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Dear Mr Tailor... I just wanted to say a proper thank you to you because you saved my life. I'm so happy to be alive and kicking. Thanks again.

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Pelvic Prolapse

Pelvic prolapse is a common condition. It manifests itself in various ways. The patient often complains of a “lump in the vagina”. The pelvic floor muscles can lose their tone with age or lose their strength because of other factors such as increased weight or smoking. Occasionally, they are damaged through difficult childbirth.

Prolapse of the uterus
Prolapse of the uterus

Before resorting to surgery, one should always try other relatively simple measures such as pelvic floor exercises and often it is necessary to see a pelvic floor physiotherapist to train the patient on how to do these exercises correctly and monitor the progress. If these measures fail then surgery can be considered. Most forms of pelvic prolapse, if surgery is required, can be dealt with by simple surgery performed through the vagina. There are only a few special forms of prolapse that need to be corrected from the “abdominal” approach and these are especially amenable to robotic techniques. Patients requiring this form of surgery should try and seek out specialists (Urogynaecologists) who do this kind of surgery regularly. Surgery for prolapse can “fail” after a few months or years, meaning that the prolapse returns. The first attempt at surgery is likely to be the most successful compared to a “re-do”. Hence it is wise to ensure that the person carrying out your first surgery does this operation regularly. I do not do these operations and refer them on to other colleagues.

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