How to treat uterine prolapse?

Uterine prolapse is a common uterine disease that is very common among the elderly and middle-aged women. For women, this disease is the beginning of a nightmare. It is not only difficult to treat, but also very expensive. There are many ways for women to choose from to treat this disease, which can give women more opportunities to cure this disease.

1. Non-surgical treatment

(1) Pessary: ​​An ancient treatment method suitable for varying degrees of uterine prolapse. The diameter of the pessary is larger than the transverse diameter of the urogenital hiatus, which can support the uterus and vaginal walls and keep them in the vagina without falling out. It is made of silicone rubber, plastic, etc. and has many shapes, the most commonly used ones are ring-shaped and trumpet-shaped (Figure 4), or spherical pessary (Figure 5).

.Surgical treatment is suitable for patients with prolapse of grade II or above, patients with symptomatic rectal cystocele, and patients who have not responded to conservative treatment. The principles of surgery are 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 commonly used surgical methods are 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 Repair of the anterior and posterior vaginal walls + partial cervical resection and shortening of the main ligament. ③Ligament suspension surgery. Laparoscopic shortening of the round ligament and sacroiliac ligament is suitable for patients with congenital simple mild uterine prolapse.

(2) Vaginal hysterectomy and anterior and posterior vaginal wall repair: Suitable for patients with grade II and III prolapse who do not desire to have children.

(3) Vaginal closure: also known as Le-Fort surgery. It is suitable for patients without cervical malignancy and who are elderly and cannot tolerate major surgery. The vagina is partially closed after surgery and the patient loses the ability to have sexual intercourse.

Most of the above treatment methods are only given to female patients after tens of thousands of clinical diagnoses and treatments. Generally speaking, no matter which one is used, the probability of women treating uterine prolapse is very high, and the hope of cure is very high. Women should remember to protect themselves in daily life and eat more fruits that are beneficial to women.