盆腔器官脱垂是由支撑骨盆器官的肌肉和结缔组织衰弱引起的疾病,导致器官向下沉降。1该疾病在女性中的患病率远高于预期——产过孩子的女性中多达50%患有某种程度的脱垂,其中许多患者无明显症状。150岁以上女性中约有1/10会出现与脱垂相关的症状。1
多个因素会增加患病风险。1多次分娩、婴儿出生体重超过4公斤、产钳助产和产程延长都是已知的风险因素。1尽管脱垂相当常见,但许多患者因尴尬、认识不足、文化信念以及医疗服务可及性问题而延迟或不寻求治疗。1
针对脱垂的治疗方案多样。1轻度脱垂可通过盆底肌肉训练(凯格尔锻炼)得到改善。1硅胶制成的阴道托盘是一种安全的非手术治疗选项。1手术治疗虽然有效,但需要注意的是,约有25-30%的女性在手术后可能会再次发生脱垂。1
Pelvic organ prolapse, caused by weakening of the muscles and connective tissues that support pelvic organs, occurs frequently among women who have given birth and those in later stages of life.1 Up to 50% of women who have had children experience some degree of pelvic organ prolapse, though many cases remain asymptomatic.1 Risk factors for developing the condition include multiple pregnancies, infant birth weight exceeding four kilograms, use of forceps during delivery, and prolonged labor.1
While prolapse is prevalent, it can be effectively managed through various treatment approaches. One in ten women over age 50 will experience symptoms related to prolapse.1 Mild cases may improve with pelvic floor muscle training, commonly known as Kegel exercises.1 Vaginal pessaries—typically made of silicone—represent a safe non-surgical treatment option.1 Surgical intervention is also available, though approximately 25–30% of women who undergo surgery experience recurrent prolapse.1
Despite the availability of treatments, many women delay seeking care due to embarrassment, limited awareness, cultural beliefs, and difficulties accessing appropriate services.1
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