Ms. Zhang, 68, has a history of chronic diseases such as hypertension and diabetes. Four deliveries, the last delivery, the doctor has told me that the uterus is slightly drooping; Recently, when Ms. Zhang was taking a shower, she felt as if something ran out from below, and she couldn't urinate smoothly. I went to the Obstetrics and Gynecology Department of Hsinchu Branch of National Taiwan University Hospital and was diagnosed as pelvic prolapse, which led to urethral orifice obstruction. The pelvis was reconstructed after minimally invasive surgery, and the postoperative recovery was good without prolapse symptoms. After three months, the bladder function improved obviously.
The prevalence of pelvic prolapse is about one tenth, often accompanied by lower urinary tract symptoms.
Dr. Wu from the Department of Obstetrics and Gynecology, Hsinchu Branch of National Taiwan University Hospital explained that the prevalence rate of pelvic prolapse is about one tenth. Most of the reasons are pelvic injuries caused during pregnancy and childbirth, or excessive pelvic pressure caused by overweight and heavy work. When people get old, ligaments will gradually degenerate, which will show symptoms.
In addition, the symptoms of lower urinary tract will be more complicated, among which urinary leakage and urethral orifice obstruction are the most common. The so-called symptoms of lower urinary tract generally refer to frequent micturition, nocturia, urinary leakage and urgency, which overlap with each other, and patients often have several situations at the same time.
Pelvic prolapse will slightly leak urine, and serious will lead to organ falling out.
Dr. Wu further pointed out that when pelvic prolapse is slight, patients may have urinary leakage symptoms due to unstable bladder support. If the prolapse is serious, the tissues and organs in the * * * may fall out. At this time, the bladder and urethra are pulled, resulting in outlet obstruction symptoms; Patients can't completely empty their bladder because of poor urination, and there is always urine residue, which leads to subsequent urinary tract infection and frequent urination, which greatly reduces the quality of life of patients.
Conservative treatment is mainly levator ani movement, and severe symptoms require surgical intervention.
The conservative method to treat pelvic prolapse is the well-known levator ani exercise, also known as Kegel exercise. Dr. Wu strongly urged women to pay attention to pelvic health, especially in recent years, hoping that women would not practice their core and limbs and ignore the strengthening of pelvic floor muscles; If the symptoms are serious enough to require surgical intervention, it is recommended to discuss them with the doctor in detail. Whether it is minimally invasive endoscopic suspension or vault suspension, there are long-term studies to prove the efficacy.
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