Cystocele after natural labor?

summary

The recovery of the uterus after birth is particularly important. After giving birth to the baby, you can feel a hard bag similar to your fist size in your lower abdomen. My mother often says that I still have a lump in my stomach. In fact, it was the uterus. She had a contraction two or three days before giving birth. Now we advocate the early sucking of postpartum baby, which has a stimulating effect on abdominal contraction. Cystocele after natural labor? Let's talk about it.

Cystocele after natural labor?

1. The above symptoms in patients with vaginal wall prolapse are due to the angle between bladder and urethra, which affects the excretion of urine, and the increase of abdominal pressure aggravates the prolapse. If there is urinary retention, Chang Jifa * s cystitis; Pubourethral ligament injury can lead to urethral prolapse and tension urinary incontinence; Severe anterior vaginal wall prolapse was often accompanied by first degree uterine prolapse.

2. Vaginal relaxation is not caused by too much tissue or thick tissue. It is caused by local muscle strain and thinning. Traditional resection and suture method will make the tissue thinner. The first method is not to cut off the tissue, but to put the extra mucosa in the rectovaginal space to thicken the rectovaginal space; The second is longitudinal suture ligation of vaginal circular muscle, and Bridge ligation at both ends, so that the vaginal circular muscle is shortened a little; Third, both sides of the outer edge of the mucosa bridge suture, the mucosa is also tight a lot. It not only shortens the circular muscle of vagina, but also thickens the tissue around vagina.

3. The puerpera with mild illness may have no symptoms or feel prolapse in the pudendal part, and the severe one may have the feeling of falling down. The prolapse increases when they are tired or exerting force, and the difficulty of urination gradually appears; Sometimes even the urine does not come out, must use the hand to push the bulge back to the vagina to have the urine to discharge.

matters needing attention

1. Epidemiology anterior vaginal wall prolapse is very common, mild prolapse is common in postpartum menstrual mothers, occasionally can occur in the pelvic floor structure of congenital poor development of nulliparous women and postmenopausal tissue atrophy of the mother, its occurrence increases with age, but the real incidence is not clear. 2. The recurrence of prognosis represents the failure to find and repair the supporting tissue defects during operation, or it is related to the weakness, relaxation or defect of tissue with age and menopause. Other factors such as genetic factors, constipation, multiple pregnancies, weight-bearing, chronic lung disease, smoking and lack of estrogen replacement therapy in postmenopausal women.