How to treat second degree uterine prolapse

Second-degree uterine prolapse can be intervened through lifestyle adjustments, pelvic floor muscle exercises, pessary placement, drug treatment, and surgical treatment. Uterine prolapse may be related to factors such as childbirth injury, long-term increase in abdominal pressure, and pelvic floor tissue degeneration. It usually presents with symptoms such as vaginal mass prolapse, falling sensation, and difficulty in urination.

1. Lifestyle adjustment

Reduce heavy physical labor and long-term standing, and avoid behaviors that increase abdominal pressure such as lifting heavy objects or chronic coughing. Maintain regular bowel movements to prevent constipation. Obese people need to control their weight to reduce abdominal pressure. Daily knee-chest lying position can be used to relieve sagging symptoms and repeated for 10-15 minutes every day.

2. Pelvic floor muscle exercises

Kegel exercises can enhance the support of the pelvic floor muscles. Contract the anal and vaginal muscles for 5 seconds every day and then relax. Repeat 15-20 times in one group to complete 3 groups. Biofeedback therapy combined with electrical stimulation can improve the effectiveness of exercise and must be performed under professional guidance.

3. Placement of pessary

Ring or cubic silicone pessary can mechanically support prolapsed organs, and the doctor needs to select the model according to the width of the vagina. After placement, replace it every 3-6 months and take it out for cleaning at night. Increased vaginal discharge or friction ulcers may occur, requiring regular follow-up evaluation.

4. Drug treatment

Topical application of estrogen ointments such as estriol cream can improve vaginal mucosal atrophy and enhance tissue elasticity. Phytoestrogen preparations such as red clover extract may relieve perimenopausal symptoms, but be wary of side effects such as abnormal uterine bleeding.

5. Surgical treatment

Transvaginal uterosacralopexy uses mesh to suspend the top of the uterus, and Mann's surgery removes part of the cervix and repairs the anterior and posterior vaginal walls. Young patients can consider uterine-preserving laparoscopic sacrospinous ligament fixation, and they need to abstain from sexual intercourse for 3 months after surgery.

It is recommended to wear cotton breathable underwear to avoid moisture on the vulva and clean the perineum daily but avoid excessive douching. You can eat collagen-rich tendons, isinglass and other foods in moderation, and use vitamin E to promote the repair of connective tissue. If urination disorder or support discomfort occurs, timely follow-up is required. Severe prolapse combined with stress urinary incontinence may require combined anti-incontinence surgery.