INFORMATION 2017-07-14T09:12:15+00:00

Overview

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.

Symptoms and signs

Pelvic organ prolapse can be symptomatic, affecting the functions of the bladder, vagina and rectum (bowel).
Signs include physical abnormalities, such as something protruding through the vagina or anus, or a feeling of heaviness and difficulty in defecation.
Women should be on the lookout for these, which are indications for consulting a doctor or a centre like the Cura Pelvi Centre.
TYPES OF PELVIC FLOOR PROLAPSE

Evaluation

Evaluation of each patient consists of the following.

  • Evaluation of the prolapse – as well as the impact on the patient’s life (Gynaecologist)
  • Evaluation of the pelvic and abdominal muscle strength, posture and related issues (Physiotherapy)
  • Evaluation of the patient’s body mass, excess abdominal and visceral fat, nutritional status, bowel function and related issues (Dietetics)

Treatment

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.

Rehabilitation

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.

Referring Physicians

No specific pre-referral special examinations are necessary.

Patients may be referred under the following conditions:

  • By a General Practitioner (GP) when there is obvious prolapse

  • By a Specialist who considers the Cura Pelvi facility the ideal platform for treating the patient’s abnormalities.