Treatment options for young patients with uterine prolapse

  Recently, I have encountered young patients with uterine prolapse in the clinic asking about treatment options, and I feel it is important to say a few words about this.  The diagnosis of uterine prolapse that we used to talk about is now collectively referred to as female pelvic floor dysfunctional disorders, including prolapse of the uterus, prolapse of the anterior and posterior vaginal walls, and prolapse of the bladder, urethra and rectum, in order to harmonize with international practice. The so-called young patients are, in my opinion, under 40 years of age, and the degeneration of pelvic floor function leads to the appearance of clinical symptoms. The main manifestation is the prolapse of the cervix from the vaginal opening, causing discomfort in walking and affecting the quality of life.  The cause of uterine prolapse is mainly due to the injury of childbirth, the lack of timely rehabilitation exercises after delivery, coupled with constipation, chronic cough and other bad habits, which cause the pelvic floor muscles and ligaments to relax.  For patients with mild cases, you can insist on doing anal contraction exercise every day with certain therapeutic effect; you can also use pelvic floor function therapy instrument to stimulate muscle contraction to strengthen the function of pelvic floor muscles. In severe cases, the lower abdomen may feel swollen and the cervical prolapse may require surgery.  The following surgical procedures can be chosen for young patients depending on the degree of prolapse: cervical amputation + uterine suspension (including uterosacral ligament shortening, round ligament shortening), uterosacral fixation, sacrospinous ligament fixation, etc.