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Prolapso é tudo que se projeta e ocupa um lugar que não é seu. No caso dos prolapsos de órgãos pélvicos ocorre uma projeção de bexiga, intestino, útero contra a parede vaginal. Esses órgãos podem se projetar pelo hiato vaginal, podendo ocupar a vagina ou, em alguns casos, até se exteriorizando. Logo, subentende-se que essa é uma patologia exclusiva de mulheres.
As pacientes acometidas dessa condição costumam perceber uma sensação de plenitude na região urogenital ou iniciar com sintomas funcionais da bexiga e do intestino, como sensação de esvaziamento vesical incompleto ou dificuldade para evacuar.
Durante avaliação médica, além de entender os sintomas da paciente é necessário realização de exame físico. Nessa ocasião, é possível, na maioria dos casos, notar essa distopia genital já ao repouso. Em alguns casos é necessário realização de força abdominal para apresentar o prolapso.
Quando há fragilidade da parede anterior (teto) da bexiga se projeta para o intróito vaginal. Quando é o ápice vaginal o órgão que desce é o colo do útero/útero. Quando é parede posterior vesical (assoalho) o órgão que ocupa um espaço indevido é o intestino (reto). Essas distopias podem ser de fragilidade de um ou mais compartimentos.
Condições que desencadeiam fragilidade da musculatura e dos ligamentos do assoalho pélvico são fatores que somam para o surgimento dessas distopias, como envelhecimento, procedimentos cirúrgicos da região pélvica, número de gestações, esforço abdominal repetitivo, sobrepeso e tabagismo.
Dentre os tratamentos possíveis, estão fisioterapia pélvica, uso de pessário e cirurgia. A fisioterapia é de fundamental papel nessa reabilitação tanto antes ou, caso ocorra, após a cirurgia. A cirurgia pode ser realizada por via vaginal ou abdominal. No caso das cirurgias por via abdominal, pode ser realizado por vídeo ou convencional. O procedimento cirúrgico consiste em uso de tela de material sintético que é aposicionada envolvendo a vagina por via videolaparoscópica. Ou seja, numa cirurgia minimanente invasiva, acessa a vagina por via abdominal, envolvendo-a nessa tela e fixando a tela a um osso da pelve, para que haja retorno da sustentação vaginal e de suas paredes.
O pós operatório costuma ser rápido e com alta hospitalar precoce caso haja condições para tal. O grau de satisfação das pacientes após a cirurgia é gratificante. Pois a grande maioria tem sucesso com a cirurgia, com retorno de suas atividades habituais em 20-30 dias, quando não há nenhuma intercorrência.
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filter_hue=”0″ filter_saturation=”100″ filter_brightness=”100″ filter_contrast=”100″ filter_invert=”0″ filter_sepia=”0″ filter_opacity=”100″ filter_blur=”0″ filter_hue_hover=”0″ filter_saturation_hover=”100″ filter_brightness_hover=”100″ filter_contrast_hover=”100″ filter_invert_hover=”0″ filter_sepia_hover=”0″ filter_opacity_hover=”100″ filter_blur_hover=”0″]https://grupoelasbrasilia.com.br/wp-content/uploads/2021/05/Rhani-Ferreira.jpg[/fusion_imageframe][/fusion_builder_column_inner][fusion_builder_column_inner type=”2_3″ layout=”2_3″ align_self=”auto” content_layout=”column” align_content=”flex-start” valign_content=”flex-start” content_wrap=”wrap” spacing=”” center_content=”no” link=”” target=”_self” min_height=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” sticky_display=”normal,sticky” class=”” id=”” type_medium=”” type_small=”” order_medium=”0″ order_small=”0″ dimension_spacing_medium=”” dimension_spacing_small=”” dimension_spacing=”” 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text_shadow_blur=”0″ text_shadow_color=”” margin_top_medium=”” margin_right_medium=”” margin_bottom_medium=”” margin_left_medium=”” margin_top_small=”” margin_right_small=”” margin_bottom_small=”” margin_left_small=”” margin_top=”” margin_right=”” margin_bottom=”2px” margin_left=”” margin_top_mobile=”” margin_bottom_mobile=”” text_color=”#202020″ animated_text_color=”” highlight_color=”” style_type=”default” sep_color=”” link_color=”” link_hover_color=”” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=””]Dra. Rhani Ferreira[/fusion_title][fusion_title title_type=”text” rotation_effect=”bounceIn” display_time=”1200″ highlight_effect=”circle” loop_animation=”off” highlight_width=”9″ highlight_top_margin=”0″ before_text=”” rotation_text=”” highlight_text=”” after_text=”” title_link=”off” link_url=”” link_target=”_self” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” sticky_display=”normal,sticky” class=”” id=”” content_align_medium=”” content_align_small=”” content_align=”left” size=”6″ font_size=”” animated_font_size=”” fusion_font_family_title_font=”Poppins” fusion_font_variant_title_font=”700″ line_height=”” letter_spacing=”” text_shadow=”no” text_shadow_vertical=”” text_shadow_horizontal=”” text_shadow_blur=”0″ text_shadow_color=”” margin_top_medium=”” margin_right_medium=”” margin_bottom_medium=”” margin_left_medium=”” margin_top_small=”” margin_right_small=”” margin_bottom_small=”” margin_left_small=”” margin_top=”” margin_right=”” margin_bottom=”” margin_left=”” margin_top_mobile=”” margin_bottom_mobile=”” text_color=”#202020″ animated_text_color=”” highlight_color=”” style_type=”default” sep_color=”” link_color=”” link_hover_color=”” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=””]Urologista em Brasília, CRM-DF: 21358, RQE: 19329[/fusion_title][fusion_text columns=”” column_min_width=”” column_spacing=”” rule_style=”default” rule_size=”” rule_color=”” content_alignment_medium=”” content_alignment_small=”” content_alignment=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” sticky_display=”normal,sticky” class=”” id=”” margin_top=”” margin_right=”” margin_bottom=”10px” margin_left=”” font_size=”” fusion_font_family_text_font=”” fusion_font_variant_text_font=”” line_height=”” letter_spacing=”” text_color=”” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=””]Urologia[/fusion_text][fusion_text columns=”” column_min_width=”” column_spacing=”” rule_style=”default” rule_size=”” rule_color=”” content_alignment_medium=”” content_alignment_small=”” content_alignment=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” sticky_display=”normal,sticky” class=”” id=”” margin_top=”0px” margin_right=”” margin_bottom=”10px” margin_left=”” font_size=”15px” fusion_font_family_text_font=”Poppins” fusion_font_variant_text_font=”400italic” line_height=”” letter_spacing=”” text_color=”#7e858e” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=””]“Cuidar de pessoas é um desafio e uma dádiva!”[/fusion_text][fusion_button link=”https://grupoelasbrasilia.com.br/rhaniferreira/” text_transform=”” title=”” target=”_self” link_attributes=”” alignment_medium=”” alignment_small=”” alignment=”” modal=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” sticky_display=”normal,sticky” class=”” id=”” color=”default” button_gradient_top_color=”” button_gradient_bottom_color=”” 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sticky_display=”normal,sticky” class=”” id=”” fusion_font_variant_title_font=”700″ fusion_font_family_title_font=”Open Sans” margin_bottom=”30px”]Agende sua consulta[/fusion_title][fusion_button link=”https://grupoelasbrasilia.com.br/contato/” text_transform=”” title=”” target=”_self” link_attributes=”” alignment_medium=”” alignment_small=”” alignment=”center” modal=”” color=”default” button_gradient_top_color=”” button_gradient_bottom_color=”” button_gradient_top_color_hover=”” button_gradient_bottom_color_hover=”” accent_color=”” accent_hover_color=”” type=”” bevel_color=”” border_width=”” border_radius=”” border_color=”” border_hover_color=”” size=”” stretch=”default” icon=”fusion-prefix-fa-envelope-dot” icon_position=”left” icon_divider=”no” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” sticky_display=”normal,sticky” class=”” id=””]AGENDE SUA CONSULTA[/fusion_button][/fusion_builder_column][/fusion_builder_row][/fusion_builder_container]