Department of Plastic and Reconstructive Surgery
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What is Prolapse ?
Uterine prolapse occurs when the muscles and ligaments of the pelvic floor become stretched and weakened and cannot adequately support the uterus. This causes the uterus to slide into or protrude from the vagina.
Uterine prolapse is most common in postmenopausal people who have had one or more vaginal deliveries.
Mild uterine prolapse usually does not require treatment. However, uterine prolapse that causes discomfort or interferes with daily life may benefit from treatment.
Mild prolapse of the uterus after childbirth is common. There are usually no symptoms.
Symptoms of moderate to severe uterine prolapse may include:
- Seeing or feeling tissue bulging out of the vagina
- Heaviness or pressure in the pelvis
- Going to the bathroom
- Urinary leakage problems Also called incontinence
- Problems with bowel movements and need to squeeze the vagina with fingers to facilitate bowel movements
- Sitting on a small ball
- Sensation of vaginal tissue rubbing against clothing
- Tightness or discomfort in pelvis or lower back and other sexual concerns B. Feeling of loose vaginal tissue.
Uterine prolapse results from weakening of the pelvic muscles and supporting tissues.
- Vaginal Birth
- Age at First Birth (Older Women Are at Higher Risk for Pelvic Floor Injury than Younger Women)
- Difficult Labor and Trauma During Labor
- Large Baby Delivery
- Postmenopausal Low Estrogen Level
- Chronic constipation or straining during defecation
- Chronic cough or bronchitis
- Repeated heavy lifting.
To reduce the risk of uterine prolapse, try the following:
- Prevents constipation - Drink plenty of water and eat high-fiber foods such as fruits, vegetables, beans, and whole grains.
- Do not lift heavy objects - If you have to lift something heavy, do it correctly. A good lift uses your legs, not your hips or back.
- controls cough - Seek treatment for chronic cough and bronchitis.
- do not smoke - Don't gain weight. Talk to your doctor about your ideal weight and get weight loss advice if needed.
There are surgical and non-surgical options for treating uterine prolapse. Your healthcare provider will choose a treatment route based on the severity of your prolapse, general health, age, and whether you need children in the future. In general, treatment works for most people.
Possible treatment options are:
Nonsurgical Options
Exercise:
Certain exercises, called Kegel exercises, help strengthen the pelvic floor muscles. This is the only treatment required for mild uterine prolapse. To do Kegel exercises, tighten your pelvic muscles to hold back urine. Hold the muscle tight for a few seconds and then release. Repeat 10 times. These exercises can be done anytime, anywhere (up to 4 times a day).
Vaginal Pessary:
A pessary is a doughnut-shaped device made of rubber or plastic that fits around or under the lower part of the uterus (cervix). This device helps support the uterus and keep it in place. Your doctor will attach and insert the pessary. The pessary should be cleaned frequently and removed before sex.
Diet and Lifestyle:
Diet and lifestyle changes can help relieve symptoms such as constipation. Increasing your intake of water and fiber can reduce the number of times you try to poop. Maintaining the right weight for your body type reduces the strain on your pelvic muscles when standing and walking.
Yes, Prolapse treatment is available in Bareilly at Gangasheel Hospital by the team of expert Plastic Surgeons in the city.