Prolift Patient Brochure
Prolift Patient Brochure
ETHICON Womens Health & Urology, a division of Johnson & Johnson Medical company, is dedicated to providing innovative solutions for common womens health problems and to providing valuable, easy-to-understand information so that women, along with their physicians, can weigh their options and make informed decisions. ETHICON Womens Health & Urology is the leader in minimally invasive gynecological health solutions. Our clinically proven technologies have touched the lives of over 1.5 million women. ETHICON Womens Health & Urology offers minimally invasive solutions in several womens health categories: incontinence and pelvic floor repair, menstrual health, adhesion prevention and uterine surgery.
www.womenshealthsolutions.co.uk
www.womenshealthsolutions.co.uk
P e l v i c O r g a n P r o l a p s e i n Wo m e n :
www.womenshealthsolutions.co.uk
Uterus Bladder
Urethra
Vagina
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Rectum As the back wall (or floor) of the vagina loses its support, the rectum can balloon up into, and sometimes out of, the vaginal opening. The rectum, which normally has the vagina as a backstop, can now protrude upward, creating a pocket called a rectocele.
Rectocele
Uterus Bladder
Urethra
Vagina
Cystocele
Small bowel (intestine) Prolapse of the small bowel pushes the vagina towards the opening. This is called an enterocele. Uterus Prolapse of the uterus into the vagina is called uterine prolapse
Uterus Bladder
Uterine Prolapse
Urethra
Vagina
Uterus Bladder
Vagina For women who have had hysterectomies and no longer have a uterus, the top of the vagina pushes into the lower vagina.This is called vaginal vault prolapse.
Urethra
Vagina
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How is it diagnosed?
Pelvic organ prolapse is diagnosed by a thorough pelvic examination. Your doctor will also study your medical history, looking for factors that may have contributed to this condition. He or she may order diagnostic tests, such as a urodynamic study to evaluate bladder function or special imaging studies to visualize the bladder or rectum.
How is it treated?
Not all women with pelvic organ prolapse have symptoms that require treatment. If a patient has symptoms that are compromising her quality of life, surgery is the most definitive treatment. However, patients who want to delay surgery or those with mild symptoms may be helped with the following: Kegel exercises Contracting and relaxing the pelvic floor muscles may help a woman diagnosed with mild pelvic relaxation who is not currently experiencing any significant symptoms. Pessary A device that is inserted in the vagina to help support the pelvic area may help to relieve mild symptoms of prolapse. A woman who selects this option may do best by learning how to remove, clean and reinsert the pessary. If she is unable to care for the pessary herself, shell need to see a health care provider for regular check-ups and cleaning of the pessary. Sometimes vaginal estrogen is used with this option.
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GYNECARE PROLIFT* Total Pelvic Floor Repair System GYNECARE PROLIFT* Anterior Pelvic Floor Repair System GYNECARE PROLIFT* Posterior Pelvic Floor Repair System INDICATIONS The GYNECARE PROLIFT Total, Anterior, and Posterior Pelvic Floor Repair Systems are indicated for tissue reinforcement and long-lasting stabilization of fascial structures of the pelvic floor in vaginal wall prolapse where surgical treatment is intended, either as mechanical support or bridging material for the fascial defect. CONTRAINDICATIONS When GYNECARE GYNEMESH PS mesh is used in infants, children, pregnant women, or women planning future pregnancies, the surgeon should be aware that this product will not stretch significantly as the patient grows. WARNINGS AND PRECAUTIONS Users should be familiar with surgical procedures and techniques involving pelvic floor repair and nonabsorbable meshes before employing the GYNECARE PROLIFT Pelvic Floor Repair Systems. Acceptable surgical practices should be followed in the presence of infected or contaminated wounds. Post-operatively the patient should be advised to refrain from intercourse, heavy lifting and/or exercise (e.g. cycling, jogging) until the physician determines when it is suitable for the patient to return to her normal activities. Avoid placing excessive tension on the mesh implant during handling. Refer to the recommended surgical technique for the GYNECARE PROLIFT Pelvic Floor Repair System for further information on the GYNECARE PROLIFT procedures.
The GYNECARE PROLIFT Pelvic Floor Repair Systems should be used with care to avoid damage to vessels, nerves, bladder and bowel. Attention to patient anatomy and correct use of the device will minimize risks. Transient leg pain may occur and can usually be managed with mild analgesics. Do not manipulate the GYNECARE PROLIFT Retrieval Device with sharp instruments or cut it to alter its length. ADVERSE REACTIONS Potential adverse reactions are those typically associated with surgically implantable materials, including infection potentiation,inflammation, adhesion formation, fistula formation, erosion, extrusion and scarring that results in implant contraction. Punctures or lacerations of vessels, nerves, bladder, urethra or bowel may occur during GYNECARE PROLIFT Guide passage and may require surgical repair.
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