What to do if the vaginal wall bulges after childbirth

The childbirth process is particularly harmful to women's bodies. However, due to the physical constitution of many women, they are particularly prone to the occurrence of certain diseases after giving birth. Among them, postpartum vaginal wall bulging is a symptom that many women have. This has a certain impact on women's normal life and health. It is often caused by many women not being able to get enough rest after giving birth. Let us understand what to do about postpartum vaginal wall bulging?

Vaginal wall bulge refers to the tearing of the female reproductive organs including the pelvic floor muscles and fascia as well as the uterine ligaments due to injury. Patients with vaginal wall bulge experience the above symptoms because when the bladder bulges, an angle forms between the bladder and the urethra, affecting urine excretion, and the increased abdominal pressure aggravates the bulge. Or due to other reasons, the vaginal supporting tissue cannot return to normal and be exposed outside the vaginal opening.

What to do if the vaginal wall bulges after childbirth

When treating patients with pelvic organ prolapse or incontinence, it is of utmost importance to consider the supportive pelvic structures. The surgeon needs to analyze the differences and specificities of the injury sites in different patients so as to restore the anatomy and function and achieve the ultimate goal. When urethral sphincter dysfunction occurs, surgery should choose a method that can both resolve the anterior vaginal wall bulge and treat stress urinary incontinence. If no urethral sphincter dysfunction is found, surgery to combat stress urinary incontinence is unnecessary, although the urethra and bladder neck serve as part of the anterior vaginal wall support.

1. Surgical treatment

The surgical indications for anterior vaginal wall prolapse are: ① severe prolapse; ② prolapse leading to urinary retention or recurrent cystitis; ③ accompanied by stress urinary incontinence.

(1) Anterior vaginal wall suture and suburethral plication: The purpose of anterior vaginal wall suture is to fold and suture the vaginal muscles and the fascia on the surface of the bladder (pubocervical fascia) or the vaginal side wall tissue to restore the bulging bladder and vagina to their normal positions. In many cases, regardless of whether the patient has urinary incontinence, a plication suture is placed at the vesicourethral junction to reinforce the posterior urethral support tissue to ensure that patients who do not have stress urinary incontinence at the time of surgery will not develop it after surgery. If there are symptoms of stress urinary incontinence, anti-stress urinary incontinence surgery is needed

The above is an introduction to what to do if you have vaginal wall prolapse after childbirth. After understanding it, we know that this phenomenon is generally caused by women not paying attention to their body care after childbirth, often due to exercising too early or doing heavy work. Therefore, in order to avoid such a situation, female friends must stay in bed more after childbirth, and exercise only after the body has fully recovered. In addition, you should eat more foods that replenish qi and blood, such as red dates or drink some chicken soup, which are good for the body's recovery.