236. Prolapse - Surgical and Non Surgical Options

<p>236 – Prolapse – Surgical and Non-Surgical Options</p> <p>This podcast is sponsored by <a href="https://bit.ly/3rL8O3T">Femselect</a></p> <p>Thanks to our sponsor Sprout Pharmaceuticals <a href="http://addyi.com/notbroken" target="_blank">addyi.com/notbroken</a> Go to Addyi.com and use code NOTBROKEN for a $10 telemedicine appointment.</p> <p>Thanks to our sponsor Uber Lube 10% off, Code NOTBROKEN uberlube.com</p> <p>Dr. Sonya Ephraim, MD, FACOG, FPMRS, is a urogynecologist and the founder of Allure Pelvic Wellness and Aesthetic Gynecology in Deer Park, Illinois, outside of Chicago. She talks about how she decided to go back to do a fellowship in female pelvic medicine. </p> <p>In this episode, we talk a lot about prolapse and touch on- </p> <p>· What <a href="">is</a> pelvic organ prolapse? </p> <p>· Why prolapse needs a rebranding – so much shame</p> <p>· Risk factors for prolapse</p> <p>· What are the signs and symptoms?</p> <p>· Our tips for treating constipation</p> <p>· Prolapse risk goes up after menopause – we discuss the likely role of hormones and decreased muscle strength.</p> <p>· The impact of prolapse on those suffering</p> <p>· Why we hate calling it “bladder prolapse”</p> <p>· How the bladder can be affected by vaginal prolapse and what may and may not improve</p> <p>· How do we know if we have prolapse</p> <p>· How do we know if we should treat prolapse</p> <p>· Risk of de novo stress urinary incontinence when prolapse is fixed, either with pessary or surgery</p> <p>· What is a pessary and what are the risks of a pessary. </p> <p>· Can you be sexually active with prolapse?</p> <p>· The role of pelvic floor physical therapy and prolapse.</p> <p>· Surgical treatment options:</p> <p>o One size does not fit all.</p> <p>o Obliterative surgery – colpocliesis</p> <p>o Hysteropexy vs. hysterectomy </p> <p>o Minimally invasive options – suture or mesh based (sacrocolpopexy) procedures</p> <p>o New treatment options (EnPlace) benefits and data </p> <p>o The cervix as a sexual organ for some people and the consideration of cervix/uterine preservation in prolapse surgery. </p> <p>· Modern prolapse repair is safe, effective and recovery is not too stressful for most women. </p> <p>· Post surgery instructions and rehab – vaginal estrogen and pelvic floor physical therapy</p> <p>· The risk of recurrent prolapse</p> <p>· When to consider adding a sling to your prolapse procedure</p> <p>· Just because someone or something said you have prolapse, doesn’t mean you need surgery</p> <p>Instagram.com/allurebydrsonya</p> <p>https://allurepelvicwellness.com/</p> <p>#EnPlace, #PelvicOrganProlapse, #WomensHealth #PelvicHealth</p> <p>My previous Prolapse episodes</p> <p>21 – pelvic organ prolapse master class</p> <p>138 – February Live – Hormones, prolapse, pelvic floor PT and more</p> <p>161 – “I Just need to put something in my vagina”, Prolapse, and how PT helps</p> <p>Did you get my “You Are Not Broken” Book Yet? <a href="https://amzn.to/3p18DfK">https://amzn.to/3p18DfK</a></p> <p>Listen to my Tedx Talk: <a href="https://youtu.be/rqI6YKLmdlk">Why we need adult sex ed</a> </p> <p>Join my NEW Adult Sex Ed Master Class: https://www.kellycaspersonmd.com/adult-sex-ed</p> <p>Join my membership to get these episodes ASAP when they are created and without advertisement and even listen live to the interviews and episodes. </p> <p><a href="http://www.kellycaspersonmd.com/membership">www.kellycaspersonmd.com/membership</a></p> --- Send in a voice message: https://podcasters.spotify.com/pod/show/kj-casperson/message

You Are Not Broken