Final answer:
Surgical treatment for severe vaginal prolapse causing Hydronephrosis involves sacrocolpopexy and may also include a cystoscopy and nephrostomy tube placement if needed. Post-operative care is essential to prevent further prolapse.
Step-by-step explanation:
Surgical treatment for severe vaginal prolapse causing Hydronephrosis may involve a procedure called sacrocolpopexy. This procedure involves attaching a synthetic mesh or graft to the top of the vagina and then securing it to the sacrum or lower part of the spine. The mesh provides support to the prolapsed tissues and helps to lift the vagina back into its normal position.
In addition, a cystoscopy may be performed to assess the extent of the hydronephrosis and to ensure that there is no bladder involvement. If the hydronephrosis is severe, a nephrostomy tube may need to be placed temporarily to relieve the pressure on the kidney.
After the surgical treatment, the patient will be advised to follow post-operative care instructions, including abstaining from heavy lifting, avoiding constipation, and maintaining pelvic floor muscle exercises to prevent further prolapse.