Nocturia – the frequent need to pee at night – is among the most common symptoms of an enlarged prostate (BPH). Learn why it happens and what you can do to help.
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Once rarely discussed or recognized, pelvic prolapse or pelvic floor weakness has now become a priority in women’s health. The problem is so prevalent that by age 80, more than one in every 10 women will have undergone surgery for prolapse.
Today, many primary care physicians and gynecologists routinely screen patients for the symptoms, but urologists are the true experts in treating prolapse conditions and the urinary incontinence that often results.
Women with mild prolapse discovered during a routine pelvic exam may have no symptoms at all. But others experience considerable discomfort and a range of symptoms, including:
If you think you have a pelvic prolapse condition, a traditional pelvic examination is the only way to diagnose it.
Treating Pelvic Prolapse
Women with very mild symptoms may not need treatment, although they should avoid anything that might worsen the prolapse. It is often a good idea to lose weight if necessary, avoid lifting heavy objects, and quit smoking to prevent prolapses from progressing. Prolapse doesn’t necessarily worsen over time, so there’s no need to seek aggressive treatments, unless symptoms get worse.
Nonsurgical treatments include:
Practicing Kegel exercises help to strengthen the pelvic floor and reduce the chance that mild condition will progress. Kegel exercises are a series of contractions that strengthen the pelvic floor. You squeeze two sets of pelvic floor muscles at the same time: those you would use to prevent yourself from passing gas and those you would tighten to stop urinating.
For women who are experiencing major discomfort or inconvenience, surgery is the only definitive way to relieve symptoms and improve quality of life.
Vaginal surgery without mesh: This treatment involves repair with either a suture or with biological material, such as pigskin. However, the repair may not have the longevity of robotic sacrocolpopexy.
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