One degree of uterine prolapse cannot be treated by total uterine excision. Treatments for one degree of uterine prolapse include Mann’s surgery, total transvaginal hysterectomy and repair of the anterior and posterior walls of the vagina, and vaginal closure, etc. Patients should follow the doctor’s instructions for treatment.
Uterine prolapse refers to the descent of the uterus from its normal position along the vagina, partially or completely out of the vaginal opening outside. Uterine prolapse is caused by prolonged increase in abdominal pressure, childbirth injury, etc., resulting in the pelvic fascia, ligaments and muscles being loose and weak and unable to provide adequate support for the uterus.
Uterine prolapse is once categorized into mild and severe. In the light type, the external cervical opening is less than 4cm from the hymenal rim and has not yet reached the hymenal rim. Heavy type, the external cervical opening has reached the hymenal rim, and the cervix can be seen at the vaginal opening.
1. Mann’s surgery: including repair of the anterior and posterior vaginal walls, shortening of the main ligament and partial excision of the cervix, which is suitable for younger patients with prolonged uterine prolapse and a prolonged cervix.
2. Transvaginal total hysterectomy and anterior and posterior vaginal wall repair: for older patients who do not need to consider reproductive function.
3. Vaginal closure: divided into vaginal semi-closure and total vaginal closure, the surgery will be peeled off the anterior and posterior walls of the vagina relative suture to partially or completely close the vagina, after the operation to lose the function of sexual intercourse, is only applicable to the old and frail can not tolerate larger surgery.
Patients should follow the doctor’s instructions for treatment, do not blindly treat yourself, so as not to delay the condition or cause adverse reactions.