I always feel soreness and swelling of the lower body (perineum), and what kind of experience is it like to have something coming out? This may be caused by cystocele, uterine vagina prolapse! Ms. Yang, who lives in Lin’an, Hangzhou, has personally experienced this trouble.
Five years ago, Ms. Yang, who was only 38 years old, did not know what happened. Every afternoon, she felt sore and swollen in her lower body, which was particularly uncomfortable. When taking a bath, she deliberately checked it herself, and she didn’t find anything unusual. Ms. Yang felt that it might be due to the exhaustion of work and taking the children, so she did not go to the hospital for further examination.
Over the past 5 years, these symptoms have been repeated, and Ms. Yang has always passed away with forbearance. However, these symptoms not only didn’t get better, they got worse…
At the beginning of last year, Ms. Yang found out that she always wanted to run to the toilet, sometimes more than 20 times a day, and she was very anxious whenever she urinates. He ran to the toilet, but he could only urinate a little bit. At first, Ms. Yang thought it was a urinary tract infection, so she took some antibiotics and the symptoms of frequent urination improved slightly. “If it’s just frequent urination, I don’t think I will come to the hospital on the initiative.” Ms. Yang said. So, what is the reason that changed Ms. Yang’s mind and asked her to take the initiative to seek the help of a professional doctor?
Five months ago, Ms. Yang began to have trouble urinating, “It is obviously very urgent, but I can’t solve it.” Every time I go to the toilet, it takes at least 3 to 4 minutes. Most of the time, I sit on the toilet. Hold your breath and force again and again. Ms. Yang also found that something would come out of the vaginal opening and it was getting bigger and bigger. She stuffed it in with her hands, and it fell out after a while, which was very torturous.
Ms. Yang visited the local gynecology department nearby and underwent a colposcopy examination. She was diagnosed as “prolapse of the front and back walls of the vagina and prolapse of the uterus.” Under the doctor’s advice, Ms. Yang did 3 courses of pelvic floor muscle rehabilitation exercises in the hospital. The treatment time passed day by day, but the condition did not improve significantly. In January of this year, Ms. Yang went to the expert clinic of Hu Qing, Director of the Department of Urology, the Second Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine (Zhejiang Xinhua Hospital).
After a detailed physical examination, combined with the patient’s 5 years of onset, Director Hu gave a diagnosis of “severe cystocele and uterine vagina prolapse”. Director Hu told Ms. Yang: “The prolapse of the lower body is the front wall of your vagina and the uterus, and the prolapse of the front wall of the vagina often means bladder prolapse. With the development of bladder prolapse, the change of the urine outflow channel will cause Because of the symptoms of unclean urination and labored urination, you have to hold your breath every time to relieve your urination. And this urination habit for a long time has aggravated organ prolapse, which is a vicious circle.”
For younger patients like Ms. Yang, pelvic floor rehabilitation is the preferred treatment option. But facts have proved that this method is not very helpful to Ms. Yang’s condition. In view of the above-mentioned symptoms seriously affecting Ms. Yang’s quality of life and Ms. Yang’s eager hope, after weighing the pros and cons, Director Hu suggested that Ms. Yang be hospitalized for further examinations to evaluate whether to undergo surgery.
During Ms. Yang’s hospitalization, she performed urodynamic and cystography examinations, combined with medical history and physical examination, and finally came up with the following two diagnoses: severe cystocele; first-degree uterine prolapse. The rehabilitation effect of severe pelvic organ prolapse is not ideal, and the operation can obtain satisfactory results. In the end, Director Hu formulated a treatment plan: using laparoscopic minimally invasive technology, a pelvic floor patch was implanted between the patient’s bladder and vaginal wall and suspended on both sides of the abdominal wall to replace the traditional transvaginal cystocele patch. Repair surgery. While solving Ms. Yang’s cystocele, it also solved the problem of uterine and vaginal prolapse, and minimized the impact of the operation on the life of the patient’s husband and wife. The operation time is short, the trauma is small, and the postoperative recovery is faster.
Now, Ms. Yang has completed the operation for more than a month. “Now I urinate very smoothly, the soreness and swelling that I had felt before has basically disappeared, and the things that protruded from the lower body are gone.” Ms. Yang said during the review. Director Hu reminded Ms. Yang, “In the three months after the operation, you should pay attention to rest, keep your stool unobstructed, and avoid the behavior of abdominal pressure as much as possible. The patch in the body still needs time to fuse with the normal tissues of the body.”
What is cystocele
That is, the bladder bulges toward the front wall of the vagina. The most common causes are pregnancy, chronic cough, obesity, and inappropriate abdominal exercises. In severe cases, the urethra will bulge. Mild cases are asymptomatic, and severe cases often feel backache and fall, and consciously have a swelling protruding from the vagina. Often accompanied by dysuria and dirty urine.
What to do after cystocele
● looking urinary specialist help
early detection and early treatment. Don’t endure it alone, and seek help from a doctor when you have a severe cystocele.
● correct long-term chronic illness or behavior increases abdominal pressure
, such as chronic cough, constipation, obesity, heavy lifting and so on.
● mild to moderate patients do not need special treatment
under the guidance of professional doctors, at home you can do Kegel exercises, pelvic floor muscles and fascia exercise, pelvic floor muscle strength increased. If you don’t know Kegel exercises, or you can’t find the location of your muscles, you can also go to the hospital for biofeedback treatment. After mastering the methods and methods, go home and exercise on your own.
● severe patient in need of surgery
feasible transvaginal or laparoscopic cystocele repair patches implanted in vivo use, acts to strengthen the pelvic floor strength.
How to do Kegel exercises
● Finding the pelvic floor muscles
feel trying to shrink the vagina (between men is the root of the scrotum and anus) and the muscles around the rectum, and efforts to uplift these muscles, as Biezhu not pee and do not fart. If you still don’t find it, there is an easier way, which is to stop suddenly during urination. At this time, the muscles that are moving are the pelvic floor muscles.
● contraction of the pelvic floor muscles
the right direction of motion of muscles should be upward, inward, rather than hold your breath down. You can put your hands on your abdomen and buttocks during training to ensure that your belly, thighs, and buttocks are kept still during exercise.
● alternately repeated training
pelvic floor muscle contraction, adhere to 10 seconds; muscle relaxation 10 seconds; 10 to 15 times repetition of such an operation; 2 ~ 3 times a day; 6 to 8 weeks for a course of treatment, about 4 weeks the symptoms will be improved, The effect is obvious in 3 months.