Consequences of delaying treatment for pelvic floor prolapse – VnExpress

Most women feel shy, difficult to share when having problems with pelvic floor prolapse, prolonged tolerance increases the risk of complications.

Not fully understood about pelvic floor prolapse

According to MSc Nguyen Thi Thanh Tam, Specialist in Pelvic Floor Pathology, Center for Obstetrics and Gynecology, Tam Anh General Hospital in Ho Chi Minh City, pelvic floor prolapse is not a new disease. However, due to lack of early access to pelvic floor disease, fear and subjectivity cause many women to delay and not intervene in time, leading to serious consequences.

When she was 28 years old, Tran Thao Vy was pregnant with twins. Due to the great pressure of the abdomen and the weight of the twin pregnancy on the pelvic floor, after giving birth, Vy’s entire uterus and vagina were turned out of her door.

The condition is very serious, but due to the patient’s lack of knowledge about pelvic floor prolapse, it is thought that this is a problem that any woman after giving birth will encounter and recover on her own with time. However, as the baby grows older, the mother’s pelvic floor prolapse becomes more and more severe. Two years after giving birth, besides suffering consequences such as urinary incontinence, burning pain, guilt, the couple divorced because her husband did not sympathize with and share with Vy about the illness.

Doctor Nguyen Thi Thanh Tam examines a patient at Tam Anh General Hospital.

According to Dr. Thanh Tam, when putting aside the family work, the patient went to the obstetrician-gynecology specialist. In this case, the patient underwent laparoscopic surgery to suspend the entire uterine mass, the anterior and posterior walls of the vagina. Surgery was successful, the patient returned to normal life after two years of enduring pelvic floor prolapse.

“In this case, the recovery was not complete because the patient went to the doctor quite late. If the patient came to the hospital right after giving birth, the outcome would be much better,” said Dr. Thanh Tam.

Doctor Thanh Tam added that there was once a 103-year-old patient who visited many major general hospitals because of unexplained kidney failure. Doctors put forward two theories, one is the patient with renal failure due to medical reasons, the other is due to the prolapsed mass.

“Through biographical mining, we determined that the patient had a prolapse from the age of 60, which means that the patient has suffered from the condition for nearly 45 years. The prolapse is not only a nuisance to his spiritual life, but also a nuisance. The patient was placed in the vagina to lift the prolapse. After 3 months, the prolapse returned to its normal position and the kidney function improved,” said Dr. Thanh Tam.

Do not delay treatment

According to Dr. Thanh Tam, one in three women who have ever been pregnant and given birth has urinary incontinence. Almost 50% of women over 40 years old have urinary incontinence, 40% of women over 50 years old have at least one pelvic organ prolapse, such as bowel, rectum, bladder, 70% of these cases have at least 2 prolapse. organ. Pelvic floor prolapse is a common pathology in women, however, due to a secret problem, women often delay or delay in examining.

Exercises to help restore and lift the pelvic floor.  Photo: Tam Anh General Hospital

Exercises to help restore and lift the pelvic floor. Photo: Tam Anh General Hospital

This anxiety, delay in examination inadvertently aggravates the symptoms of pelvic floor prolapse. Specifically, diseases that cause urination disorders such as urinary incontinence, frequent urination, bowel disorders such as fecal incontinence, frequent defecation, anal pain when defecating, vaginal dilation, decreased sensation of intercourse or pain, inability to have intercourse.

Pelvic floor prolapse is not a life-threatening problem, but delaying it too long can cause damage to the pelvic floor, if large prolapses can cause fluid retention in the kidneys. The prolapsed mass can cause constipation, affect the function of urination and sexual activities… upsetting a woman’s life. Elderly patients with pelvic organ prolapse with medical diseases (cardiovascular, diabetic complications…) if not early intervention will be at high risk of complications.

Doctor Thanh Tam recommends that, for women who are pregnant or have just given birth, exercises to support recovery and pelvic floor prolapse are gentle but very effective. Proper exercise helps prevent prolapse of pelvic organs such as uterus, bladder, and rectum.

When you have problems with pelvic floor prolapse, you should boldly visit the obstetrics and gynecology specialists for the most appropriate and early treatment advice. “It’s never too late for pelvic floor prolapse, whether you’re 30, 50 or 90 years old. Therefore, people should listen to their bodies more, if they have pelvic floor problems, they must actively seek medical care for quality. the best life,” said Dr. Thanh Tam.

Mr. Chi


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