What is uterine prolapse suspension surgery like?

Uterine prolapse is a condition in which the uterus moves out of the vulva due to the weakening of the ligaments that fix the uterus. It is most likely caused by birth injuries, improper delivery, etc. Having multiple children will also increase the chance of uterine prolapse. There are many treatments for uterine prolapse. Different degrees of uterine prolapse require different treatments. What about uterine prolapse suspension surgery?

Uterine prolapse should be treated actively. Non-surgical treatment should also be combined with medication or physical exercise to improve the efficacy.

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.

Uterine prolapse is a disease unique to women, but it can be effectively avoided as long as you pay attention to prevention in your early years. Try to avoid having an abortion, have fewer children and give birth to better children, and abide by family planning policies, which can also reduce the occurrence of many gynecological diseases. Of course, uterine prolapse requires active treatment.