Suffering from uterine prolapse and stress urinary incontinence, the doctor solved two problems with one surgery!

After the surgery on the second day, Ms. Liu told the doctor, “No urinary incontinence anymore. The previously prolapsed uterus has also returned to its normal position. The effect is too good.”
Ms. Liu, 63 years old from Xi’an (pseudonym), had intermittent urinary incontinence with no apparent cause six months ago, accompanied by urinary frequency, urgency, and more leakage when coughing or exerting herself. She experienced nocturia 2-4 times per night, along with the protrusion of a vaginal mass measuring approximately 3cm*3cm. The surface of the mass showed no bleeding, was smooth, and she felt a sense of prolapse usually. Initially, the prolapsed mass could be reduced, but gradually became irreducible. Two months ago, her symptoms worsened, prompting her to seek further treatment from Professor Li Xudong, Department of Urology at the First Affiliated Hospital of Xi’an Jiaotong University.
In the female pelvic cavity, there are the uterus, vagina, intestines, and bladder. The pelvic floor fascia, muscles, and ligaments together form a strong “support system” that maintains the normal position of female pelvic organs. Pelvic organ prolapse occurs when the pelvic floor tissues weaken, leading to the descent of pelvic organs, resulting in abnormalities in organ position and function. The main symptoms include vaginal tissue protrusion, accompanied by urinary, defecation, and sexual dysfunction, which can significantly impact the patient’s quality of life. Ms. Liu had uterine prolapse and stress urinary incontinence. To fully cure this condition, surgical treatment is necessary, involving pelvic floor reconstruction and mid-urethral sling procedures. These procedures can restore the prolapsed part to its normal position and create a mid-urethral sling to increase urethral tension and completely relieve urinary incontinence symptoms.
Professor Li Xudong assured Ms. Liu that she could be cured and decided to admit her for a detailed surgical assessment.
On July 11, 2024, under general anesthesia, Ms. Liu underwent a “mid-urethral sling procedure + pelvic floor reconstruction” through the vagina. By the second day after the surgery, the patient could urinate independently, move around, and the vaginal mass had returned to its normal position, indicating a particularly good surgical outcome.