At Home with Chris Jessen 2018 - 192

PROMOTION
drops down to the oppening; this
occurs in 10% of women who have
had a hysterectomy.
The type and severity of a prolapse
will determine the symptoms. These can
include any of the following:
SENSATION - The feeling of a lump or
a bulge 'coming down'.
BLADDER - Frequent urination,
incomplete emptying, urinary leakage
on coughing, sneezing or laughing, and
frequent cystitis.
BOWEL - Incomplete bowel emptying,
constipation or needing to push back
the prolapse to allow stools to pass.
SEX - Uncomfortable or a lack of
sensation during intercourse.

Is surgery avoidable?

Could it be
a prolapse?
If you're suffering from this distressing and embarrassing
condition, the good news is that it can be treated

T

he organs within a woman's
pelvis - the uterus, bladder
and bowel - are normally
held in place by ligaments
and muscles that form a hammock,
known as 'the pelvic floor'. If these
support structures are weakened by
overstretching, the pelvic organs can
bulge from their natural position into
the vagina. This is known as Pelvic
Organ Prolapse (POP).
'I can feel a lump down below and
there is a dragging sensation, Doctor'
is not an uncommon complaint heard in
a urogynaecology clinic. This is a classic
sign of a pelvic organ prolapse.
Any event or factor that increases
pressure within the abdomen can lead
to POP, including:
Pregnancy and childbirth
Ageing, especially after the menopause
Being overweight
Constipation, persistent coughing
and heavy lifting
Hysterectomy. The top of the vagina
(vault) can prolapse after this surgery
Genetics factors.
There are different types of pelvic
prolapse, depending on which organ is

bulging into the vagina. They are are:
CYSTOCELE - the bladder bulges into
the front wall of the vagina.
RECTOCELE - the rectum bulges into
the back wall of the vagina.
UTERINE PROLAPSE - the uterus
hangs down into the vagina.
VAULT PROLAPSE - where the vagina

MEET THE EXPERT
Miss Avanti Patil,
MBBS, DFFP,
FRCOG, is a
consultant
gynaecologist
and obstetrician at
Buckinghamshire
Healthcare
NHS Trust.
Miss Patil has broad expertise in
general gynaecology and special
interests in Urogynaecology (urinary
incontinence, urodynamics and pelvic
organ prolapse, vaginal reconstructive
surgery) and Post-partum perineal
problems. She is also a lead consultant
for women with spinal injuries.

People with a mild prolapse, or no
symptoms, may choose to take a 'wait
and see' approach. The following might
help to ease the symptoms:
Lifestyle changes - losing weight,
managing chronic cough, stopping
smoking and avoiding constipation,
heavy lifting and high-impact exercise.
Pelvic floor exercises to strengthen
the pelvic muscles.
If, however, the prolapse is more
severe and the symptoms are affecting
daily life, it may be time to consider
treatment options, including pessaries,
physiotherapy and surgery.
Pessaries are plastic or silicone
devices that fit inside the vagina and
help to support the pelvic organs. They
come in various shapes and sizes, but
the most common type is a ring pessary.
Sometimes surgery is the best option
to relieve symptoms, ensuring the
bladder and bowel function normally
after the operation. Every effort is made
to ensure sex is comfortable, too.
The decision to have surgery will
depend on the severity of the symptoms
and the impact they have, while the type
of surgery will depend on the type of
prolapse, the age and general health
of the patient, and whether or not they
plan to have children in the future. Some
women may choose to delay having
surgery until their family is complete.
The key points to remember when
dealing with a prolapse is that it is
not life-threatening and that not
everyone with prolapse needs surgery.

