Treatment of uterine prolapse

Today is a world that loves beauty. Many people love their beauty very much. Any flaw becomes unacceptable and they want to find ways to remove it, especially uterine prolapse among female friends. This will make them become listless. Let us learn about the treatment of uterine prolapse.

Treatment:

1. Non-surgical treatment

(1) Pessary: ​​An ancient treatment method suitable for varying degrees of uterine prolapse. The diameter of the pessary is larger than the transverse diameter of the urogenital hiatus, which can support the uterus and vaginal walls and keep them in the vagina without falling out. It is made of silicone rubber, plastic, etc. and 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 doctor. Use during the day, take out at night, wash and set aside. If the pessary is not removed for a long time, it may become incarcerated and 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 uterine prolapse. Instruct the patient to perform anal contraction exercises to force the pelvic floor muscles to contract and relax, 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 supplement estrogen in moderation and avoid excessive fatigue. Resting can improve and reduce the degree of uterine prolapse.

2. Surgical treatment is suitable for patients with prolapse of grade II or above, patients with symptomatic rectal cystocele, and patients who have not responded to conservative treatment. The principles of surgery are 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 are selected according to the patient's age, fertility requirements and overall health status.

(1) Surgery to strengthen pelvic fascia support: Suitable for patients with grade I or grade II prolapse accompanied by bulging of the anterior and posterior vaginal walls and those with elongated cervix. Commonly used surgeries include: ① Anterior and posterior vaginal wall repair. ② Repair of the anterior and posterior vaginal walls + partial cervical resection and shortening of the main ligament. ③Ligament suspension surgery. Laparoscopic shortening of the round ligament and sacroiliac ligament is suitable for patients with congenital simple mild uterine prolapse.

(2) Vaginal hysterectomy and anterior and posterior vaginal wall repair: Suitable for patients with grade II and III prolapse who do not desire to have children.

(3) Vaginal closure: also known as Le-Fort surgery. It is suitable for patients without cervical malignancy and who are elderly and cannot tolerate major surgery. The vagina is partially closed after surgery and the patient loses the ability to have sexual intercourse.

The above article explains in detail the treatment methods of uterine prolapse. I believe everyone has a preliminary understanding. If you have already suffered from this disease, you should go to the hospital for examination. Don’t do strenuous exercise in normal times.