What to do if you have vaginal bulging after childbirth

Many women will notice that their vaginas have changed greatly after giving birth. Women who have given birth will feel that their vaginas seem to have a bulging phenomenon, which is a little swollen, but not very prominent. The vaginas of women who have not given birth before are very flat and look more beautiful. Therefore, many women are puzzled by such symptoms. So what should we do about vaginal bulging after childbirth?

The symptoms of vaginal wall bulge are as follows: Experts say that patients with vaginal wall bulge experience the above symptoms because when the bladder bulges, an angle forms between the bladder and the urethra, which affects urine excretion, and the increased abdominal pressure aggravates the bulge. If there is urinary retention, cystitis often occurs; injury to the pubourethral ligament can cause urethral prolapse, which may lead to stress urinary incontinence; severe prolapse of the anterior vaginal wall is often accompanied by first-degree uterine prolapse. Those with mild disease may have no symptoms or feel a bulge in the genitals. Those with severe disease may have a feeling of falling, and the bulge increases when tired or exerting force. They gradually become difficult to urinate, and sometimes they cannot urinate at all, and they have to push the bulge back into the vagina by hand before they can urinate.

Vaginal wall bulge refers to the tearing of the female reproductive organs including the pelvic floor muscles and fascia as well as the uterine ligaments due to injury. Patients with vaginal wall bulge experience the above symptoms because when the bladder bulges, an angle forms between the bladder and the urethra, affecting urine excretion, and the increased abdominal pressure aggravates the bulge. Or due to other reasons, the vaginal supporting tissue cannot return to normal and be exposed outside the vaginal opening.

What to do if the vaginal wall bulges after childbirth

When treating patients with pelvic organ prolapse or incontinence, it is of utmost importance to consider the supportive pelvic structures. The surgeon needs to analyze the differences and specificities of the injury sites in different patients so as to restore the anatomy and function and achieve the ultimate goal. When urethral sphincter dysfunction occurs, surgery should choose a method that can both resolve the anterior vaginal wall bulge and treat stress urinary incontinence. If no urethral sphincter dysfunction is found, surgery to combat stress urinary incontinence is unnecessary, although the urethra and bladder neck serve as part of the anterior vaginal wall support.

1. Surgical treatment

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 and suburethral plication: The purpose of 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 positions. In many cases, regardless of whether the patient has urinary incontinence, a plication suture is placed at the vesicourethral junction to reinforce the posterior urethral support tissue to ensure that patients who do not have stress urinary incontinence at the time of surgery will not develop it after surgery. If there are symptoms of stress urinary incontinence, anti-stress urinary incontinence surgery is needed

Vaginal prolapse after childbirth is a very normal symptom. However, if this prolapse causes many uncomfortable symptoms in life, you must pay attention to it. Such symptoms must be treated in time. You must also treat postpartum vaginal prolapse calmly and not worry too much. You must pay attention to your diet after childbirth to avoid heavy bleeding. Postpartum vaginal prolapse can also be corrected by surgery.