Ask Dr. Aram Bonni – “Can Surgery Eliminate Cyctocele Pain?”

By Aram Bonni, MD, FACS, FACOG

Question:

My mother is 74 years old. She was diagnosed with cycstocele and they said there was no chance for her to recover. I was wondering if surgery would help to eliminate her pain and if surgery would be a major procedure for her?

Answer:

It is difficult to comment without proper examination and evaluation. Overall I would not evaluate the situation as” no chance to recover.” In general cycstocele repairs are minimally invasive procedures that could be done as an outpatient and would take care of herniation or down fall of the bladder. Often times there maybe other issues related to the problem that may need to be attended to. Most important factor in this scenario in my opinion is to make sure that one completely understands the relationship between the described pain and the cycstocele. It is not that uncommon for pain to exist for other reasons and as a matter of fact a pure cycstocele and prolapsed bladder is not all that painful. It usually presents itself with other symptoms and signs.

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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.

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.