Treatment of anterior vaginal wall prolapse

Nowadays, more and more women love beauty, so beauty salons and plastic surgery hospitals are particularly popular among female friends. The vagina is one of the important organs of female friends. When vaginal diseases occur, it will cause people special pain and endanger people's health. Do you know what disease it is? How should it be treated when the anterior vaginal wall prolapses?

1. Western medicine

Mild cases do not require special treatment, but you should pay attention to nutrition, exercise the levator ani muscles regularly, and avoid standing for too long and having an overly full bladder. In severe cases, anterior and posterior vaginal wall repair can be performed. If sexual dysfunction and ovarian dysfunction occur, refer to Chapter 20 on Female Sexual Dysfunction and Chapter 10 on the treatment of gynecological endogenous diseases.

1. Non-surgical treatment

(1) Pessary: ​​An ancient treatment method suitable for varying degrees of vaginal 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 and other materials. It has many shapes, the most commonly used ones are ring-shaped and trumpet-shaped (Figure 4), or spherical pessary (Figure 5).

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 vaginal 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 take appropriate estrogen supplements to avoid excessive fatigue and rest to improve and reduce the degree of vaginal prolapse.

2. Surgical treatment is suitable for patients with prolapse of grade II or above, patients with symptoms of rectocele and cystocele, and patients who have failed 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 commonly used surgical methods can be selected according to the patient's age, fertility requirements and overall health status.

The above are the treatment methods for anterior vaginal wall prolapse. These methods can effectively treat this disease. We also hope that these methods can help patients with anterior vaginal wall prolapse to get rid of the torture of the disease. I also hope that everyone can have a healthy body. I also hope that female friends can take care of their own health.