Uterine prolapse includes uterine prolapse, anterior and posterior vaginal wall bulge, bladder bulge and rectal bulge. It can be combined with urinary incontinence, which affects the quality of life. What is severe uterine prolapse? The key is severe, with almost total uterine bulge, complete bulge of the anterior and posterior vaginal walls, bulge of the vaginal roof after hysterectomy, and severe bulge, most of which already affects the patient’s daily life. How is severe prolapse treated? A combined transvaginal and laparoscopic surgery is used, commonly known as: lower support and upper pull. It is minimally invasive and highly effective.