The Cura Plevi Unit, is a unit for the treatment of pelvic organ prolapse and related conditions. The unit originated in 1996 under Prof H.S. Cronje which developed into one of the outstanding units of this nature in South Africa. New methods of treatment were developed, based on research published in medical literature. Following retirement, Prof Cronje moved to Pretoria from Bloemfontein, where he started a private practice concentrating on pelvic organ prolapse and related conditions. Gradually, physiotherapy and dietetics were incorporated for providing a comprehensive approach.
For pelvic organ prolapse, more than 20 operations have been described in the medical literature. Based on our research we have settled on one surgery, the “PCSS”. It is a complete repair of all the defects in the pelvis. Following over a thousand of these procedures we noted a marked improvement in the function of the pelvic organs, with a recurrence rate of less than 5%. However, when an indication for a different type of surgery emerges, the patient will be treated accordingly.
Physiotherapy, an integral part of our treatment can be applied as a separate treatment modality or in support of the surgical procedure. Since the pelvic floor largely consists of muscle, physiotherapy can significantly contribute to a patient’s welfare.
Most patients with pelvic organ prolapse suffer from conditions such as constipation and excess abdominal fat which creates a burden on the pelvic floor. For this reason, we have incorporated dietetics, which are also applied as a separate treatment, or in support of the surgery.
The primary treatment for pelvic organ prolapse is surgery. The aim is not only to restore the normal anatomy but also to restore the function of pelvic floor organs. Functional restoration is difficult, because the pelvic organs have a rich nerve supply with a strong representation in the subconscious mind. Therefore, we involve physiotherapy and dietetics as well. We want to treat the prolapse but also to improve the patient’s quality of life in general.
For some patients, the road to an improved quality of life may be long and difficult. This is particularly true for patients with previous surgery for pelvic organ prolapse, obese patients, patients with chronic bladder dysfunction and/or constipation as well as elderly patients. These patients will be supported with a rehabilitation program, mainly by the physiotherapists and dieticians.