Doctors for treatment of Uterine prolapse
Doctors for the treatment of uterine prolapse
Frequently Asked Questions
Uterine prolapse — a disease in which the normal location of the uterus is disrupted and the organ falls outside the vagina.
Uterine prolapse is contributed by its omission. By «uterus omission» is meant it’s displacement below the physiological level, but the uterus doesn’t go beyond the confines of the genital slit.
The most prevalent causes of uterine prolapse are:
- Tumor of the pelvic organs,
- Complicated, prolonged labor,
- Weakness of the pelvic muscles (congenital, acquired),
- Multiple repeated pregnancies.
Uterine prolapse can develop due to a combination of several reasons.
Factors provoking the progress of uterine prolapse:
- Overweight,
- Chronic constipation,
- Age over 60 years old,
- Heavy physical activity, carrying heavy weights.
Uterine prolapse can be:
- Incomplete (part of the uterus falls out) — corresponds to stages 2 and 3,
- Complete (the entire uterus falls out) — corresponds to 4 stages.
There are 4 degrees of uterine prolapse:
- There is no prolapse, but there is a displacement of the uterus,
- Incomplete prolapse — cervix is lowered to the entrance to the vagina and, when straining, is shown from the genital slit,
- Incomplete prolapse — cervix and part of the body of the uterus fall outside the entrance to the vagina,
- Complete prolapse of all parts of the uterus.
At the initial stage, the disease often doesn’t manifest itself, women feel well and don’t show any signs. The only complaint from a woman’s sexual partner is a wide vagina.
With the progression of prolapse, the following symptoms appear:
- Urinary incontinence when coughing, laughing or sneezing,
- Feeling of a foreign body in the vagina,
- Pelvic infections,
- Frequent urination,
- Vaginal discomfort,
- Painful intercourse,
- Back pain,
- Constipation.
Prevention of uterine prolapse includes:
Weight loss if you are overweight,
Regular exercises to strengthen the pelvic muscles,
Avoiding strenuous physical activity.
Modern methods of diagnosis and treatment of uterine prolapse abroad
Diagnosis of uterine prolapse
Only a highly qualified specialist with extensive medical experience can diagnose uterine prolapse at the very initial stage.
The doctor will ask about your complaints and manifestations, then he will conduct a gynecological examination.
If necessary, the doctor will prescribe additional studies:
- Ultrasound of the pelvic organs,
- Colposcopy,
- Hysterosalpingography,
- Hysteroscopy.
How is uterine prolapse treated abroad
With 1 degree of prolapse, doctors recommend conservative treatment:
- Vaginal suppositories, which contain hormones. Doctors are often prescribed for women after menopause,
- Exercises for the pelvic muscles are used not only to treat mild forms, but also to prevent loss.
- Vaginal pessaries are rubber or silicone devices that are inserted into the vagina to support the uterus.
When the illness progresses to stages 2, 3 or 4, surgical treatment is mandatory. Doctors of leading foreign clinics, whenever possible, offer organ-preserving surgeries.
The choice of surgery depends on such criteria: the age of the patient, symptoms of the disease, the degree of prolapse of the uterus. Surgical options:
- Colpoperineolevatoroplasty — an operation to strengthen the weakened muscles of the pelvic muscles and eliminate a cosmetic defect,
- Promontofixation — fixation of the uterus with a special implant,
- Vaginoplasty (colporrhaphy) — correction of the vaginal walls,
- Hysterectomy — removal of the uterus,
- Colpocleisis — partial or complete closure of the vagina.