FOR MORE INFORMATION
Private practices at BMI Chiltern
Hospital, Great Missenden, Bucks
and BMI Shelburne Hospital, High
Wycombe, Bucks
Call 07702 499 1890/1296 337988
Email lgcprivatepractice@
gmail.com



Table of Contents for the Digital Edition of At Home with Chris Jessen 2018

At Home with Chris Jessen 2018 - 1
At Home with Chris Jessen 2018 - 2
At Home with Chris Jessen 2018 - 3
At Home with Chris Jessen 2018 - 4
At Home with Chris Jessen 2018 - 5
At Home with Chris Jessen 2018 - 6
At Home with Chris Jessen 2018 - 7
At Home with Chris Jessen 2018 - 8
At Home with Chris Jessen 2018 - 9
At Home with Chris Jessen 2018 - 10
At Home with Chris Jessen 2018 - 11
At Home with Chris Jessen 2018 - 12
At Home with Chris Jessen 2018 - 13
At Home with Chris Jessen 2018 - 14
At Home with Chris Jessen 2018 - 15
At Home with Chris Jessen 2018 - 16
At Home with Chris Jessen 2018 - 17
At Home with Chris Jessen 2018 - 18
At Home with Chris Jessen 2018 - 19
At Home with Chris Jessen 2018 - 20
At Home with Chris Jessen 2018 - 21
At Home with Chris Jessen 2018 - 22
At Home with Chris Jessen 2018 - 23
At Home with Chris Jessen 2018 - 24
At Home with Chris Jessen 2018 - 25
At Home with Chris Jessen 2018 - 26
At Home with Chris Jessen 2018 - 27
At Home with Chris Jessen 2018 - 28
At Home with Chris Jessen 2018 - 29
At Home with Chris Jessen 2018 - 30
At Home with Chris Jessen 2018 - 31
At Home with Chris Jessen 2018 - 32
At Home with Chris Jessen 2018 - 33
At Home with Chris Jessen 2018 - 34
At Home with Chris Jessen 2018 - 35
At Home with Chris Jessen 2018 - 36
At Home with Chris Jessen 2018 - 37
At Home with Chris Jessen 2018 - 38
At Home with Chris Jessen 2018 - 39
At Home with Chris Jessen 2018 - 40
At Home with Chris Jessen 2018 - 41
At Home with Chris Jessen 2018 - 42
At Home with Chris Jessen 2018 - 43
At Home with Chris Jessen 2018 - 44
At Home with Chris Jessen 2018 - 45
At Home with Chris Jessen 2018 - 46
At Home with Chris Jessen 2018 - 47
At Home with Chris Jessen 2018 - 48
At Home with Chris Jessen 2018 - 49
At Home with Chris Jessen 2018 - 50
At Home with Chris Jessen 2018 - 51
At Home with Chris Jessen 2018 - 52
At Home with Chris Jessen 2018 - 53
At Home with Chris Jessen 2018 - 54
At Home with Chris Jessen 2018 - 55
At Home with Chris Jessen 2018 - 56
At Home with Chris Jessen 2018 - 57
At Home with Chris Jessen 2018 - 58
At Home with Chris Jessen 2018 - 59
At Home with Chris Jessen 2018 - 60
At Home with Chris Jessen 2018 - 61
At Home with Chris Jessen 2018 - 62
At Home with Chris Jessen 2018 - 63
At Home with Chris Jessen 2018 - 64
At Home with Chris Jessen 2018 - 65
At Home with Chris Jessen 2018 - 66
At Home with Chris Jessen 2018 - 67
At Home with Chris Jessen 2018 - 68
At Home with Chris Jessen 2018 - 69
At Home with Chris Jessen 2018 - 70
At Home with Chris Jessen 2018 - 71
At Home with Chris Jessen 2018 - 72
At Home with Chris Jessen 2018 - 73
At Home with Chris Jessen 2018 - 74
At Home with Chris Jessen 2018 - 75
At Home with Chris Jessen 2018 - 76
At Home with Chris Jessen 2018 - 77
At Home with Chris Jessen 2018 - 78
At Home with Chris Jessen 2018 - 79
At Home with Chris Jessen 2018 - 80
At Home with Chris Jessen 2018 - 81
At Home with Chris Jessen 2018 - 82
