, or sometimes even the rectum.
The direct symptoms are limited to a ‘pushing feeling’ in the vagina. Woman will feel pain in their hips, stomach or lower back, as well as during sex. But a prolapse can also cause issues for other organs, like the bladder with recurring infections for example. With a serious prolapse of the uterus other issues can occur, such as constipation and incontinence.
We realise a lot of unrest and uncertainty exists around operations for pelvic floor prolapses. Especially the so-called ‘meshes’ are discussed frequently. We will therefore do everything in our power to inform you as well as we can about the pros and cons of all treatment options, so you can make a well-informed decision.
At Karmenta we do not place meshes.
Sometimes a sling can be considered to help involuntary urination (TVT-O or Urolon). This is an alternative option if training the muscles proves ineffective.
The ‘Stichting Bekkenbodempatiënten’ (foundation for pelvic floor patients) offers a lot of detailed information, about prolapses among other things.
The Professional Association for Gynecologists, NVOG has an online brochure about pelvic floor complaints for women.
The inspection for healthcare also provides information about so-called ‘meshes’.
And coffee in the waiting room! You’ll find us in the middle of Brabant, not far from ‘s-Hertogenbosch and Eindhoven. A 10 minute drive from the A2, right next to a square with tons of free parking space.
Telephone : +31-(0)73 - 7200 993
Fax : +31-(0)73 - 7200 908
08:30 - 17:30 uur
Karmenta can be reached over the phone on all work days from 08:30 - 17:00
Karmenta - Centrum voor Gynaecologie
Karmenta - Specialistische praktijk voor gynaecologie en urologie
5384 VT HEESCH