Uterine prolapse; It is the name given to the condition of the uterus, bladder, intestines and sometimes the rectum protruding from the vagina. Uterine prolapse is a disease with treatment and among the causes of this disease are factors such as difficult vaginal delivery and advanced age. This can occur as the age progresses, especially in people with weak connective tissue.
Among the reasons why the uterus slips down or comes out of the vagina is that the woman has given birth normally, has given birth to a large baby, and has been pregnant more than once. In such cases, sagging may occur immediately after the relevant experiences or over the years. Uterine prolapse is seen in 1/3 of women who have a child with a normal birth once or more Uterine prolapse can be seen in people who constantly lift weights due to their work, who chronically cough for allergic or other reasons, and who also suffer from chronic constipation.
In addition to these, women who have estrogen deficiency, have undergone surgical intervention in the vaginal area, have lung disease, are overweight, have advanced age, have entered menopause or have above normal weight have the possibility of sagging uterus. The presence of some diseases can also trigger uterine prolapse. These diseases that cause uterine prolapse by affecting the connective tissue are Ehlers-Danlos and Marfan syndromes. Women with this type of illness are genetically at risk.
For the treatment of uterine prolapse, it is divided into three categories as mild, moderate and severe according to the severity of the prolapse. Mild uterine prolapse does not cause serious complaints in women and does not require treatment. When sagging becomes an obstacle to daily routines, that is, when it goes into a moderate or severe phase, it also brings with it some complaints or situations that cause discomfort to the person. These symptoms are often more pronounced later in the morning than in the morning. Although it is more common in women who are in the postmenopausal period and have had one or more vaginal deliveries, young women may also experience uterine prolapse.
Some of these symptoms are;
Treatment of uterine prolapse is planned individually for the patient, depending on the complaints seen in the patient. In cases of mild sagging, if there is no symptom in the patient, treatment may not be required. At this point, depending on the decision of the specialist physician, the patient can be given kegel exercises to strengthen the pelvic muscles.
In severe cases that cause complaints in the patient, different treatment methods may be used depending on the person's plans to have children. In patients who want to have a child, pessary treatment, also known as the vaginal ring, can be used. In this treatment, the pessary, a vaginal applicator chosen in accordance with the size of the uterus, supports the uterus and prevents it from sagging into the vagina. The vaginal ring can also be used during sexual intercourse.
Another treatment method used in case of uterine prolapse is surgical intervention. This method, also known as uterine prolapse surgery, can be performed laparoscopically or vaginally.
In uterine prolapse surgery, it is aimed to strengthen the pelvic tissues and to support the uterus in this way. Synthetic tissues can be used to strengthen the pelvic tissues, and it is also possible to use tissues taken from another part of the patient. During the operation, this new tissue is replaced with the weakened pelvic tissue.
Another treatment method that can be applied in uterine prolapse surgery is hysterectomy. The uterus is removed with a hysterectomy applied in cases of very advanced and severe uterine prolapse. Hysterectomy operation can be performed by open surgery method or laparoscopic method.