Urethral prolapse treatment

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Urethral prolapse (so-called a urethrocele) occurs when the urethra pushes into the vaginal canal. Lack of estrogen, older age and obesity are the main risk factors. Treatment options are mainly by medications. In addition, special exercises and pessaries are helpful, but sometimes a repair operation is necessary.

The urethra is a tube which moves urine from the bladder. When the urethra slips out of its normal position, it can push into the vagina. Such a disorder is called urethral prolapse.

Urethral prolapse is quite rare. The condition usually occurs in prepubertal girls (about 1 out of every 3000 children) and postmenopausal women.

When prolapse arises in postmenopausal women, the cause is usually weakness of muscles, tissues and ligaments. In addition, the prolapse may be associated with a congenital defect of the urethra or vagina.

Patients with mild prolapse may not feel any symptoms. If the protrusion is more severe, the following signs may occur:

  • Pain;
  • Vaginal bleeding;
  • Frequent urge to urinate;
  • Lump in the genital area.

As a rule, urethral prolapse is mild and may not require therapy. However, with progressive disease, doctors perform medical or surgical treatment.

Non-surgical treatments include:

  • Silicone pessaries are inserted into the vagina and help support it;
  • Kegel exercises to strengthen the pelvic muscles;
  • Hormonal drugs (estrogen);
  • Antibiotics if there is an infection.

When the above methods are ineffective, physicians use surgery. The operation consists in restoring the wall of the vagina to strengthen it.

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7 countries and 21 cities for Urethral prolapse