"Uterine prolapse" may sound alarming, but it simply refers to the descent of pelvic organs (the uterus, vagina, bladder, and rectum) from their normal positions, resulting in a feeling of heaviness or protrusion. Patients may experience discomfort that impacts their love relationships and social life. If left untreated, it can lead to various health issues. Common complications include urinary difficulties, constipation, and bleeding, with severe cases potentially affecting mental health. Dr. Yu Chun Hung, Mandy, a specialist in obstetrics and gynaecology at Chiron Medical, notes that the incidence of uterine prolapse in Hong Kong is increasing annually, particularly among middle-aged and elderly women. Surgical treatment can improve quality of life, but discussions with patients about their preferences and the extent and location of the prolapse are essential.
The symptoms and impacts of uterine prolapse vary by stage. Dr. Yu emphasizes that there is no golden period for treatment; age is not an absolute barrier to surgery. If the degree of prolapse significantly affects quality of life, surgery may be necessary, even for patients classified as Stage I. For milder
cases, patients can consider non-surgical options like pelvic floor muscle training, physical therapy, and vaginal pessaries to alleviate symptoms and prevent further deterioration. Waiting until Stage III or IV for treatment increases the complexity and likelihood of surgery, and prolonging recovery times. Older
patients face relatively higher surgical risks. Therefore, early diagnosis and treatment are crucial.
For those with uterine prolapse who choose conservative treatment, a pessary may be considered to support the uterus in place. In cases of severe prolapse, especially in patients beyond their reproductive years, a hysterectomy combined with pelvic floor repair or other stabilization procedures may be recommended. After surgery, patients can resume normal activities but still need to modify their daily habits, such as avoiding heavy lifting, preventing constipation, and managing chronic cough. Uterine prolapse does not resolve on its own, and bodily functions can decline with age. If symptoms arise, it is important to seek prompt medical attention to maintain quality of life.
