Omitting the walls of the vagina, what to say, unpleasant thing. But you can solve the problem. - With the help of an operation called «Colorrafia».
Content
Outmunction of the vaginal walls often has in women in old age due to age-related change of the elasticity of muscles and fascia of a small pelvis. The young women have one of the possible complications of pregnancy and childbirth. Clinically omission of the vagina is manifested by pulling pain at the bottom of the abdomen and in the lower back, pain during sexual intercourse is possible. Another frequent symptom is the incontinence of urine in combination with constipation, since the displacement of the vagina leads to an irritation of the vegetative nerves of the rectum and the bladder.
In severe cases, the body of the vagina from the sex gap is possible, especially when there. Due to the violation of the physiological position of the vagina, the normal blood supply to its walls is disturbed, which leads to dryness of the mucous membrane, the appearance of erosion and ulcers. The treatment of this state depends on the degree of omission of the vagina: with a small severity, the positive effect is possible after a course of gynecological massage, with severe pathology - treatment should be surgical. Since the omission of the vagina is combined with a change in the anatomical position of the uterus, the bladder and the pelvic muscles, the operation is aimed at restoring the normal location of all these structures.
Operation When omitting the walls of the vagina is called the colipraphia - the front and rear, - depending on the omission of which wall is said. The essence of the operation is to remove the excess tissue of the walls of the vagina and crosslinking the fascia. This makes it possible to strengthen the walls of the vagina and pelvic bottom, that is, the muscles of the crotch, which give the vagina vertical position. In addition, the operation of the back of the coliprafia is used and to reduce the volume of the vagina. Plastic for a decrease in volume can be applied in cases when a woman after childbirth does not experience satisfaction from sexual proximity due to excessive stretching of the walls of the vagina.
Solpraphia operation is carried out without any skin cuts, that is, there will be no visible seams. All manipulations are made by the surgeon on the eve of the vagina, from the crotch side with the help of special forceps and clamps, which operated by the wall of the vagina literally «pulls out» out. Of course, the operation is done under general anesthesia, with the introduction of muscle relaxants, which will allow Masimally to relax the muscles of the pelvis, vagina and uterine. The wall of the vagina, the front or rear, is strongly delayed down the book, and then cut out of it and remove oval or diamond-shaped flap at the level of the vagina in the cervix, after which the seams are superimposed. It allows you to raise the wall. The width of the flap is determined to the eye in accordance with the excess stretched vaginal wall.
It should be noted that in connection with this, a possible complication is too wide remote flap. As a result, the vagina pulls up too high and acquires anatomically unnatural position again. It is possible to break the seams that are superimposed in the place of remote flap, which means the wound will heal for a long time, and may require re-surgical intervention. Therefore, the edges of the cut of the vaginal wall after removing the flap must be connected again without any tension. After the plastic walls of the surgeon, the muscles are strengthened with ketgut seams, located between the vagina and the bones of the pelvis, as well as the fascia of the pelvic bottom.
Another possible complication of the front pickrafia may be damage to the wall of the bladder, and the back of the colipraphy - fatty fiber around the rectum or its walls. These complications are very unpleasant to the high probability of inflammation.
After the Operation of Colorrafia, the first 4-5 days is recommended liquid food, then a light diet. During the first week, a woman is prescribed bed. They are allowed on the 8-11st day. The crotch area is treated daily by antiseptic solution. For example, permanganate potassium. Anesthetics and antibiotics The doctor appoints individually, according to the indications.
