When a firm mass is felt or a hard bulge is seen protruding out the vagina it is usually a cervix and uterus prolapsing past the vaginal opening. This problem typically was treated with a hysterectomy. However, an alternative surgery is the Suprapubic Uterine Suspension.
General Notes & Precautions
1) Important points to consider about the Suprapubic Uterine Suspension
This surgery is indicated for pelvic tissue defects and Uterine Malposition (Uterine Retroversion). It aims to suspend the uterus and the cervix to its nearly normal position by shortening and strengthening the round ligaments. It keeps the uterus from descending into (and out of) the vagina.
Like any other surgeries, this surgery has limitations and cannot absolutely ensure satisfactory results, because there are so many factors affecting the surgery’s success. In case of unexpected surgical results or complications, corrective surgery is an option, and will be discussed between you and the surgeon. If the correction surgery wound occurs from a complication of the surgery, all expenses for services and treatment will no longer be charged to you. However, if the unsatisfactory results occur due to the complication from your non-compliance with the doctor’s orders, you will be charged accordingly.
This surgery is not allowed for women with immunodeficiency. In addition, you must not become pregnant or plan to become pregnant despite no research about the disadvantage to the pregnancy and the newborn.
This surgery is not recommended unless you have a discussion with your spouse because this may lead to problems, and misunderstandings caused by refraining from sexual intercourse for quite a time.
This surgery is performed in our operating room for approximately 1-2 hours under the General Anesthesia administered by a board-certified anesthesiologist. You have to refrain from drinking water or food for at least 6 hours prior to the surgery in order to decrease the risk of aspirating gastric contents during or after surgery. This complication is very serious, and you need to strictly follow our recommendations.
The most important preparations you should know before the surgery are that you should take a rest (refrain from work) and be still for 3-5 days after the surgery to enable the wound to heal faster, and have little movement as possible to avoid wound disruption for 1 week after the surgery. You should refrain from some types of exercise affecting pelvic muscle movement and sexual intercourse for 6-8 weeks after the surgery.
2) Before the Suprapubic Uterine Suspension
Prior to the surgery, you will be invited to a pre-operative consultation room, where you will be evaluated for surgery. You will be received by a member of the nursing staff in our Center, who will make inquiries regarding your previous medical history as well as arrange for your vital signs such as temperature, respiration, blood pressure, and pulse. In case of existing diseases or drug allergies, please inform the medical staff before the consultation. You should prepare and take with you any pills or treatment medications, you are currently taking.
You can possibly have the surgery done on the day of your consultation depending on the availability of Dr. Vitasna’s schedule. Otherwise, you may book for a possible surgery on the day of your consultation. This you may do through online pre-consultation and arrangement. It is best to undergo the surgery after your period. It is not advisable to do the surgery just before the period starts or during the period.
A staff nurse will usher you to a treatment room, where Dr. Vitasna will investigate your health history, and conduct both a general check-up and internal check-up. After the examination and assessment, you will discuss with Dr. Vitasna about your expectations and concerns. She will then explain to you about the methods (or techniques), processes of the surgery, and some potential post-operative risks and complications prior to decision-making. You may also be asked if you have any allergies or any condition that wouldn’t make you a good candidate for the surgery as well as other additional inquiries.
After you have chosen the best alternative for your case, prices and quotes will be written down with you. —This ends your consultation.
Read more about the related issues :
Uterus in normal position
Uterus in malposition
3) The cost of the Suprapubic Uterine Suspension
The cost of the surgery will include professional fees for the anesthesiologist and the surgeon, all the instruments, the home medications, and medicine used for the surgery as well. However, fees for laboratory workup for other existing diseases that you may have, and the professional fees for the anesthesiologist and the surgeon for corrective surgery are not included in the package.
4) Read more about : The Pre Operative Processes on the day of the Surgery
The Processes of the Suprapubic Uterine Suspension
1) During the Suprapubic Uterine Suspension Surgery
This problem was typically treated with an abdominal surgery with a horizontal surgical wound over the mons pubis bone (Some patients need the surgery with a vertical surgical wound under the navel, for example those who have had abdominal operations with vertical surgical wounds).
The abdominal wall will be operated layer by layer into the abdominal cavity. The surgery draws each round ligament through the intra-abdominal peritoneum and brings each ligament lateral to the Rectus Abdominis muscle. There the round ligament is sutured beneath the anterior abdominal rectus sheath with nonabsorbable sutures so as to hold the uterus forward and upward.
The Suprapubic Uterine Suspension is one of the most complex and meticulous surgeries performed today. It requires extensive experience, precision, and accuracy to create the optimal results you desire and deserve. Many surgeons have little to no experience with this type of advanced cosmetic surgery. You should research and be conscious of the surgeon’s educational background, training, and practical experience.