Dr. Gabriel Morales


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vaginal relaxation

Procedures

Many women suffer unnecessarily from conditions involving pelvic relaxation. The diagnosis and appropriate treatment can often make the patient live a life again without the damage and inconvenience associated with pelvic relaxation.

Thirty million American women suffer from symptoms of vaginal relaxation and urinary incontinence.

The goal is to become acquainted with various forms of pelvic relaxation that exist, and also with its causes, symptoms and treatment. The pelvic organs include the vagina, uterus, ovaries, bladder and rectum. These organs are maintained in their normal position by three types of support: 1) muscles, 2) layers of tissue called fascia and 3) ligaments.

To be damaged these media for various reasons, one or more of the pelvic organs can relax and occasionally even looks out of the vagina. These are called pelvic support defects or pelvic organ prolapse.

During delivery, the baby passing through the birth canal, the muscles, fascia and ligaments separate and may weaken. This weakening gradually worsens and, over time, can cause pelvic organs not maintain its normal position.

Another important factor in women's pelvic relaxation is the decrease of estrogen, female hormones begin to decrease at menopause. This contributes not only to pelvic relaxation, but also other health problems in women. For example, cardiac problems increase heart attacks in postmenopausal women.

Sometimes the weakened muscles and connective tissue can occur in women who have never had children. In these situations can be:

Congenital weakness of the muscles or supporting tissues.in the supporting tissues due to chronic cough.increases in abdominal pressure.

Obesity.

General symptoms associated with pelvic relaxation depend on which organs are affected. Women often feel full or have a sense of heaviness. There may be little or moderate loss of urine during normal physical activities such as laughing, coughing, walking or running. In more advanced and less frequent in fact a body can get out of the vaginal opening. Symptoms associated with pelvic relaxation depend on which organ or organs are affected, and more specifically defined as:

Cystocele.(Most of the time the cystocele and uretrocele occur in combination. This is called cistouretrocele).prolapse.

A cystocele occurs when the bladder drops from its normal position. The most common symptom associated with cystocele is difficulty in completely emptying the bladder. This may be associated with bladder infections. Large proportions of cystocele may cause the bladder to overfill and allow small amounts of urine leak. This is more common during activities such as walking or coughing.

The uretrocele often occurs with cystocele. Both conditions result in, among other things, involuntary loss of urine, particularly when there is increased pressure in the abdomen while walking, jumping, coughing, sneezing, laughing or making sudden movements.

A rectocele occurs when the rectum protrudes into the vaginal canal. Usually rectoceles result from birth trauma. With a weakened or bulging rectum, a common symptom is constipation

The enterocele is when the small intestine protrudes into the posterior wall of the vagina.

Uterine prolapse occurs when the uterus descends, losing its normal position. There are varying degrees of severity, according to descent. This produces a general feeling of heaviness or fullness, or that the uterus is falling.

The diagnosis of these problems includes a comprehensive study of the history of the patient and a detailed medical examination. Other tests, depending on the circumstances, including evidence of "Q-tip, urodynamic studies (computer studies of the functioning of the bladder and urethra, completely painless, lasting 15 to 20 minutes), cystoscopy (use an instrument to assess the interior of the bladder and urethra) and X-ray of the urinary system.

For practical purposes, definitive treatment is surgical correction of specific defects.


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