Leaking urine when coughing? This magical "sling" solves the embarrassment and brings the runaway uterus back home

In September this year, Aunt Wu could no longer endure the pain of long-term urinary incontinence, and finally made up her mind to go to the Department of Gynecology of Zhejiang Zhongshan Hospital accompanied by her children. In the warm clinic, facing the kind and professional questions of Director Fan Yibing, Aunt Wu opened her heart.

It turns out that since she reached menopause at the age of 50, Aunt Wu has started to leak urine, especially when she coughs or sneezes. "I can't hold it back even if I want to, and it's really embarrassing when I encounter this situation when I go out," Aunt Wu was too embarrassed to tell her children when the problem first occurred, so she chose to wear a sanitary napkin when she went out, thinking that it would get better over time.

In the past few years, the urinary incontinence has gradually worsened, and I have also developed frequent and urgent urination. I have to get up four or five times in the middle of the night to urinate, and even my sleep has been greatly affected.

In September this year, Aunt Wu finally told her children about this matter. After learning that their mother had been suffering from urinary incontinence for many years, her children were very upset and felt that they did not care enough for their mother. So they immediately searched for doctors in the provincial capital who were good at treating this kind of disease. After asking around, they took their mother to see Dr. Fan Yibing.

After a careful gynecological examination, Director Fan Yibing found that Aunt Wu's anterior vaginal wall bulged to 0.5 cm inside the edge of the hymen, her cervix prolapsed 2 cm from the edge of the hymen, the middle and lower segments of the posterior vaginal wall bulged significantly, and digital rectal examination indicated that the lower segment of the rectum bulged toward the posterior wall of the vagina in a pouch-like manner, consistent with the diagnosis of grade II uterine prolapse, stress urinary incontinence, overactive bladder, and anterior and posterior vaginal wall prolapse with rectal hernia.

Based on Aunt Wu’s situation, Director Fan Yibing developed a treatment plan of lateral abdominal wall vaginal apex sling surgery (Dubuisson procedure) + posterior vaginal wall repair + rectal hernia repair.

In simple terms, the Dubuisson procedure is like adding two upward suspension ligaments to the uterus through the pelvic peritoneum, re-suspending the prolapsed uterus in its normal position, and implanting a mesh in the vesico-vaginal space to provide sufficient support for the bladder, restore the bladder and urethra to their normal positions, and relieve symptoms of frequent urination, urgency, increased nocturia, and mild urinary incontinence. With the support and encouragement of her family, Aunt Wu agreed to undergo surgery to improve her future quality of life.

Director Fan's team is performing surgery

Since Aunt Wu also had abnormal blood sugar and blood pressure, the operation went smoothly after managing her blood pressure and blood sugar. Half a month after the operation, Aunt Wu came for a follow-up check on time. Her uterus was firmly suspended in the normal position. She no longer had urinary incontinence, frequent urination, or urgency. Her bowel movements were smooth, and she urinated 1-2 times at night. Aunt Wu felt that her life was more convenient, and Director Fan Yibing was sincerely happy for her.

During this follow-up, Director Fan reminded Aunt Wu again of the precautions after surgery: do not do heavy physical labor or weight bearing within six months after surgery, do not have sexual intercourse for three months after surgery, maintain smooth bowel movements, control weight and blood sugar, and supplement estrogen locally in the vagina to prevent mesh exposure. Aunt Wu smiled and nodded in agreement: "I will definitely follow the doctor's advice. There is hope for life!"