What is severe uterine prolapse and how to treat it

Surgery is the main treatment for severe uterine prolapse, including shortening the pubic cervical fascia and main ligaments, reconstruction of pelvic floor structure, hysterectomy, etc., which may be supplemented by pelvic floor muscle exercise, physical therapy and wearing a pessary. Treatment should be determined after doctor evaluation, and patients should actively cooperate. Uterine prolapse refers to the uterus descending from its normal position along the vagina and partially or completely protruding out of the vaginal mouth. According to the severity of uterine prolapse, it can be divided into mild, moderate and severe. Severe uterine prolapse refers to complete uterine prolapse outside the vaginal mouth, seriously affecting the quality of life. This article will introduce the treatment of severe uterine prolapse. Surgical treatment is the main treatment of severe uterine prolapse. The aim of surgery is to restore the normal position of the uterus and strengthen the supporting structure by repairing the pelvic floor muscles and fascia. The following are some common surgical treatments: 1. Mann's surgery: strengthen the pelvic floor supporting structure by shortening the pubic cervical fascia and the main ligament, and remove part of the vaginal wall to restore the length and width of the vagina. 2. Pelvic floor reconstruction surgery: Pelvic floor reconstruction using biomaterials or autologous tissue, such as mesh or autologous fascia, etc. 3. Hysterectomy: If the uterine prolapse is severe and accompanied by other gynecological problems, such as uterine fibroids, endometriosis, etc., it may be necessary to perform hysterectomy at the same time. In addition to surgical treatment, doctors may also recommend a number of complementary treatments to help patients restore pelvic floor function and improve quality of life, including: 1. Pelvic floor muscle exercise: By contracting and relaxing pelvic floor muscles, muscle strength and endurance are enhanced, helping to improve pelvic floor support function.2. Physical therapy: These include electrical stimulation, magnetic therapy, biofeedback, etc., which can help restore pelvic floor muscle coordination and function.3. Wearing a pessary: For patients who are not suitable for surgery or need auxiliary support after surgery, the pessary can provide support and relieve symptoms. It should be noted that surgical treatment should be carried out under the doctor's evaluation and guidance. The risks and effects of surgery vary from person to person. Patients should fully understand the risks, benefits and alternatives before deciding on surgery. In addition, postoperative rehabilitation and care are also very important. Patients need to follow the doctor's recommendations for pelvic floor muscle exercise and rehabilitation therapy, pay attention to rest and personal hygiene to promote recovery and prevent complications. Patients with severe uterine prolapse should seek medical attention promptly and receive professional evaluation and treatment. Treatment methods should be formulated according to the specific conditions of the patient, including surgical treatment and adjuvant treatment. At the same time, patients should actively cooperate with doctors during treatment, pay attention to personal hygiene and lifestyle adjustments, so as to improve treatment results and quality of life.