Ask the Expert: Anthony Visco Discusses Pelvic Floor Prolapse
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Published: 06/26/2008
Updated: 06/26/2008
Duke urogynecologist Anthony Visco, MD, is happy to tell women about a minimally invasive cure for a minimally talked-about problem: pelvic floor prolapse.
What exactly is prolapse?
The word literally means “falling out of place.” Prolapse of a woman’s pelvic floor organs -- vagina, uterus, bladder, or rectum -- can happen when tissues or muscles in the pelvis weaken. It can result from childbirth, chronic coughing or straining, or just simply from getting older -- but it’s not an old person’s disease. It can happen at any age.
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Anthony Visco, M.D.
Is it common?
It’s pretty common, but most women consider prolapse a private
condition and aren’t inclined to talk about it -- even though it can
have a drastic effect on their day-to-day lives.
What do you want women to know about prolapse?
Well, for one, I think women should know that treatments for prolapse
are really improving. In fact, this condition is at the forefront of
surgical technology.
How so?
First of all, prolapse can be managed nonsurgically, but this won’t
make it go away. There is a surgical treatment called colpopexy which
can cure prolapse. Until recently, it required a long abdominal
incision, but now robotic surgery is making the cure much easier on
patients.
That sounds futuristic.
It does, but we’re using robotics right now. Robotic surgery gives
women a gold-standard repair with a minimally invasive approach.
Instead of using a long incision, I make a few tiny incisions using the
robot’s arms. Women recover quickly and there is a low risk of
complications. Most women go home the morning after the procedure. We
offer this procedure in both Raleigh and Durham.
