AT Home with Lorraine Kelly - June 2011 - (Page 151)

| PROMOTION| imaging studies to visualize the bladder or rectum, may subsequently be arranged. What are the treatment options for POP? Not all women with POP have symptoms that require treatment. The treatment that is best for you will depend on many things – your symptoms, age, any plans for pregnancy and your expectations for treatment. Some may discover simple pelvic oor exercises with a specialist physiotherapist or basic health and lifestyle changes such as dietary change or treating constipation. Others may nd medication such as oestrogen replacement or a pessary device to support the prolapse helpful. If a patient has symptoms that are compromising her quality of life then surgery could be considered. Pelvic reconstructive surgery can be performed through the vagina or abdominally (via a traditional incision or through key-hole surgery). During the procedure, the surgeon will reposition the prolapsed organ(s) and secure the surrounding tissues and ligaments. The vaginal defect(s) will also be repaired. Prior to undergoing surgery, patients should undergo a thorough evaluation to ensure a proper diagnosis. For example, some women may have stress urinary incontinence and may require a sling procedure performed at the same time to correct urinary incontinence. Many women are embarrassed about seeking treatment for pelvic organ prolapse despite it being so common. The good news is that you do not have to su er with it. You can do something about POP, and you have choices to suit your personal needs. Stop prolapse flooring you Pelvic organ prolapse a ects one in three women in the UK, and can make life miserable. Know the symptoms to look for and don’t su er in silence ny organ in the female body such as the bowel, bladder and womb can fall out of place, resulting in a condition called pelvic organ prolapse (POP). If the condition isn’t treated quickly enough, the organs can fall further towards the vagina. POP a ects up to one in three women, especially women who have had children. The di erent types of POP include cystocele (prolapse of the bladder), hysterocele (the uterus), rectocele (rectum), enterocele (small intestine), and vault prolapse (prolapse of the top of the vagina, which is common in women who have undergone a hysterectomy). More than one prolapse can occur at the same time. A The symptoms and signs of POP Symptoms will depend on the kind of prolapse that you are su ering from but the most common symptom is the experience of a dragging sensation or sensation of something that has come further towards the vagina. Other symptoms may include lack of sensation during intercourse, di culty having a bowel movement or incontinence. How is this condition diagnosed? If you believe you are experiencing any symptoms, you should seek a consultation with a specialist in pelvic oor problems. During the initial evaluation, the specialist will take a detailed medical history, looking for factors that may have contributed to this condition and perform a thorough pelvic examination. Your doctor is likely to measure the position of your uterus to determine how severely it has dropped or ‘prolapsed’. During the exam, the doctor may use a speculum to spread the walls of the vagina apart. He may also insert one nger in the vagina and one in the rectum to gauge the severity of the prolapse. In addition, part of the exam may be performed while you are standing up. The doctor may ask you to bear down like you were having bowel movement or cough. These actions make the pelvic injury more obvious. Diagnostic tests such as urodynamic studies to evaluate bladder function, or special What are the causes of POP? The weakening of the vaginal support system results in this condition. Causes of POP, include: ● A lack of oestrogen following the menopause weakening the pelvic support structure. ● Pregnancy places a high degree of stress on the tissues, ligaments and muscles of the pelvic oor, resulting in this condition. ● Hysterectomy is a surgery involving the removal of the uterus which is a very important part of the support network in the pelvis. A drooping of the upper part of the vagina, leading to a vault prolapse can result. Other causes include ageing, chronic constipation, obesity and certain connective tissue disorders. Mr Kiron Bhal is an experienced gynaecologist with a special interest in advanced vaginal surgery. He developed the urogynaecology service in Cardi in 2003, and he o ers all forms of continence and complex prolapse surgery including laparoscopic surgery. Mr Bhal leads a multidisciplinary team in South Wales which has strived to deliver the best available care for women who have been presented with urinary incontinence and pelvic organ prolapse. BIOGRAPHY FOR MORE INFORMATION Mr Kiron Bhal MD MRCOG is a consultant gynaecologist at the Spire Hospital, Croescadarn Road, Pentwyn, Cardi CF23 8XL. For appointments, call 029 2073 5515 email or visit or

Table of Contents for the Digital Edition of AT Home with Lorraine Kelly - June 2011

Editor’s letter
Hello from Lorraine
Notebook news
Update your calendar
Mum’s the word
In the shade
Beach baggage
Pick a straw
Foot fever
Be bold
Beach chic
Vintage veterans
Celebrity style
Up close and personal
Steal Lorraine's style
Lorraine and friends
Happy hiker
Birth order
Going the distance
Intimacy in numbers
Tales of triumph
Breaking up
Splits in the spotlight
Skill savvy
Bucket list
Serious saving
Big days
Notorious nuptials
In the know
Treat your feet
Drink up
Time of the month
Conception made clear
Manage your menopause
The big C
Battling the blues
Skinny stars
Health hotlist
The new atkins
Sumptuous Summer
Stop fussing
Gym bunny
Hot to trot
Crystal clear
Stop the clock
Dimple doom
Forever young
Make-up made easy
Polish perfect
Luscious locks
Fix it
Dental dos
Banish that blemish
Shopping for baby
Size 20 at seven
Indian spice
Exotic Indonesia
Lone traveller
Offshore weddings
Summer makeover
Room revamp
Keep cosy
Feeling board?
Coming soon
Craft savvy
Guilty pleasure
Rock that frock
Book corner
Final countdown
TRAVEL - Celeb campers
TRAVEL - Camp it up
TRAVEL - We love it
TRAVEL - Little britain
TRAVEL - Holiday lodges
TRAVEL - Quirky places to stay
TRAVEL - Transport yourself
TRAVEL - Best days out
TRAVEL - A brit special
PETS - Star pooches
PETS - Pet products
PETS - Make the right choice
PETS - Caring for your animal
PETS - Feeding time
PETS - When pets get poorly
PETS - time to shift some weight
PETS - Me and my beloved pet
PETS - Animal rescue
PETS - What a picture!
CAREERS - Lorraine's career path
CAREERS - Beauty and brains
CAREERS - C'est chic
CAREERS - Girls at work
CAREERS - Just the job!
CAREERS - Go out and get it
CAREERS - Pick and choose

AT Home with Lorraine Kelly - June 2011