Patient's question:
Before New Year's, my mother had a uterine prolapse, with anterior vaginal wall prolapse and cervical removal. After the procedure, she had to urinate every half hour. After the follow-up examination, it was found that her urinary control could generally hold it for an hour or an hour and a half before needing to urinate. This significantly interfered with the quality of her deep sleep. I would like to ask if there are any treatment methods available?Doctor's answer:
After an elderly woman experiences recurrent uterine prolapse, the first step is to determine the degree of prolapse. Clinically, uterine prolapse is classified into three degrees:First-degree prolapse: The cervix hangs below the hymen, less than 4 cm away, but does not protrude outside the vaginal opening.
- Mild type: The external os of the cervix is less than 4 cm from the hymen margin but does not reach it.
- Severe type: The cervix has reached the hymen margin, and the cervix is clearly visible outside the vaginal opening.
Second-degree prolapse: The cervix and part of the uterine body have prolapsed outside the vaginal opening.
- Mild type: The cervix prolapses outside the vaginal opening, while the body remains inside.
- Severe type: Part of the uterine body prolapses outside the vaginal opening.
Third-degree prolapse: The cervix and entire uterine body have prolapsed completely outside the vaginal opening.
For elderly patients, diagnosis is necessary before implementing different treatment measures. If the patient is too old to tolerate surgery and the symptoms are mild, using a pessary for treatment is advisable.