19 October 2010 | Mr Abdalla Fayyad | Consultant in Gynaecology & Women’s Health | The Portland Hospital
A vaginal prolapse is a condition where structures such as the uterus, rectum, bladder, urethra, small bowel, or the vagina itself may begin to prolapse, or fall, out of their normal positions. Approximately 30-40% of women develop some form of vaginal prolapse in their lifetime, usually following menopause or childbirth.
Many women suffer from vaginal prolapse, which tends to present as feeling of a lump in the vaginal or vaginal discomfort and dragging sensation. It can also interfere with emptying the bladder or the bowel and cause discomfort during sexual intercourse. Women with intact uterus find that the womb has often prolapsed with the vagina, and majority of these women are offered a vaginal hysterectomy to treat their prolapse.
In many cases of prolapsed womb, the cause of the problem is deficiency in the support of the womb rather than an inherent problem in the womb itself. Mr Fayyad believes that removing the womb in these cases is unnecessary and possibly harmful. The main challenge for the gynaecologist is to restore the support of the womb that the patient had before the prolapse occurred.
Mr Fayyad and the team at The Portland Hospital in London, perform this pioneering gynaecological surgery using key-hole techniques to support the womb with a fine mesh. This procedure, which is only performed in few centres around the world, involves using advanced laparoscopic techniques to suspend the uterus to its normal position and thus a hysterectomy may not be required.
Many women feel relieved when informed about this new option, as women feel relieved not to have to lose an important part of their body that’s attached to youth and vitality. On the other hand, the some older women feel relieved that they do not need a major operation such as a hysterectomy. Normally, patients can go home the next day after surgery, with excellent outcomes in terms of improvement of prolapse and bladder function. In addition, patients are normally pleased with key-hole surgery approach avoiding large abdominal incisions.
Mr Fayyad has been performing laparoscopic procedures for prolapse repair for the last five years both in the UK and abroad. In addition, Mr Fayyad routinely treats women with urinary incontinence, overactive bladder, pelvic pain and heavy periods. He is also an advanced pelvic and laparoscopic gynaecological surgeon.
For further information about this procedure, please visit Mr Fayyad’s website at www.afayyad.co.uk (click on laparoscopic sacrohysteropexy under ‘Your Operation’) or you can contact him on 07798 697554.