Signs of genital prolapse in women

 According to doctors, the cause of genital prolapse is that the perineal muscle and ligament system is aging and flabby, so it is no longer able to keep the pelvic organs in their natural position.

Mrs. Mai had urinary retention, high fever and chills, and was diagnosed with genital prolapse.

91-year-old Mai has suffered from this condition for 10 years, but thinks that due to her age and many births, her genitals are "incurable natural aging". When the prolapse pulled the uterus and bladder out of the vulva causing pain and discomfort, the old woman did not dare to walk and move around her bed. Recently, the prolapsed mass progressed so badly that the old woman could not urinate. Long-term residual urine in the bladder causes urinary tract infection leading to urinary retention, high fever and chills, the patient was brought to the hospital by family members.

Doctor, Doctor Nguyen Hoang Duc, Head of Urology Department, University of Medicine and Pharmacy Hospital, Ho Chi Minh City, treated the patient to clear the urinary tract infection, then performed laparoscopic surgery to suture the genital prolapse. . Genital prolapse mass has been pulled back to its original position, no longer appearing in the vulva causing discomfort to the patient. One day after surgery, the old woman recovered well and walked more comfortably.

The patient was monitored after surgery at the Hospital of University of Medicine and Pharmacy in Ho Chi Minh City. Photo: TT.

German doctors explain genital prolapse (or prolapse of the pelvic organs) as a condition in which the bladder, uterus or rectum prolapse from the vulva. This disease affects 41% of women over 60 years old, most patients do not go to treatment but silently suffer. On average, each month, the Urology clinic receives from 50 to 60 cases of genital prolapse with indications for surgery. Most of these cases are not treated early, so the disease progresses seriously, greatly affecting the quality of life.

According to doctors, the cause of genital prolapse is that the perineal muscle and ligament system is aging and flabby, so it is no longer able to keep the pelvic organs in their natural position. In the early stages, patients often see a bulge in the vulva area. This mass occurs infrequently, only noticed when squatting, coughing or straining to have a bowel movement. Increasingly, the vulva bulge is prolapsed more and more often. In the severe stage, the mass is completely exposed to the outside of the vulva and cannot be pushed into the vagina.

In the early stages when the pelvic organs are less prolapsed, the treatment is mainly conservative with pelvic physiotherapy exercises. In the late stages, patients need surgery to strengthen and increase the traction of the pelvic ligament system. There are two options: vaginal surgery or laparoscopy. Surgeons will use biomaterial fragments to replace aging ligaments.

To prevent genital prolapse, doctors advise women to avoid obesity , constipation , and limit exercises that increase intra-abdominal pressure. When there are early signs of genital prolapse, it is necessary to see a specialist doctor for appropriate treatment measures, to avoid the prolapsed mass progressing worse than requiring surgery.