At Home with Chris Jessen 2018 - 83
At Home with Chris Jessen 2018 - 84
At Home with Chris Jessen 2018 - 85
At Home with Chris Jessen 2018 - 86
At Home with Chris Jessen 2018 - 87
At Home with Chris Jessen 2018 - 88
At Home with Chris Jessen 2018 - 89
At Home with Chris Jessen 2018 - 90
At Home with Chris Jessen 2018 - 91
At Home with Chris Jessen 2018 - 92
At Home with Chris Jessen 2018 - 93
At Home with Chris Jessen 2018 - 94
At Home with Chris Jessen 2018 - 95
At Home with Chris Jessen 2018 - 96
At Home with Chris Jessen 2018 - 97
At Home with Chris Jessen 2018 - 98
At Home with Chris Jessen 2018 - 99
At Home with Chris Jessen 2018 - 100
At Home with Chris Jessen 2018 - 101
At Home with Chris Jessen 2018 - 102
At Home with Chris Jessen 2018 - 103
At Home with Chris Jessen 2018 - 104
At Home with Chris Jessen 2018 - 105
At Home with Chris Jessen 2018 - 106
At Home with Chris Jessen 2018 - 107
At Home with Chris Jessen 2018 - 108
At Home with Chris Jessen 2018 - 109
At Home with Chris Jessen 2018 - 110
At Home with Chris Jessen 2018 - 111
At Home with Chris Jessen 2018 - 112
At Home with Chris Jessen 2018 - 113
At Home with Chris Jessen 2018 - 114
At Home with Chris Jessen 2018 - 115
At Home with Chris Jessen 2018 - 116
At Home with Chris Jessen 2018 - 117
At Home with Chris Jessen 2018 - 118
At Home with Chris Jessen 2018 - 119
At Home with Chris Jessen 2018 - 120
At Home with Chris Jessen 2018 - 121
At Home with Chris Jessen 2018 - 122
At Home with Chris Jessen 2018 - 123
At Home with Chris Jessen 2018 - 124
At Home with Chris Jessen 2018 - 125
At Home with Chris Jessen 2018 - 126
At Home with Chris Jessen 2018 - 127
At Home with Chris Jessen 2018 - 128
At Home with Chris Jessen 2018 - 129
At Home with Chris Jessen 2018 - 130
At Home with Chris Jessen 2018 - 131
At Home with Chris Jessen 2018 - 132
At Home with Chris Jessen 2018 - 133
At Home with Chris Jessen 2018 - 134
At Home with Chris Jessen 2018 - 135
At Home with Chris Jessen 2018 - 136
At Home with Chris Jessen 2018 - 137
At Home with Chris Jessen 2018 - 138
At Home with Chris Jessen 2018 - 139
At Home with Chris Jessen 2018 - 140
At Home with Chris Jessen 2018 - 141
At Home with Chris Jessen 2018 - 142
At Home with Chris Jessen 2018 - 143
At Home with Chris Jessen 2018 - 144
At Home with Chris Jessen 2018 - 145
At Home with Chris Jessen 2018 - 146
At Home with Chris Jessen 2018 - 147
At Home with Chris Jessen 2018 - 148
At Home with Chris Jessen 2018 - 149
At Home with Chris Jessen 2018 - 150
At Home with Chris Jessen 2018 - 151
At Home with Chris Jessen 2018 - 152
At Home with Chris Jessen 2018 - 153
At Home with Chris Jessen 2018 - 154
At Home with Chris Jessen 2018 - 155
At Home with Chris Jessen 2018 - 156
At Home with Chris Jessen 2018 - 157
At Home with Chris Jessen 2018 - 158
At Home with Chris Jessen 2018 - 159
At Home with Chris Jessen 2018 - 160
At Home with Chris Jessen 2018 - 161
At Home with Chris Jessen 2018 - 162
At Home with Chris Jessen 2018 - 163
At Home with Chris Jessen 2018 - 164
At Home with Chris Jessen 2018 - 165
At Home with Chris Jessen 2018 - 166
At Home with Chris Jessen 2018 - 167
At Home with Chris Jessen 2018 - 168
At Home with Chris Jessen 2018 - 169
