Ms. Li, 44 years old this year, was diagnosed with pelvic organ prolapse (uterine prolapse II, anterior vaginal wall prolapse II, cervical lengthening) due to vaginal mass prolapse for more than 1 year, and was diagnosed with pelvic organ prolapse (uterine prolapse II, anterior vaginal wall prolapse II, and cervical lengthening).
Due to the patient's fat and young body, in order to safely and effectively relieve the patient's long-term pelvic organ prolapse problem, the team of chief physician Lu Bangquan of the Department of Gynecology of Xiangzhu Hospital decided to choose a method to repair the anterior vaginal wall and uterine prolapse according to Ms. Li's specific situation - laparoscopic lateral abdominal wall uterine suspension, and successfully carried out surgical treatment. Ms. Li's symptoms improved significantly after the operation, and Ms. Li was full of praise for the superb skills of the gynecology department of our hospital.
Popular science on maternal and child health
What is Pelvic Organ Prolapse in Women?
The female pelvic organs (vagina, uterus, bladder, urethra, intestines) are supported and fixed in a certain position by muscles and fascia. However, with age, childbirth, etc., the muscles at the bottom of the pelvis gradually relax, and the support for the organs in the pelvis gradually weakens, so the organs will move down from their original positions, and eventually lead to prolapse out of the vagina. This condition is called pelvic organ prolapse, with uterine prolapse and anterior vaginal wall prolapse being the most common.
Pelvic organ prolapse generally occurs in menopausal middle-aged and elderly women, especially women who have more children, and the probability of pelvic organ prolapse will be higher. About 10% of women in mainland China require surgery to treat pelvic organ prolapse every year.
Pelvic organ prolapse is known as one of the five major chronic diseases that affect women's quality of life, although the disease is not fatal, but it seriously affects normal social activities, physical exercise, sex life and work. Therefore, once pelvic organ prolapse occurs, timely intervention and treatment should be carried out.
What are the symptoms of pelvic prolapse?
Prolapse of a mass at the vaginal opening, which may be accompanied by urination, defecation, and sexual dysfunction. In severe cases, the uterus and vaginal wall can be completely exposed to the vaginal opening, and if not treated in a timely and effective manner, it may lead to ulcers, bleeding and infection of the cervix and vaginal wall due to long-term friction with clothing, which seriously affects the quality of life of patients.
What are the treatments for pelvic organ prolapse?
Non-surgical treatments: pessary, pelvic floor rehabilitation, lifestyle interventions, Chinese medicine and acupuncture.
Surgical treatment: Surgical methods include laparoscopic, transvaginal surgery, and laparotomy, and the use of biomesh or autologous tissue to strengthen the pelvic floor tissue and restore the normal anatomical position and function of pelvic organs.
What is laparoscopic lateral abdominal wall uterine suspension
Laparoscopic lateral abdominal wall suspension is a special biological pelvic floor mesh cut in a "T" shape, the middle longitudinal arm is sutured and fixed to the anterior vaginal wall and cervix, and the two cross arms are suspended on both sides of the abdominal wall after passing through the lateral peritoneum. The prolapsed uterus and anterior vaginal wall are suspended and returned to their normal anatomical position, thus restoring normal function.
The advantages of this surgery are: the patient's symptoms are significantly improved, the cure rate is as high as more than 88%, the operation is simple, the trauma is small, the time is short, the postoperative bleeding is less, the recovery is fast, the complications are few, and the discharge is early, and it is more suitable for patients with obesity and adhesions in the posterior pelvic wall who are not suitable for sacral fixation or high sacral ligament suspension. The patient can preserve the uterus, maintain the normal axial orientation of the uterus, the integrity of the pelvic floor tissue, and the normal length of the vagina after surgery, so that the patient can enjoy a higher quality of life after surgery.
Contact number
Xiangzhu gynecology clinic
0771-2860735
(Address: No. 59, Xiangzhu Avenue, Nanning City)
Xinyang Gynecology Clinic
0771-5802250
(Address: No. 225, Xinyang Road, Nanning City)
Photo: 丨Ling Yuying, Wei Yueyuan