From the Department of Obstetrics and Gynecology at Memorial Şişli Hospital, Op. Dr. Volkan Erdogan gave information about the causes and symptoms of uterine prolapse. Expressing that the incidence of uterine prolapse increases with age, Op. Dr. Volkan Erdoğan said: “Women of all ages can experience uterine prolapse. Although it can be seen in women of all ages who have given birth, it is a condition in which there are cases seen even in their 20s. It is observed that women who have given birth multiple times or who have had a difficult birth are at higher risk. However, the incidence of sagging problems increases in direct proportion to age. While it is seen in 40 out of every 4 women in women in their 1s, the incidence increases to 60 out of every 3 women in their 1s, and by the age of 80, this rate increases to 2 out of every 1 women. he said.
Saying that the most important reason for uterine prolapse is childbirth, Op. Dr. Erdogan stated that uterine prolapse can be seen in the menopausal period, when long-term birth, a history of giving birth to an overweight baby, multiple births, difficult delivery and tissues begin to lose function gradually.
Kiss. Dr. Volkan Erdogan listed the symptoms of uterine prolapse as follows:
”Women with uterine prolapse also have swelling in their hands in the vagina area or a mass extending outward.
It can also manifest itself in the form of palpable bumps due to the protrusion of all or part of the uterus.
In cases where it forces itself such as lifting heavy and straining, the uterus may go out and re-enter when the challenging situation disappears and may not give any symptoms for a while.
May cause urinary incontinence.
Groin pain and sexual dysfunction may occur.
It can cause constipation problem.
This situation shows itself best with the feeling of something coming out of the woman's vagina, for example, during the carrying of the bags at the market or after the market. All of these mentioned conditions are observed to be related to the degree of uterine prolapse. ”
Stating that uterine prolapse is treated in 2 ways, Op. Dr. Erdogan said, “The treatment of pelvic organ prolapse is basically divided into two as non-surgical treatments and surgeries. Both of these ways have the competence to treat the patient, and the patient makes the distinction between the two. Non-surgical treatment options such as physical therapy and pessaries are offered. There are donut-like silicone instruments that hold the pessary uterus and prolapsed tissue in place. Physiotheraphy; A wide-spectrum treatment method, called Kegel exercise, is applied from the methods that the woman can apply at home to the neuromuscular electrical stimulations that should be applied in the hospital. There are also activities recommended to patients to strengthen the pelvic floor in Pilates and yoga, but these are preventative rather than therapeutic activities.” used the phrase.
Kiss. Dr. Emphasizing that uterine-sparing surgeries are preferred, Erdoğan said, “Uterine prolapse surgeries can be performed without incision, vaginally, as well as laparoscopically or robotically, with the closed abdomen method. While planning the treatment, all of them are evaluated as a whole according to the condition of the sagging compartment, the patient's age, condition, and the patient's wishes. In case of uterine prolapse, uterine-sparing surgeries are preferred as a priority. However, in the presence of a pathology in the uterus, surgeries can be performed in which the uterus is removed and the remaining tissue is suspended. In these operations, where hanging the sagging tissue is the main principle, either the graft is taken from the patient's own tissue and hung on the organ site, or the patient's organ is hung on the intact tissues in the pelvis with synthetic patches called mesh, which is more often used. The operation plan is organized in direct proportion to the patient's complaints. In cases of uterine prolapse, the main factor that determines the decision and time of surgery may be the patient's complaint about this situation. warned.