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Pelvic Floor Reconstruction

Pelvic Floor Reconstruction

Pelvic floor reconstruction is a group of surgical procedures used to repair weakened or damaged pelvic floor muscles and tissues. The pelvic floor supports the bladder, uterus (womb), rectum, and small intestine. When these muscles weaken, the organs can bulge or prolapse (drop down) into the vagina. This can cause a variety of symptoms, including urinary incontinence (leakage), pelvic pain, and difficulty with intercourse.

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Types of conditions

There are 8 main types of Pelvic Floor Reconstruction

Vaginal Wall Repair (Colporrhaphy)

Mesh Implantation

Sacrocolpopexy

Rectocele Repair

Perineorrhaphy

Urethral Sling Procedure

Pelvic Floor Muscle Training (PFMT)

Fistula Repair

Vaginal Wall Repair (Colporrhaphy)

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Cost estimation

Learn about the expenses involved in the procedure and what factors affect them.

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The average cost of Pelvic Floor Reconstruction in India is around ₹50,000 to ₹60,000.

₹60,000

High Cost

₹55,000

Average Cost

₹50,000

Low Cost

The LIST of AVERAGE COST of the Pelvic Floor Reconstruction across TOP 4 cities in India in Indian Rupee (INR) is as follows :

City

Lowest Cost

Average Cost

Highest Cost

Mumbai

₹50,000

₹55,000

₹60,000

Delhi

₹50,000

₹55,000

₹60,000

Hyderabad

₹50,000

₹55,000

₹60,000

Chennai

₹50,000

₹55,000

₹60,000

Commonly Asked Questions

Know More about Pelvic Floor Reconstruction

Do I always need surgery for my hand or wrist pain?

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Dr. Poonam Rastogi

Dr. Poonam Rastogi

Obstetrician and Gynaecologist

32+ Years Of Experience

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Dr. Adarsh Bhargava

Dr. Adarsh Bhargava

Obstetrician & Gynaecologist

42+ Years Of Experience

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Dr. Anjila Aneja

Dr. Anjila Aneja

Gynaecologist and Obstetrician

37+ Years Of Experience

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Not always. Depending on the cause, conservative treatments like splinting, medication, or physical therapy might be sufficient.

What are the benefits of minimally invasive surgery?

Smaller incisions, less tissue disruption, quicker recovery time, and potentially less pain.

Will I need physical therapy after surgery?

Most likely, yes. Physical therapy helps regain strength, flexibility, and range of motion in your hand or wrist.

How long will I be in pain after surgery?

Pain management is a priority. You'll experience some pain initially, but medication and ice therapy can help control it.

When can I return to work?

Depends on your recovery journey.

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Pelvic floor reconstruction is a group of surgical procedures used to repair weakened or damaged pelvic floor muscles and tissues. The pelvic floor supports the bladder, uterus (womb), rectum, and small intestine. When these muscles weaken, the organs can bulge or prolapse (drop down) into the vagina. This can cause a variety of symptoms, including urinary incontinence (leakage), pelvic pain, and difficulty with intercourse.

Symptoms Of Pelvic Floor Reconstruction

Symptoms

Urinary incontinence
Stress incontinence
Pelvic organ prolapse
Pain during intercourse
Constipation

DIAGNOSIS

Diagnosis for hand and wrist surgery typically involves a combination of methods to pinpoint the exact cause of your symptoms and determine the most appropriate treatment approach. Here's a breakdown of some common diagnostic techniques:

1. Medical history: Your doctor will discuss your symptoms, including their onset, severity, and any aggravating or relieving factors. They will also inquire about your past medical history, occupation, and any previous injuries to the hand or wrist.

2. Physical examination: The doctor will carefully examine your hand and wrist, assessing for tenderness, swelling, deformity, range of motion, and strength. They may also perform specific tests to evaluate nerve function and sensation.

3. Imaging studies: X-rays are often the first-line imaging technique to visualize broken bones, arthritis, and other abnormalities in the bones and joints of the hand and wrist. Depending on the suspected condition, additional imaging like CT scans or MRIs might be used for a more detailed view of bones, soft tissues (tendons, ligaments), and nerves.

4. Diagnostic injections: In some cases, injecting a local anaesthetic into a specific area can temporarily relieve pain and help pinpoint the source of the problem. For example, an anaesthetic injection in the carpal tunnel can temporarily alleviate symptoms associated with carpal tunnel syndrome.

5. Nerve conduction studies and electromyography (EMG): These tests measure the electrical activity of nerves and muscles to assess nerve function and identify any damage to nerves or muscles in the hand or wrist.

By combining these diagnostic techniques, your doctor can accurately diagnose the underlying cause of your hand or wrist problems and recommend the most suitable treatment plan, whether it involves surgery, medication, physical therapy, or other options.

CAUSES/RISK FACTORS

Age: As we age, tissues become less elastic and healing can be slower, potentially increasing risks of infection or complications.

Underlying health conditions: Chronic conditions like diabetes, obesity, or autoimmune diseases can impair healing and increase infection risk.

Smoking: Smokers have poorer circulation which can hinder healing and increase the risk of wound complications.

The severity of the condition: Complex surgeries or those involving extensive reconstruction carry a higher inherent risk compared to simpler procedures.

Previous surgery: Scar tissue from prior surgeries in the same area can complicate the current surgery and increase infection risk.

Anaesthesia complications: While uncommon, risks associated with anaesthesia like allergic reactions or breathing difficulties exist for any surgery.

