And that's just the tip of the iceberg because there are, additionally, a lot of women who don't have surgery for prolapse who have conservative office management. So 10% to 15% of women have surgery for prolapse every year. So, doctor Iyer, who is at risk to experience, say, pelvic prolapse and how common is this? But as they start to have more advanced prolapse, people will experience a pressure in the vaginal area, sometimes they will notice a bulge, and sometimes people will describe it as the feeling like there's maybe a tampon stuck low in the vagina.Īnd then it's time to see your physician, obviously.Ībsolutely. And if that's the case, that's not a problem. Sometimes, people will have a lower amount of prolapse and not really necessarily know. And so as those structures relax, you can have a descent of the uterus and the vaginal walls into the vagina, and in some cases, out through the opening of the vagina.Īnd I would imagine there's got to be a lot of pressure and discomfort associated with this, so people know that this is happening. So prolapse is just a relaxation of the support of the uterus and of the vagina. And the first one is, what is prolapse and how does it occur?Ībsolutely. I'm sure we'll get quite a few from viewers, but we have a few that we wrote up in advance, so we'll ask those. So let's just get right to the questions. Also, we want to remind everyone that today's program is not designed to take the place of a visit with your physician. We will discuss these topics, take your questions, and much more coming up right now on At The Forefront Live.Īnd remember, we're taking your questions for our experts live, so start typing. Now, often, the topic of prolapses, incontinence, and public health is not discussed until a patient has already experienced symptoms. And some of these conditions can be hard to discuss with your physician. Reproductive and urologic health can be a cause of concern for many women. She has studied the use of intravesical botox, a procedure that involves an injection of Botulinum Type-A toxin into the muscles of the bladder wall, as a treatment for overactive bladder. With a background in mechanical and biomedical engineering, she is also interested in mesh complications and the origins of pelvic organ prolapse. Glass has engaged in research on urodynamic tests that assess how the bladder and urethra are performing their job of storing and releasing urine and has made presentations on the role of preoperative urodynamics for women undergoing prolapse surgery. Glass also is skilled in minimally invasive gynecologic treatments including vaginal, laparoscopic and robot-assisted surgeries.ĭr. She treats women with a wide range of vaginal and pelvic conditions including pelvic organ prolapse, vaginal atrophy, urinary incontinence, urinary infections, and painful or irritative voiding disorders. Dianne Glass, MD, PhD, is a gynecologist with advanced training in female pelvic medicine and reconstructive surgery.
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