Minimally invasive treatments for uterine prolapse

Minimally invasive treatment of uterine prolapse is a disease that gives us a headache. Many women are particularly disgusted with this disease, and the treatment of this disease is also very difficult. Many people have to choose other more effective methods for more effective treatment. Maybe many of us do not have a clear understanding of the minimally invasive treatment of uterine prolapse. Let us learn about the minimally invasive treatment of uterine prolapse.

1. Non-surgical treatment

(I) Pessary therapy

1. Indications

(1) Patients who are not suitable for surgical treatment due to systemic conditions or serious heart, liver, kidney and other diseases.

(2) Those who refuse surgical treatment or are unable to undergo surgical treatment due to environmental or economic reasons.

(3) For patients with mild uterine prolapse and severe symptoms such as low back pain, if conservative treatment with a pessary is used first and their symptoms are relieved, they may be considered for surgical treatment.

2. Contraindications

(1) If there is obvious inflammation or ulceration in the vagina or cervix, the device must be placed after it has healed.

(2) The vaginal opening is wide, the vagina is short and shallow, and the surrounding fornix becomes shallow or disappears, which cannot support the uterus above the genital hiatus.

(3) Those with obvious pelvic inflammation or tumors.

(4) Third-degree perineal laceration, or urinary fistula or fecal fistula.

(5) It is not advisable to use a pessary during menstruation, pregnancy, or the postpartum period.

3. Types: There are four types of pessaries commonly used in China and developed in recent years: ① morning glory type pessary; ② ring type pessary; ③ ball type pessary; ④ ball belly - mushroom head pessary.

4. Use of pessary: ​​There are three types of pessaries: large, medium and small. After the pessary is placed, the prolapsed uterus and vaginal wall can be retracted into the vagina. The patient feels comfortable and the uterus is not prolapsed. It is suitable for placement. The patient should be taught how to put it in and out, and be reminded to take it out and wash it every night, and then put it back in the morning. Generally, the patient lies flat on her back with her legs bent and spread apart. The back edge of the pessary is tilted and pushed along the back wall of the vagina to the top of the vagina. The front edge of the pessary is pushed to the back of the pubic symphysis. The patient is then asked to exhale to make the uterus descend. Check whether the position of the pessary is correct. When taking out the pessary, it should be taken out gently in a sideways direction.

(II) Paracervical drug injection

This method is to stimulate chemical inflammation and form scars. After the scars contract, the loose main ligaments are shortened, causing the uterus to lift up. This therapy is effective for mild uterine prolapse, but ineffective for severe cases, and has significant side effects, so it has not been widely used.

The above content introduces us to the minimally invasive treatment methods for uterine prolapse. I believe that everyone has a clearer understanding of these contents. For this disease, treatment as soon as the disease appears is very effective for our cure and can help us reduce the physical pain and suffering caused by the disease.