What should I do if I have uterine prolapse and lower back pain?

Uterine prolapse has become a gynecological disease that modern women often suffer from. It is a treatable disease, and the goal of treatment is mainly to increase the support of the pelvic floor tissue for the uterus and the support of the ligaments on the uterus for the uterus. However, the specific situation should be identified according to the severity. It is divided into surgical and non-surgical types. What is the difference? Let’s take a look together below.

1. Non-surgical treatment

1. Pessary: ​​This method is suitable for different degrees of uterine prolapse. A pessary with a diameter larger than the transverse diameter of the urogenital hiatus can support the uterus and vaginal walls and keep it in the vagina without falling out. It is made of silicone rubber, plastic, etc. and comes in many shapes, the most commonly used ones are ring-shaped, trumpet-shaped, or spherical pessaries.

Choose a pessary of appropriate size. The first time you use a pessary, it should be placed under the guidance of a physician. Use it during the day, take it out at night, wash it and set it aside. If left unremoved for long periods of time, the pessary may become incarcerated and may even cause urinary fistula or fecal fistula. It is not suitable for patients with cervical and vaginal wall inflammation, genital tract ulcers, and severe prolapse that cannot be reduced. It should be discontinued during menstruation and pregnancy, and reviewed every 3 months after use.

2. Pelvic floor muscle (levator ani muscle) exercise: suitable for those with mild uterine prolapse. Instruct the patient to perform anal contraction exercises, forcefully contracting and relaxing the pelvic floor muscles for 10 to 15 minutes each time, 2 to 3 times a day. This therapy can be performed in conjunction with taking the traditional Chinese medicine Bu Zhong Yi Qi Tang.

3. Improve overall condition: Treat and eliminate chronic diseases that increase abdominal pressure, such as cough and constipation. Postmenopausal women should supplement estrogen in moderation and avoid excessive fatigue. Resting can improve and reduce the degree of uterine prolapse.

2. Surgical treatment

It is suitable for patients with prolapse of grade II or above, patients with symptoms of rectocele and cystocele, and patients who do not respond to conservative treatment. The principle of surgery is to restore the normal anatomical position of the uterus or remove the uterus, repair excess mucosa of the vaginal wall, and suture and repair the pelvic floor muscles. The following common surgical methods can be selected according to the patient's age, fertility requirements and overall health status.

1. Surgery to strengthen pelvic fascia support: Suitable for patients with grade I or grade II prolapse accompanied by bulging of the anterior and posterior vaginal walls and those with elongated cervix. Commonly used surgeries include: ① anterior and posterior vaginal wall repair; ② anterior and posterior vaginal wall repair + partial cervical resection and main ligament shortening; ③ ligament suspension surgery. Laparoscopic shortening of the round ligament and sacroiliac ligament is suitable for patients with congenital simple mild uterine prolapse.

2. Total vaginal hysterectomy and anterior and posterior vaginal wall repair: suitable for patients with grade II and III prolapse who have no fertility requirements.

The above content is an explanation of the treatment methods for uterine prolapse, but don’t think that as long as uterine prolapse is treated, the back pain can be relieved. In fact, back pain is a common disease among middle-aged women. It is recommended that you exercise more often. You can apply hot towels to the waist to relieve pain.