Pelvic organ prolapse causes pain, incontinence and other symptoms that can interfere with quality of life. At the Center for Urogynecology and Advanced Laparoscopic Surgery in South Miami, FL, Dr. Rafael Perez uses minimally-invasive approaches to treat prolapse, repairing damage and restoring support for long-term relief of symptoms.
Female pelvic prolapse is a condition where the ligaments and other supportive tissues in the pelvic area become weak or damaged and no longer provide adequate support for the pelvic organs, including the uterus, vagina, bladder, and rectum. Several factors can contribute to prolapse, including older age, multiple vaginal births, smoking, chronic constipation, obesity, steroid use and traumatic injury or damage. Women who have hysterectomies are also more prone to prolapse.
The symptoms of prolapse can vary depending on the type of prolapse and how extensive it is. Common symptoms include:
There are five primary types of female pelvic prolapse:
Pelvic organ prolapse can have a significant impact on quality of life, but in recent years, advances in prolapse surgery have resulted in significant strides in prolapse treatment. Also called sacrocolpopexy, prolapse surgery uses a special supportive mesh to hold the pelvic organs in place. Most surgeries can be performed using minimally-invasive approaches including robot-assisted techniques using the da Vinci® surgical robot system for superior outcomes and faster recovery. During surgery, the robotic device is controlled by the surgeon to perform complex portions of the surgery with a very high degree of accuracy. Women with very mild prolapse symptoms may benefit from noninvasive treatments like pessaries (devices inserted into the vagina to improve support) or treatments aimed at managing specific symptoms like incontinence.
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"Excellent. Loved him and his staff, he spent almost 30 minutes talking to me about my medical history and how we were going to proceed."
"Dr. Perez is the best. He remains on point with his responsibilities, he cares for his patients, and asks various questions and listens well."
"He's professional, well mannered. His staff is great! All very sweet and offer exceptional service. I'm glad that I have FINALLY found a good doctor that CARES!"
"He has delivered both of my children via C-section and helped me through an ectopic pregnancy. He gives all your possible options and allows you to make the decisions"
"I have been going to Dr. Perez for about 7 years and he is a excellent Doctor. The office nurse is very friendly and reassuring."
"I have recommended him to all my friends and he excels in specialized cases if you have complicated issues."
"He is an amazing doctor, he is super nice and does a thorough, detail assessment on all his new patients."
"I have now been with Dr. Perez for 9 years. He is easy to talk to and always has a professional demeanor and has a smile on his face."
"My first experience with the doctor was extremely helpful, the doctor answered all my questions and took his time with me."