Vaginal prolapse can occur due to stretching or damage of the uterosacral ligaments. Mesh-Free Robotic Colpopexy is done by a plication (bringing together) and elevation of the ligaments with sutures. This corrects the stretching and damage of the ligaments, resulting in an elevation of the vagina and correction of the prolapse. This also results in a lengthening of the vagina.
In women who also have a rectocele, a posterior colporrhaphy is performed at the time of the Mesh-Free Robotic Colpopexy. Posterior colporrhaphy involves a plication of the supportive tissue between the rectum and vagina which reduces a bulge of the back side of the vagina.
For symptoms of “vaginal looseness,” perineoplasty or vaginal rejuvenation involving a tightening of the vagina is also performed.
Optimal treatment is based on each individual patient’s history, her desired outcome and a physical exam.
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It's never "fun" to need surgery for a urogynecologic problem. But Dr. Shashoua, Kristin Longshore, ANP, medical assistant Marissa and the rest of the staff made the entire experience (diagnosis through postop care) a positive one. At all points, I was treated with respect and caring. My postop pain was managed well. No question went unanswered - even the ones that may have seemed small. They took the time to listen to any concerns I had and included my husband as a member of the care team.
I'm not in need of care any longer since all went well with my surgical procedure. I would not hesitate to refer other women for evaluation (and care) of female pelvic problems with Dr. Shashoua and his team. If you decide to see him, you'll experience what clinically competent, patient-centered care really feels like.
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