What are the causes of uterine prolapse? What is the best way to treat uterine prolapse?

Uterine prolapse, also known as uterine detachment, is a common gynecological disease. It is mainly caused by the uterus sliding down the vagina from its normal position due to various reasons. In severe cases, the uterus of patients may even sag out of the vaginal opening, causing the anterior and posterior walls of the vagina to bulge, which can easily affect the vagina and urethra, causing vaginal inflammation and urethral infection. Timely treatment is required for uterine prolapse, also known as uterine prolapse. The inner wall of the uterus cannot shrink and recover well, and it sags into the vagina, and in severe cases, it may extend outside the body. The general symptoms of uterine prolapse are at least a sense of falling (the feeling that something is about to fall out of the lower abdomen), and usually there will be backache. In severe cases, it will also drag down the bladder and rectum, and there will be frequent urination, incomplete urination, or a feeling of constipation. 1. Clinical manifestations 1. Lumbar and sacral pain, especially in the sacral region, is more obvious after labor, and can be relieved after bed rest. In addition, patients feel that the lower abdomen, vagina, and perineum are falling, which is also aggravated after fatigue. 2. Vaginal prolapse: Patients report that a spherical object has prolapsed from the vagina, which is more obvious when walking or doing physical labor, and returns to the original position by itself after resting in bed. In severe cases, the prolapsed object falls out all day and cannot be returned to the original position by itself. Due to walking and friction with clothes, the patient feels uncomfortable. After long-term friction, ulcers, infections, increased secretions, and even bleeding occur, and local tissues become thickened and keratinized over time. 3. Urinary tract symptoms: Most patients with uterine prolapse experience a sudden increase in abdominal pressure when they laugh, cough violently, or exert force, causing urinary incontinence and urine overflow. Uterine prolapse is often accompanied by varying degrees of cystocele, but whether stress urinary incontinence occurs depends on whether the anatomical relationship between the bladder and the urethra has changed. A small number of patients with uterine prolapse have difficulty urinating, which leads to urinary retention. They need to use their fingers to push the bulging bladder forward before they can urinate. The reason is that the bladder is severely prolapsed and the enlarged bladder is located below the urethra. 4. Menstrual changes and excessive leucorrhea are caused by pelvic organ prolapse, which leads to blood circulation disorders and local congestion, affecting normal menstruation and causing excessive menstruation. In addition, due to blood circulation disorders, prolapsed organs are complicated by ulcers and infections, resulting in increased leucorrhea and bloody secretions. 5. Generally, it does not affect conception, pregnancy and delivery, but for those with uterine prolapse that cannot be reduced, cervical edema may occur after delivery and cervical dilation may be difficult, leading to dystocia. 6. Physical signs: The uterus moves downward from the cervix in the vagina, 2 cm away from the hymen, to as long as 4 to 5 cm. When severe uterine prolapse is accompanied by bladder prolapse, the transverse groove folds of the vaginal bladder disappear, and the lower boundary of the bladder may be longer than the external opening of the cervix. In severe uterine prolapse, the bladder and ureter move downward, forming a positive "△" area with the urethral opening. 2. Uterine prolapse is divided into three degrees. Degree I: The cervix is ​​prolapsed 2 cm away from the hymen