The main causes of pelvic support problems are pregnancy, childbirth and aging. The weight of the baby during pregnancy creates tremendous pressure on the pelvic tissue and muscles. Then, as the baby passes through the vagina during childbirth, the support of the pelvic floor muscles and ligaments may become damaged and weakened.
In later years, when a woman goes through menopause, the loss of estrogen worsens the strength of these delicate tissues. In some women, a familial (hereditary) factor seems to predispose to this problem even without childbirth. The causes may be:
1) Unusual weakening of the vaginal tissue after menopause
2) Abnormal increases in abdominal pressure due to coughing, heaving lifting, obesity, or constipation
3) Hereditary weakness of tissue.
copy:Nobuo Okui & Miyuki Motai, Kodansya
Our Urogynecology Center is the 1st facility dedicated to excellence in the comprehensive care of the patient with prolapse and incontinence. At our Urogynecology Center, we specialize in female pelvic medicine and reconstructive surgery for treatment of these disorders. We are gynecologists trained in the specific identification, evaluation, and treatment of the following conditions:
1) Loss of bladder or bowel control,
2) Difficulty urinating,
3) prolapse (dropped bladder or uterus),
4) Difficulty defecating.
At our center, our clinical professionals carefully evaluate each individual’s special needs based on her debilitating habits and medical history by defining how and why the control of urination has been lost for that particular patient. Then, we will indicate which type of techniques should be designated for proper treatment whether it is medication, physiotherapy, or surgery. During this time, we remain in constant communication with your gynecologist or primary care physician to keep him/her aware of your condition and to ensure the proper care needed for you.