At Home with Chris Jessen 2018 - 170
At Home with Chris Jessen 2018 - 171
At Home with Chris Jessen 2018 - 172
At Home with Chris Jessen 2018 - 173
At Home with Chris Jessen 2018 - 174
At Home with Chris Jessen 2018 - 175
At Home with Chris Jessen 2018 - 176
At Home with Chris Jessen 2018 - 177
At Home with Chris Jessen 2018 - 178
At Home with Chris Jessen 2018 - 179
At Home with Chris Jessen 2018 - 180
At Home with Chris Jessen 2018 - 181
At Home with Chris Jessen 2018 - 182
At Home with Chris Jessen 2018 - 183
At Home with Chris Jessen 2018 - 184
At Home with Chris Jessen 2018 - 185
At Home with Chris Jessen 2018 - 186
At Home with Chris Jessen 2018 - 187
At Home with Chris Jessen 2018 - 188
At Home with Chris Jessen 2018 - 189
At Home with Chris Jessen 2018 - 190
At Home with Chris Jessen 2018 - 191
At Home with Chris Jessen 2018 - 192
At Home with Chris Jessen 2018 - 193
At Home with Chris Jessen 2018 - 194
At Home with Chris Jessen 2018 - 195
At Home with Chris Jessen 2018 - 196
At Home with Chris Jessen 2018 - 197
At Home with Chris Jessen 2018 - 198
At Home with Chris Jessen 2018 - 199
At Home with Chris Jessen 2018 - 200
At Home with Chris Jessen 2018 - 201
At Home with Chris Jessen 2018 - 202
At Home with Chris Jessen 2018 - 203
At Home with Chris Jessen 2018 - 204
At Home with Chris Jessen 2018 - 205
At Home with Chris Jessen 2018 - 206
At Home with Chris Jessen 2018 - 207
At Home with Chris Jessen 2018 - 208
At Home with Chris Jessen 2018 - 209
At Home with Chris Jessen 2018 - 210
At Home with Chris Jessen 2018 - 211
At Home with Chris Jessen 2018 - 212
At Home with Chris Jessen 2018 - 213
At Home with Chris Jessen 2018 - 214
At Home with Chris Jessen 2018 - 215
At Home with Chris Jessen 2018 - 216
At Home with Chris Jessen 2018 - 217
At Home with Chris Jessen 2018 - 218
At Home with Chris Jessen 2018 - 219
At Home with Chris Jessen 2018 - 220
At Home with Chris Jessen 2018 - 221
At Home with Chris Jessen 2018 - 222
At Home with Chris Jessen 2018 - 223
At Home with Chris Jessen 2018 - 224
At Home with Chris Jessen 2018 - 225
At Home with Chris Jessen 2018 - 226
At Home with Chris Jessen 2018 - 227
At Home with Chris Jessen 2018 - 228
At Home with Chris Jessen 2018 - 229
At Home with Chris Jessen 2018 - 230
At Home with Chris Jessen 2018 - 231
At Home with Chris Jessen 2018 - 232
At Home with Chris Jessen 2018 - 233
At Home with Chris Jessen 2018 - 234
At Home with Chris Jessen 2018 - 235
At Home with Chris Jessen 2018 - 236
At Home with Chris Jessen 2018 - 237
At Home with Chris Jessen 2018 - 238
At Home with Chris Jessen 2018 - 239
At Home with Chris Jessen 2018 - 240
At Home with Chris Jessen 2018 - 241
At Home with Chris Jessen 2018 - 242
At Home with Chris Jessen 2018 - 243
At Home with Chris Jessen 2018 - 244
At Home with Chris Jessen 2018 - 245
At Home with Chris Jessen 2018 - 246
At Home with Chris Jessen 2018 - 247
At Home with Chris Jessen 2018 - 248
At Home with Chris Jessen 2018 - 249
At Home with Chris Jessen 2018 - 250
At Home with Chris Jessen 2018 - 251
At Home with Chris Jessen 2018 - 252
http://europe.nxtbook.com/emp/AtHome/athomewithchrisjessen2018
http://europe.nxtbook.com/emp/AtHome/athomewithsarahbeenyautumn2017
http://europe.nxtbook.com/emp/AtHome/athomewithlorrainekelly2017
