How to treat vaginal wall protrusion

Vaginal wall protrusion is a very common type of vaginal disease. Once it occurs, it will cause disorders in urination function and even prevent sexual life from being completed smoothly, which has a great impact on women's health. Therefore, when vaginal wall protrusion occurs, women are very concerned about treatment methods. So, how to treat vaginal wall protrusion? Let’s take a closer look below.

1. Non-surgical treatment

Mild prolapse does not require treatment. For moderate or even severe prolapse, conservative treatment can be adopted if the patient needs to have children or is elderly with serious medical diseases. Conservative treatment includes the use of pessary, Kegel exercises and estrogen.

2. Surgical repair method

The surgical indications for anterior vaginal wall prolapse are: ① severe prolapse; ② prolapse leading to urinary retention or recurrent cystitis; ③ accompanied by stress urinary incontinence.

(1) Anterior vaginal wall suture The purpose of the anterior vaginal wall suture is to fold and suture the vaginal muscles and the fascia on the surface of the bladder (pubocervical fascia) or the vaginal side wall tissue to restore the bulging bladder and vagina to their normal position.

(2) Paravaginal repair: The purpose of paravaginal defect repair for anterior vaginal wall bulging is to restore the separated vagina to the level of the arcuate ligament of the pelvic wall (ATFP) that is normally connected to it. There are two main methods: vaginal approach or retropubic approach.

3. Surgical complications

Complications of anterior vaginal wall prolapse repair are relatively rare, with the most common being hematoma behind the anterior vaginal wall and damage to the urethra or bladder during separation. Repair of bladder damage often requires a urinary catheter to be placed for 7 to 14 days, which is beneficial for the healing of the bladder. Other rare complications include ureteral injury, suture to the bladder or urethra (with related bladder symptoms), and fistula formation, such as urethrovaginal fistula, vesicovaginal fistula, etc.

The above is an introduction to how to treat vaginal wall protrusion. I hope it will be helpful for women. There are many ways to treat vaginal wall protrusion, but the conditions of different patients are different, and targeted measures must be taken for treatment. It is best to go to a regular hospital for diagnosis and treatment, and take daily care measures to prevent more serious consequences.