Disadvantages of Uterus Prolapse Surgery

Any operation comes with its own set of hazards. Adverse anesthetic responses, excessive bleeding, infection, and the risk of blood clots are among them. Antibiotics are administered before, during, and after surgery to decrease the risk of infection. To decrease your risk of blood clots, you will be given blood-thinning medication (such as Fragmin or Clexane) during surgery and while in the hospital. Serious bleeding or the need for a blood transfusion are very rare.

In general, prolapse surgery improves sexual function; nevertheless, approximately 2% of women have uncomfortable intercourse following surgery, which may need minor corrective surgery or the use of vaginal dilators.

After surgery, bladder difficulties may develop (e.g., trouble emptying the bladder, cystitis, or urine leakage), although these issues typically resolve quickly. However, if urine incontinence persists, further surgery or medication may be necessary.

Pain may be present immediately after surgery, although it usually subsides within a few days or weeks. It is uncommon for women to have long-term discomfort after prolapse surgery.

Injury to a neighboring structure is a rare consequence of prolapse surgery (e.g. bowel, bladder, ureter, nerve). A specialist may use a cystoscope (a telescope-like camera) to examine the bladder after surgery to rule out any bladder or ureter damage. Bowel blockage from adhesions and abdominal hernia are rare long-term consequences following laparoscopic, robot aided or abdominal prolapse surgery. If a problem develops, further surgery may be required.

There is a slight risk of muscle herniation or a fluid accumulation (seroma) at the donor site in your thigh if your own fascia lata is utilized. When a synthetic graft is utilized during laparoscopic or robot-assisted surgery, there is a tiny chance of a little piece of the synthetic graft being exposed in the vagina. Vaginal oestrogen pessaries or a minor vaginal surgery to remove the exposed synthetic graft are typically used to treat this (usually the entire graft will not need to be removed).