What to do if the anterior uterine wall prolapses

Anterior uterine wall prolapse is actually a relatively common disease. Once this disease occurs, the patient will gradually feel the symptoms of abdominal falling, and often have varying degrees of lower back pain symptoms. , and this uncomfortable symptom becomes obvious when walking. Moreover, the symptoms of nausea and vomiting are often more obvious when squatting. When uterine prolapse is severe, the problem is often that the prolapsed mass cannot be returned. Influence actions. What to do if the anterior uterine wall prolapses?

The main reasons are damage to the cervix, cardinal cervical ligament and uterosacral ligament caused by delivery and failure of supporting tissues to return to normal after delivery. In addition, most women in the postpartum period like to lie on their backs and are prone to chronic urinary retention. The uterus is prone to become posterior, with the axis of the uterus in the same direction as the axis of the vagina. When the abdominal pressure increases, the uterus will descend along the direction of the vagina and prolapse will occur. Postpartum squatting habits (such as washing diapers, washing vegetables, etc.) can increase abdominal pressure and cause uterine prolapse. Uterine prolapse in nulliparous women is caused by poor development of the supporting tissues of the reproductive organs.

Western medicine treatments for uterine prolapse include:

1. For patients with grade I uterine prolapse, nutrition can be strengthened, heavy physical labor can be avoided, and perineal exercises can be performed frequently to promote the recovery of pelvic floor muscle tension.

2. Place a pessary. A pessary is a tool that supports the uterus and vaginal wall and keeps it in the vagina. It is suitable for patients with grade I and II uterine prolapse and should not be used during menstruation and pregnancy.

3. Surgical treatment. For patients who have failed to respond to traditional Chinese and Western medicine treatment, or have uterine prolapse of degree II or III, accompanied by severe vaginal wall bulging, surgical treatment can be used. The choice of surgical method is determined by the patient's age, fertility requirements, and general physical health. For patients with cervical erosion or infection, surgery should be performed only after local inflammation is controlled or ulceration is basically healed;

For young women who want to have children, partial cervical resection, shortening of the main ligament and repair of the anterior and posterior vaginal walls can be performed; for older women who cannot have children, the uterus can be removed from the vagina and the anterior and posterior vaginal walls can be repaired at the same time; for the elderly and weak who cannot tolerate major surgery, abdominal uterine suspension can be performed, and vaginal septum formation can also be performed, in which most of the anterior and posterior vaginal walls are sutured to prevent the uterus from prolapse. However, this operation can only be performed after excluding malignant lesions of the uterus and cervix.

To sum up, once the patient has the problem of uterine prolapse, active treatment is needed. If not treated, the harm will be great. Otherwise, the cervix will often be exposed to the outside for a long time, so it is more likely to develop symptoms of thickening of the mucosal surface. Then it is more likely to cause menstrual disorders.