1.What is pelvic organ prolapse? The laxity of the muscles and ligaments in the pelvic cavity causes the organs in the pelvic cavity (bladder, uterus, rectum, vagina and other organs) to fall down, depending on the degree of the fall, from laxity to repeatedly, often for better or worse, until they fall outside the vaginal opening. This condition is called pelvic organ prolapse. Symptoms include frequent urination, urinary urgency, bowel movement disorders, heavy, full and painful sensation in the bladder or vagina, vaginal drop, recurrent urinary tract infections, excessive vaginal discharge, discomfort or lack of sensation during sexual intercourse, etc. 2. Are there more women suffering from pelvic organ prolapse? With the aging of the population, the incidence of pelvic organ prolapse is gradually increasing. The lifetime incidence of pelvic organ prolapse in women is 11%; after 30 years the incidence of pelvic organ prolapse increases 1 times. After menopause, 50% of women with first-degree uterine prolapse, 10% of more than second-degree uterine prolapse. 3.How to treat pelvic organ prolapse? Kegel exercises: For women with mild pelvic laxity who have not shown any obvious symptoms recently, the training team of contracting and relaxing pelvic floor muscles will be beneficial. Pelvic floor reconstruction surgery: The procedure is performed vaginally, in which the surgeon repositions the prolapsed organ and fixes it to the surrounding tissues and ligaments. This minimally invasive procedure restores the normal vaginal anatomy, thus eliminating or improving discomfort and maintaining sexual function. 4.What is stress urinary incontinence? Urinary incontinence is a common and multifaceted disease, and since the mid-1990s it has become one of the top 5 diseases in the world. Stress incontinence accounts for the vast majority of them, manifested by the patient coughing, laughing, sneezing, exercising, doing heavy work, or even walking when the urine flows involuntarily. For women, urine leakage and urine odor often put patients into embarrassing scenes, affecting the quality of life, interfering with normal social activities, leading to social isolation and depression, so some people also call urinary incontinence “social cancer”. If long-term leakage is not treated, it will cause rashes, skin infections and ulcers on the perineum and lower abdomen and thigh roots, as well as urinary tract infections and bladder stones, which can seriously affect kidney function. 5.Why do you suffer from stress urinary incontinence? Are there more women suffering from this disease? The cause of the disease is the relaxation of the pelvic floor muscles that support the urethra, which causes the position of the female urethra to shift downward, resulting in urinary control disorders. Low estrogen levels, maternity, and advanced age are common causes of pelvic floor muscle relaxation, which may also be associated with diseases such as pelvic organ prolapse. In developed Western countries like the United States and Germany, the prevalence of adult urinary incontinence is 39% and 27%, respectively. Intentional surveys conducted in 11 Asian countries showed that as many as 53% of Asian women suffer from urinary incontinence, mostly stress urinary incontinence. Due to lack of awareness or shame about the disease, more than half of the patients do not receive timely treatment. 6, can stress incontinence be treated? For stress urinary incontinence, medical treatment has matured, experts call on the majority of women should pay attention to the symptoms of urinary incontinence, women should go to a regular hospital as soon as possible. Mild patients can undergo pelvic floor muscle rehabilitation training under the guidance of a doctor. The most effective and minimally invasive surgical treatment is the transvaginal tension-free midurethral suspension, especially the TVT-O procedure, which involves placing a sling made of a special polypropylene material into the body. The procedure takes only 30 minutes and the patient can be discharged 2 days after the procedure, significantly improving the quality of life.