Can uterine prolapse be restored?

Every disease has a corresponding solution and treatment. This is the advancement of modern medical technology. The importance of the uterus to a woman is self-evident, because it indicates whether they can conceive a baby, and every baby is a surprise and joy to the mother. Can uterine prolapse be restored? The answer to this question is not absolute. If the condition is too serious, it will definitely not be recoverable. If the condition is relatively mild, it can be suppressed to a certain extent. Next, let us understand whether uterine prolapse can be recovered?

Uterine prolapse should be treated actively. Non-surgical and surgical treatments may be used depending on the situation. The treatment methods can be divided into: non-surgical treatments such as the use of pessaries, oral Chinese medicine, acupuncture, physical exercise, and surgical repair. Because the operation will have a certain impact on the subsequent vaginal delivery, it is only suitable for severe cases and women who no longer want to have children. Pessaries have long been used to treat uterine prolapse.

Pessary treatment is to use the pubococcygeus muscle bundle of the levator ani muscle to support the uterine tray in the vaginal vault, prevent the cervix from descending, and maintain the cervix at the level of the ischial spines. This method is simple and easy to perform, and patients can master it by themselves. It can be used for all degrees of uterine prolapse. There are many types of pessaries, and the most commonly used pessary is the plastic mushroom type. The trays are divided into three sizes: large, medium and small (the diameter or horizontal diameter is 6, 5 and 4 cm respectively). Trays are divided into two types: round and oval. The most commonly used size is medium. The handle is about 5cm long and bends forward to fit the curvature of the vagina. Generally, put it in the morning before work, take it out and wash it in the evening. It is best not to use during menstruation. The surface of the plastic tray is smooth, it is not easy to deteriorate when exposed to acids and alkalis, and it has little irritation to tissues. After wearing the support, the symptoms disappear and the patient can participate in various activities without pain. The effect will be better if combined with acupuncture and Chinese medicine treatment. Pessaries should not be used in patients with severe perineal lacerations, genital tract inflammation, severe uterine prolapse that cannot be reduced to the vagina, excessive cervical elongation or suspected cancer, urinary fistula or fecal fistula, postpartum period, pelvic tumors or combined ascites.

Physical therapy can also treat mild uterine prolapse. For example, for levator ani muscle exercises, forcefully contract the anus for about 10 minutes each time, several times a day. The first exercise should be done before getting up. People with stress urinary incontinence should consciously pause the urination action several times each time they urinate and make it a habit. Non-surgical treatment should also be combined with medication or physical exercise to improve the efficacy. Surgical treatment can be used when non-surgical treatments such as pessaries are ineffective. The purpose of surgical treatment is to eliminate symptoms and repair defective pelvic floor support tissue. It must be selected based on the patient's age, fertility requirements, the pathogenesis of uterine prolapse and anatomical changes.

There are many surgical methods, but they can be mainly classified into the following categories:

(i) Shorten the lax cardinal ligaments to improve the support of the uterus. It is suitable for younger patients with grade II and III uterine prolapse who wish to retain their uterus.

(ii) Uterine suspension: By shortening the round ligament of the uterus or using various slings made of some biological materials, one end of the sling is sewn to the uterus through laparoscopy and the other end is fixed to the presacral tissue to achieve the purpose of suspending the uterus and vagina. （III）Correct abnormal uterine morphology. If the cervix has become elongated and enlarged, part of the cervix must be removed to restore the cervix to its normal length.

(iv) Shorten the pubocervical fascia and strengthen the support of the anterior vaginal wall. The pubococcygeus muscle gap is sutured and a well-functioning perineum is reestablished. Commonly used surgical procedures include anterior and posterior vaginal wall repair, perineal repair and partial cervical resection. The operation is simple and the effect is good. It is suitable for most patients with uterine prolapse.

(V) Vaginal hysterectomy and anterior and posterior vaginal wall repair: Suitable for patients with grade II and III uterine prolapse accompanied by anterior and posterior vaginal wall prolapse, who are older and do not need to retain the uterus.

Can uterine prolapse be restored? No matter what the answer to the question is, women should actively seek treatment for their own health. If uterine prolapse causes them to be unable to conceive, they should maintain a good attitude because there will always be a solution. In addition, in life, women should pay more attention to their physical problems and go to the hospital for examination and treatment in time if they encounter any situation. Only in this way can they discover the disease in time and cure it.