PREPARING FOR SURGERY

Here's a breakdown of key steps involved in preparing for hand and wrist surgery:

Pre-operative Consultation

  • Detailed discussion with your surgeon: Discuss the surgery itself, potential risks and benefits, and recovery expectations.
  • Medical history review: Inform your doctor about any medical conditions, medications you take, and allergies.
  • Physical examination: The surgeon will assess your hand and wrist, and may recommend additional tests like X-rays.

Pre-operative Instructions

  • Fasting: You'll likely be instructed to avoid eating or drinking anything (except water) for a specific period before surgery (usually 8-12 hours).
  • Medications: Your doctor may advise stopping or adjusting certain medications before surgery.
  • Blood thinners: If you take blood thinners, your doctor will advise on stopping or adjusting them before surgery to minimize bleeding risks.
  • Smoking cessation: Smoking can hinder healing and increase infection risk. Quitting smoking well in advance of surgery is recommended.
  • Clothing: Wear loose-fitting clothing that allows easy access to the surgical site (hand/wrist).
  • Transportation and assistance: Arrange for someone to drive you home after surgery and potentially help you with daily activities during initial recovery.

Additional Considerations

TREATMENT DETAILS

Types

  • Fixing pinched nerves: Like carpal tunnel release, this frees a squished nerve in your wrist to stop pain and tingling.
  • Sewing up torn tendons: Surgeons stitch ripped tendons back together to get your fingers and wrist moving smoothly again.
  • Rebuilding broken stuff: If a bone breaks badly, they might use screws, plates, or even grafts to put it all back together.
  • Fusing bones: In very bad arthritis, they might connect bones permanently to stop pain and make the joint more stable.
  • Replacing worn-out parts: Just like a hip replacement, they can swap out a damaged joint in your hand or wrist for a new, artificial one.
  • Fixing stuck fingers: If a finger gets stuck or bent, a surgeon can release the tightness and let it straighten again.
  • Removing bumps and lumps: Sometimes fluid builds up in your hand, and surgery can take those bumps away.
  • Smoothing out a tight palm: This surgery loosens thickened tissue that might make it hard to bend your fingers.

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Dr. Alka Kriplani

Dr. Alka Kriplani

Gynaecologist and Obstetrician

42+ Years Of Experience

Dr. Meenakshi Ahuja

Dr. Meenakshi Ahuja

Obstetrics & Gynaecology

37+ Years Of Experience

Several factors can affect the cost estimation in Pelvic Floor Reconstruction.

  • Hospital type and location: Treatment costs can vary depending on the hospital's reputation, location (urban vs. rural areas), and the overall cost of living in the region. High-end hospitals and major cities tend to have higher charges.

  • Surgeon's fees and experience: The experience and reputation of the surgeon performing the surgery can influence their fees.

  • Facility fees: Costs associated with using the hospital's surgical suites, and other resources contribute to the overall bill.

  • Anaesthesia fees: The type of anaesthesia used during surgery (general vs. local) can affect the cost.

  • Medications: The specific medications used, can be very expensive.

  • Length of hospital stay: Complications or additional procedures during treatment can lead to a longer stay, increasing the cost.

  • Insurance coverage: Deductibles, co-pays, and out-of-pocket expenses will vary depending on your insurance plan. Some plans may have limited coverage for certain treatments or medications.

This procedure involves repairing and reinforcing the vaginal walls to treat conditions such as vaginal prolapse, where the organs in the pelvis descend into the vagina.

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Dr. G Usha Reddy

Dr. G Usha Reddy

Gynaecologist & Obstetrician

34+ Years Of Experience

  • Showering/Bathing: Inquire about showering or bathing instructions before surgery, and any precautions for keeping the surgical site clean and dry.
  • Valuables: Leave valuables at home, as you won't be able to access them easily during post-surgical recovery.
  • Exercises: Your doctor might recommend specific hand or wrist exercises to improve flexibility and range of motion before surgery, aiding post-surgical recovery.

Remember, this is a general overview. Your doctor will provide specific instructions tailored to your individual needs and the type of hand and wrist surgery you'll be undergoing.

  • Arthroscopy: This minimally invasive technique uses a tiny camera and specialized instruments inserted through small incisions.

  • Fluoroscopy: This real-time X-ray imaging allows surgeons to see bones and some aspects of soft tissue movement during surgery. This helps ensure proper placement of implants like plates, screws, or wires used for fixing fractures.

  • Computer navigation: Sophisticated computer software can be used in conjunction with fluoroscopy, creating 3D models of the hand or wrist.

  • Robotic-assisted surgery: While still evolving in hand and wrist surgery, robotic systems can offer greater tremor control and improved dexterity for surgeons, potentially leading to even more precise and minimally invasive procedures in the future.

  • Magnification loupes: These high-powered magnifying glasses provide surgeons with a magnified view of the surgical site, enhancing visualization of delicate structures like nerves and tendons during intricate repairs.

  • Specialized surgical instruments: A variety of specialized instruments designed for hand and wrist surgery exist. These instruments allow for precise dissection, suturing, and manipulation of tiny structures within the hand and wrist.

  • Recovery

    Immediately After Surgery

    • You'll likely spend some time in a recovery room before going home.
    • Your hand or wrist will be bandaged or splinted to immobilize it and promote healing.
    • You might experience some pain, which can be managed with medication.

    Here are some additional tips for a successful recovery:

    • Maintain good hand hygiene to prevent infection.
    • Attend all follow-up appointments with your doctor or therapist.
    • Communicate any concerns or setbacks you experience to your healthcare provider.
    • Be patient with your recovery. Regaining full function takes time and consistent effort