Severe uterine prolapse, with a bad odor, how to treat it?

Patient's question:

After that, there was an upward trend, but it dropped again in the last two or three days. What should I do?
Medical history and effectiveness: After one week of medication, there was no unpleasant odor, and there was an upward trend. The doctor said to change the medication to twice a week and halve the dosage.
What kind of help do I want: At my age, what should I do?

Doctor's answer:

Trichromy is when the uterus is completely prolapsed beyond the hymen. Surgical treatment is typically required.
Simple anterior and posterior vaginal wall repair: Suitable for young patients with fertility requirements and mild prolapse.
Vaginal total hysterectomy + anterior and posterior vaginal wall repair: Suitable for moderate to severe prolapse patients.
Mance procedure: For elderly patients with a history of pelvic surgery.
Uterine sacrocolpopexy: Simple sacrocolpopexy and total abdominal sacrocolpopexy, suitable for moderate to severe patients with no significant abnormalities in the cervix or uterine body.
Abdominal uterine fixation: Suitable for moderate to severe patients with no significant abnormalities in the cervix or uterine body.
Vaginal septoplasty: Suitable for elderly patients without sexual activity requirements.
It is recommended to have an outpatient visit first, and then develop the best treatment plan based on your specific condition.

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