http://europe.nxtbook.com/emp/AtHome/athomeparentingwithJoFrost2017
http://europe.nxtbook.com/emp/AtHome/SarahBeenySpring2017
http://europe.nxtbook.com/emp/AtHome/AskTheDoctorWithDrJessenFebruary2017
http://europe.nxtbook.com/emp/AtHome/AtHomeWithTessDaly2016
http://europe.nxtbook.com/emp/Careers/YourBusinessWithJamesCaan2016
http://europe.nxtbook.com/emp/AtHome/AtHomeWithGloriaHunnifordOctober2016
http://europe.nxtbook.com/emp/AtHome/AtHomeWithSarahBeenyAutumn2016
http://europe.nxtbook.com/emp/AtHome/AtHomeWithLorraineKelly2016
http://europe.nxtbook.com/emp/AtHome/AtHomeWithJoFrostJune2016
http://europe.nxtbook.com/emp/AtHome/AtHomeWithSarahBeenySpring2016
http://europe.nxtbook.com/emp/AtHome/AtHomeWithDrChristianJessen2016
http://europe.nxtbook.com/emp/AtHome/AthomeWithTessDaly2015
http://europe.nxtbook.com/emp/AtHome/YourBusinessWithJamesCaanAutumn2015
http://europe.nxtbook.com/emp/AtHome/AthomeWithSarahBeeny2015
http://europe.nxtbook.com/emp/AtHome/AthomeWithGloriaHunniford2015
http://europe.nxtbook.com/emp/AtHome/AtHomeLorraineKelly2015
http://europe.nxtbook.com/emp/AtHome/JoFrost15
http://europe.nxtbook.com/emp/AtHome/SarahBennyMay2015
http://europe.nxtbook.com/emp/AtHome/OrthopaedicSupplementMarch2015
http://europe.nxtbook.com/emp/AtHome/DrChristianJessenFeb2015
http://europe.nxtbook.com/emp/AtHome/athomewithtessdaly
http://europe.nxtbook.com/emp/AtHome/jobsandcareers2014
http://europe.nxtbook.com/emp/AtHome/yourbusinesswithjamescaan
http://europe.nxtbook.com/emp/AtHome/athomewithsarahbeeny
http://europe.nxtbook.com/emp/AtHome/parentingjofrost
http://europe.nxtbook.com/emp/AtHome/drchristianjessen
http://europe.nxtbook.com/emp/AtHome/Athomelorrainekelly
http://europe.nxtbook.com/emp/AtHome/Athomesarahbeeny
http://europe.nxtbook.com/emp/AtHome/Cheers_2013
http://europe.nxtbook.com/emp/AtHome/At_Home_Christmas_New_year_2013
http://europe.nxtbook.com/emp/AtHome/At_Home_Exclusive_2013
http://europe.nxtbook.com/emp/AtHome/At_Home_Jo_Frost_2013
http://europe.nxtbook.com/emp/AtHome/At_Home_Carol_Vorderman_2013
http://europe.nxtbook.com/emp/AtHome/At_Home_Christian_Jessen_2013
http://europe.nxtbook.com/emp/AtHome/At_Home_Sarah_Beeny_2013
http://europe.nxtbook.com/emp/AtHome/At_Home_Lorraine_Kelly_2013
http://europe.nxtbook.com/emp/AtHome/At_Home_James_Martin_2012
http://europe.nxtbook.com/emp/AtHome/At_Home_Jo_Frost_2012
http://europe.nxtbook.com/emp/AtHome/At_Home_Dr_Chris_Steele_Sept_2012
http://europe.nxtbook.com/emp/AtHome/At_Home_Sally_Gunnell_2012
http://europe.nxtbook.com/emp/AtHome/At_Home_Sarah_Beeny_Aug_2012
http://europe.nxtbook.com/emp/AtHome/At_Home_Lorraine-Kelly_2012
http://europe.nxtbook.com/emp/AtHome/At_Home_Christian_Jessen_2012
http://europe.nxtbook.com/emp/AtHome/At_Home_James_Martin_2011
http://europe.nxtbook.com/emp/AtHome/At_Home_Sarah_beeny_winter_2011
http://europe.nxtbook.com/emp/AtHome/Lorraine_Kelly_Nov_2011
http://europe.nxtbook.com/emp/AtHome/At_Home_Marco_Pierre_White_2011
http://europe.nxtbook.com/emp/AtHome/AtHome/Jo_Frost_July_2011
http://europe.nxtbook.com/emp/AtHome/Lorraine_Kelly_June_2011/Lorraine_Kelly_June_2011
http://europe.nxtbook.com/emp/AtHome/Sarah_Beeny_May_2011
http://www.nxtbookMEDIA.com