Ask Dr. Aram Bonni – How and why does Prolapse happen?

By Aram Bonni, MD, FACS, FACOG

Question:

How and why does a prolapse happen? And if I have surgery to correct my prolapse, how long will it last?

Answer:

There are no direct cause and effect relationship established. Women that are obese, smoke or have had a history of smoking, have had vaginal deliveries and have genetic predisposition to prolapse are at increased risk of suffering from pelvic organ prolapse. There are many different types of pelvic organ prolapse and many different ways of repairing them. Those are important factors in how long will the repairs last as is the surgeons experience and the methods used. For instance doctors with fellowship training in Female Pelvic Medicine and Reconstructive Surgery (aka Urogynecology and Pelvic Surgery) are generally much more experienced in performance of these procedures. Methods and techniques of repair are also important factors. For instance the addition of the Da Vinci Robot has helped achieve much more precise repairs with a lot less blood loss and postoperative pain while decreasing the time necessary to recover from such surgeries.

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Aram Bonni, MD is Board certified by the American Board of Obstetrics and Gynecology. He is the only surgeon with approved fellowship trainings in both Urogynecology – Pelvic Surgery and Cosmetic Surgery. His background and training provide a unique expertise under one roof. His scope of practice extends from gynecology, female bladder matters, urinary incontinence, and pelvic floor disorders to advanced and minimally invasive surgeries including robotic surgery. He also offers many state-of-the-art cosmetic gynecological surgeries and procedures.

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