Such a deviation as the prolapse of the walls of the vagina , most often occurs in women after childbirth. The reason for this may be insufficient physical development. The vagina is associated with the uterus, so the prolapse of the vagina can provoke the prolapse and prolapse of the uterus without proper treatment.
The omission of the walls of the vagina and uterus is a weakening of the muscles of the pelvic floor, which leads to changes in the normal physiological relative position of the pelvic organs.
The reasons that cause this disease are several: the birth of a child with a large weight, a long or difficult birth, numerous births, obesity, various diseases of the connective tissue, respiratory diseases that are chronic, removal of the uterus in the absence of fixation of the vaginal dome.
The omission of the anterior vaginal wall has the following symptoms:
- pulling dull pain in the lower abdomen and back;
- the feeling that there is a foreign body in the vagina;
- problems with urination ;
- difficulties with bowel movements (in 30% of patients);
- during intercourse, a sensation of pain;
- blood discharge.
The omission of the anterior wall of the vagina is a dangerous disease because it is associated with the direct prolapse of the bladder, which in this position cannot be completely emptied when urinating. In residual urine, infections develop that can contribute to the development of cystitis.
There is no one universal treatment for this disease. The patient’s age, the presence of any gynecological diseases, and the degree of omission affect the choice of a method.
There is remedial gymnastics (Kegel exercises) that can help strengthen muscles. It is especially effective in the initial stages of the disease, when the prolapse of the vagina does not yet accompany the prolapse of the pelvic organs. Its advantage is that it can be done almost anywhere. Exercises need to be done in three stages. At the first stage, you need to tighten the muscles, as to stop urination, for 5-20 seconds. In the second stage, you need to strain and relax the muscles as quickly as possible. On the third - you need to moderately push as during childbirth.
The omission of the anterior wall of the vagina has a conservative treatment - pessaries. This is a plastic device that looks like a ring. Pessaries are inserted into the vagina in order to keep the uterus in the right place. It is used if there are contraindications to surgical treatment. All manipulations with him are carried out on an outpatient basis and do not require anesthesia. When using this method of treatment, you must regularly visit a gynecologist. Periodic disinfection of the pessary is also needed.
A cardinal treatment for the prolapse of the walls of the vagina is plastic. Correction is possible in two ways. The first is with the help of our own connective tissues. However, with this method of treating vaginal wall prolapse, 40% of women experience relapse within five years. The second is the use of a soft synthetic mesh implant, stretched in the pelvic plane, supporting all the organs of the small pelvis.
To prevent the prolapse of the anterior vaginal wall, it is necessary to avoid lifting heavy objects, exercise regularly, conduct postpartum rehabilitation in a timely manner, and abandon bad habits (in particular, from smoking).
It must be remembered that no matter what treatment methods you expect, the main thing when manifesting symptoms of vaginal wall prolapse is to consult a gynecologist immediately so as not to start the disease until the later stages, the treatment of which is much more complicated and longer.
In this case, as in any disease, it is better to prevent than to treat, or already to treat in the early stages, than to wait for surgery and long-term rehabilitation with consequences.