How is uterine prolapse surgery performed?

If uterine prolapse reaches the third degree, many patients need surgical treatment, which usually requires vaginal hysterectomy, tissue fixation, and repair of the pelvic floor muscles. After the surgery to treat uterine prolapse is completed, the patient also needs to pay attention to care in life to avoid recurrence of the impact.

Many women suffer from uterine prolapse due to lack of care after childbirth. Because the inner wall of the uterus cannot contract and recover well, it sags into the vagina and may even extend outside the body in severe cases. The common symptoms of uterine prolapse include at least a feeling of falling, which can cause back pain and, in severe cases, can also affect the bladder and rectum, leading to frequent urination, incomplete urination or constipation.

According to the severity of uterine prolapse, it can be divided into three degrees:

1. The uterus moves downward. Although the external os of the uterus is lower than the level of the ischial spine, it is still in the vagina, which is 1 degree.

2. The cervix has fallen out of the vaginal opening, but the uterus is still inside the vagina (degree 11).

3. The entire uterus protrudes out of the vaginal opening. This is grade Ill uterine prolapse, which is often caused by a combination of factors.

The best treatment for uterine prolapse is surgical treatment. After vaginal hysterectomy, the supporting tissues such as the basal ligaments are fixed, and the pelvic floor muscles and vaginal wall are repaired, including suturing the anterior vaginal wall mucosa to prevent bladder prolapse, and suturing the posterior vaginal wall mucosa to prevent rectal prolapse.

There are many treatments for uterine prolapse, which can be divided into supportive therapy, the use of pessaries and surgical therapy according to different degrees of prolapse. After surgical treatment, the patient's nutrition should be strengthened, diet should be balanced, and excessive fatigue should be avoided.

Precautions for treatment, prevention of uterine prolapse, vigorously publicize postpartum health care, promote postpartum exercise, pay special attention to adequate rest within 3 months after delivery, and avoid heavy physical labor such as squatting, carrying, lifting, etc. Pay attention to smooth urination and defecation, and promptly treat diseases that increase abdominal pressure, such as chronic bronchitis and diarrhea. Breastfeeding should not exceed 2 years to avoid atrophy of the uterus and its supporting tissues.