How to treat vaginal wall sagging?

Vaginal wall sagging often occurs after childbirth, and may also occur due to vaginal trauma. Medically, it is called vaginal prolapse. This phenomenon will cause the vagina to become loose, and in severe cases it will also affect the sexual life of patients, which is very detrimental to health. Therefore, after contracting the disease, it is necessary to treat the disease. So how to treat vaginal wall sagging? There are many methods of treatment, including Chinese and Western medicine, surgical treatment, etc. Let's analyze the detailed treatment below.

Traditional Chinese Medicine Treatment

1. Take 60 grams of golden cherry root and decoct it in water and take it twice a day.

2. Decoction 30 grams of white back root in water and take it twice a day.

3. Take 30 grams of Citrus aurantium and 15 grams of Cnidium monnieri, decoct in appropriate amount of brown sugar and take twice a day.

4. Use 30 grams each of white scutellaria, yam, platycodon, Achyranthes bidentata, Cyperus rotundus, and ginseng pollen; 15 grams each of Solanum melongena and rhubarb; 60 grams of water chestnut, decocted in water and taken twice a day.

Western medicine treatment

Nonsurgical treatment

1. Surgical treatment, pessary: ​​An ancient treatment method suitable for different degrees of vaginal prolapse. A pessary with a diameter larger than the transverse diameter of the urogenital hiatus can support the uterus and vaginal walls and keep it in the vagina without falling out. It is made of silicone rubber, plastic, etc. and comes in many shapes, the most commonly used ones are ring-shaped, trumpet-shaped, or spherical pessaries.

Choose a pessary of appropriate size. The first time you use a pessary, it should be placed under the guidance of a physician. Use it during the day, take it out at night, wash it and set it aside. If left unremoved for long periods of time, the pessary may become incarcerated and may 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 people with mild vaginal prolapse. Instruct the patient to perform anal contraction exercises, forcefully contracting and relaxing the pelvic floor muscles 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 take appropriate estrogen supplements to avoid excessive fatigue and rest to improve and reduce the degree of vaginal prolapse.

Surgery

Surgical treatment is used for patients with prolapse of grade II or above, patients with symptoms of rectocele, and patients who have not responded to conservative treatment. The principle of surgery is 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 can be 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. Common surgeries include:

⑴ Anterior and posterior vaginal wall repair;

⑵ Repair of the anterior and posterior vaginal walls + partial cervical resection and shortening of the main ligament;

⑶Ligament suspension surgery. Laparoscopic shortening of the round ligament and sacroiliac ligament is suitable for patients with congenital simple mild vaginal prolapse.

2. Total vaginal hysterectomy and anterior and posterior vaginal wall repair: suitable for patients with grade II and III prolapse who have no fertility requirements.

3. Vaginal closure: also known as Le-Fort surgery. It is suitable for patients without malignant changes in the cervix, the elderly who cannot tolerate major surgery and who lose their sexual intercourse function due to partial vaginal closure after surgery.

The treatment of vaginal wall prolapse is somewhat complicated, and it is more difficult to treat when the disease is severe. When a patient is found, he or she should go to the hospital for examination and diagnosis immediately. The doctor can treat the patient according to the condition. At this time, the patient needs to be hospitalized for treatment. You can choose a local regular hospital or a hospital with complete medical facilities, which will be better for the treatment of the disease.