Prolapse And Prolapse Of The Uterus And Vagina

Prolapse and prolapse of the uterus and vagina

Most often, prolapse and prolapse of the uterus and vagina occur in old age due to trauma suffered during childbirth, heavy physical work (hard work soon after childbirth), and involutional processes in the genital organs inherent in old age.

There are prolapse of the uterus (vagina), incomplete and complete prolapse. Along with the uterus and vagina, the wall of the bladder (cystocele) and rectum (rectocele) often fall out. The process is progressing.

Symptoms and course. Nagging pain in the lower abdomen and lumbar region, urinary incontinence, constipation, prolapse of the uterine body from the genital slit. During a gynecological examination, involutional processes in the reproductive system, disruption of the integrity of the pelvic floor muscles, prolapse or prolapse of the walls of the vagina or uterus (with straining) are noted. Decubital ulcers often occur on the walls of the vagina and cervix. The mucous membranes are dry and leathery.

Treatment. The only reliable way to eliminate prolapse and prolapse of the genital organs is surgery. When deciding on surgery, the patient’s age, state of generative function, the need to preserve sexual function, the nature and severity of complaints, and the presence of concomitant extragenital and gynecological pathologies are taken into account.

Conjugated estrogen replacement therapy (Premarin 1.25 mg per day orally or in the form of vaginal creams) may be effective both in the self-treatment of vaginal and uterine prolapse for minor complaints, and before surgery (within 1-1.5 months) for improving tissue healing processes.

Physical exercises to strengthen the pelvic floor and abdominal muscles are recommended for all patients with prolapse and prolapse of the genital organs; in the initial stage of displacement, surgery can sometimes be prevented with the help of physical therapy.

Before the operation, a thorough sanitation of the vagina and treatment of trophic ulcers of the genital organs are carried out. Surgical treatment consists of strengthening the pelvic floor muscles and ligaments of the uterus. In modern gynecological practice, most reconstructive operations requiring opening of the abdominal cavity in patients of childbearing age with uterine prolapse are performed using laparoscopic access.

In case of complete prolapse of the uterus, vaginal extirpation is most often performed. In the postoperative period, physical therapy and the exclusion of heavy physical activity are recommended.