Dr. Christopher Jayne is Board Certified in Female Pelvic Medicine and Reconstructive surgery, he is certified by the American Association of Sexuality Educators, Counselors and Therapists and he holds a faculty appointment with the Scott Department of Urology at Baylor College of Medicine. In his primary practice with Park Plaza Medical Associates, he has extensive experience treating sexual health issues and pelvic pain in women and specializes in minimally invasive treatments of urogynecologic disorders in an advanced facility with outstanding professional staff. To make an appointment with Dr. Christopher Jayne, please call 713-526-4263. www.parkplazaurogyn.com.
By Christopher Jayne, M.D.
Surgery should be considered when symptoms compromise your quality of life and you are willing to assume surgical risk. Regarding pelvic floor disorders (PFDs) surgery is commonly done when organs like the bladder, uterus, vagina and rectum are falling out of place, and for stress urinary incontinence, the leakage of urine with events like coughing sneezing or exercise. PFDs affect up to 50% of women in their lifetime but less than 10% will ultimately have surgery for this. Risk factors for PFDs include age, vaginal deliveries and prior hysterectomy. Once identified 50% of PFDs will not progress, and simple things like Kegel exercises and lifestyle modifications can reduce symptoms for many women, negating surgery.
If however you are considering surgery, consult an experienced surgeon and consider the opinion of a Board Certified Female Pelvic Medicine and Reconstructive Surgeon. The least invasive approach, vaginal surgery, without the use of robots or lasers and without any incisions on your abdomen should always be considered first. This approach is not only the safest but has the quickest return to normal activities post operatively with long standing results as good as all other approaches.
Native tissue repairs (NTRs), the use of your own body’s tissues with or without permanent suture material should be compared to graft augmented repairs (GARs) regarding risks and long term results specifically regarding your condition. The general concern for NTRs is that it involves using tissues that have already failed you. That said results have high success rates and low reoperation rates overall. GARs including biologic material mostly obtained from animals or synthetic material specifically polypropylene mesh products also have high success rates but have risks and reoperation rates specifically related to the foreign material used. (Click "Read More" below to continue article.)
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