Uterine prolapse is the displacement of the sexual organs downwards towards the vagina due to the loss of the properties of the ligaments that fix these organs in the abdomen.
Generally, it is not just the uterus but also the area just in front and behind it. bladder and last part of the large intestine It also shows sagging along with the uterus. Normally, these organs can only move in a limited way, thanks to the ligaments that hold them. As age progresses and especially as the number of births increases, these ligaments lose their flexibility and thus may cause the genital organs to sag into the vagina. Sometimes the prolapse is so pronounced that the woman can feel the cervix at the entrance to the vagina with her hand. Sometimes even in cases where the uterus has been neglected outside the vagina It may come out. bladder prolapse It is the name given to the bulging of the urinary bladder, which is adjacent to the front wall of the vagina, inside the vagina. This situation is especially coughing, sneezing,Situations that increase intra-abdominal pressure, such as lifting a heavy object, cause the woman to feel the bulging bladder inside the vagina with her hand. This complaint is usually, but not always, urinary incontinence It also accompanies. In its mildest form, urinary incontinence occurs only when coughing, sneezing and straining.
As the severity of prolapse increases, urinary incontinence occurs during situations such as laughing, sexual intercourse, and even standing. bladder prolapse In advanced cases, it causes the angle between the bladder and the tube called urethra, which transmits urine from the bag to the external environment, to be disrupted, thus causing the complaint of urinary incontinence. In the most advanced and very rare cases, urine cannot be retained at all and the urine coming into the bladder is discharged directly out of the bladder without being stored there. uterine prolapse When it occurs alone, it causes the woman to feel pain and fullness in the lower area, especially when standing, coughing, sneezing and straining. Prolapse of the rectum (the last part of the large intestine) is the bulging of the rectum, which is adjacent to the back wall of the vagina, towards the vagina. Although rectal prolapse does not cause any special problems in most cases, it may cause constipation problems. Another problem of women who have sagging problems in their genital organs isin difficult births the resulting tears enlargement of the vagina causing a complaint. This situation may cause the woman to have problems in sexual life with her husband, and the couple may not be able to enjoy sexual life as before.
Especially sagging of genital organs many and difficult birth It is seen in women who have done it. Prolonged births result in the ligaments that hold the genital organs in place becoming longer, tearing in some areas, and thus reducing their function of holding the organs in place. Prolapse is much less common in women who have given birth by cesarean section and in women who have never given birth. Genital organ prolapses are rarely seen alone. Frequently, uterine prolapse, bladder prolapse, prolapse of the last part of the large intestine and complaints of urinary incontinence are seen together.
How to Diagnose?
Genital organ prolapse can be detected incidentally in a woman who has no problems, or it is diagnosed when the prolapse is easily seen during the gynecological examination of a woman who frequently experiences urinary incontinence or a "feeling of fullness in the lower area".
Treatment Methods
Treatment of uterine prolapse varies depending on the woman's age, the degree of the disease, the woman's general health condition and whether she wants to have children later. The development of this problem in the future can be prevented, at least partially, by doing regular Kegel exercises, which contract the muscles around the vagina and perineum. In case of genital organ prolapse in a woman who has completed her family, the treatment method is generally by removing the uterus from the vagina and removing the excess on the front and back vaginal walls.narrowing of the vagina It is in the form. Vaginal tightening If women who undergo the operation become pregnant, they must have a caesarean section instead of a normal birth.
Different surgical techniques may need to be used to treat urinary incontinence.
In a woman of reproductive age who is still considering giving birth or who does not accept removal of her uterus even if she has completed her family, only the excess tissue on the front and back vaginal walls is removed without removing the uterus. of expansion repair, i.e. narrowing of the vagina, is performed. In this way, the complaints of women who complain of vaginal enlargement after birth will decrease and they will be more satisfied with their sexual life than before.
Vaginal tightening operation in medicine vaginoplasty is called.
In case of significant uterine prolapse, the ligaments that hold the uterus in place are reached through the abdomen and these ligaments are removed. pulling up and thus it is possible for the uterus not to be removed. However, it should be known that pull-up operations do not last very long. Depending on the type of operation performed and the technique of the surgeon, the risk of recurrence may occur within 3-5 years. Very rarely, in women who do not want their uterus removed even though they have children, or who want to give birth to another child, or in patients who are too old and in poor general condition to even undergo a hysterectomy, surgery may be preferred instead. pessary Devices called uterus, which are inserted into the vagina and support the uterus and hold it up, can also be used, but such treatments are applied in very special cases.
Nowadays, women who have completed their families have no function beyond carrying children. removal of the uterus It is the most rational form of treatment for sagging. For more detailed information about hysterectomy, please Click here.