What are the risks of closed surgery for uterine prolapse in elderly patients?

Complications of vaginal closure surgery for elderly women with uterine prolapse include postoperative infection, vaginal stenosis and adhesions, urinary dysfunction, pelvic pain and discomfort, and sexual dysfunction. The procedure requires careful assessment of the patient's physical condition and surgical indications. If persistent high fever, difficulty urinating, or severe pain occur after surgery, prompt medical attention is recommended.

1. Postoperative infection: Elderly patients often have weakened immune systems, making surgical wounds susceptible to bacterial invasion, which may lead to infections such as vaginitis or pelvic inflammatory disease. Symptoms include fever and abnormal vaginal discharge. Enhanced postoperative anti-infective care is essential.

2. Vaginal stenosis and adhesions: During vaginal closure, tissue adhesions may develop during wound healing, leading to vaginal narrowing. This can impair the normal discharge of secretions and, in severe cases, cause a sensation of heaviness or discomfort in the lower abdomen.

3. Urinary dysfunction: The surgery may damage tissues around the urethra or affect nerve conduction, resulting in symptoms such as frequent urination, urgency, difficulty urinating, or even urinary retention, significantly impacting the quality of life in elderly patients.

4. Pelvic pain and discomfort: Postoperative pelvic congestion, edema, adhesions, or scar tissue traction may cause persistent dull lower abdominal pain or aching in the lower back and sacral area, with symptoms worsening after physical exertion.

5. Sexual dysfunction: Vaginal closure results in the loss of normal sexual function. Some patients may experience psychological stress due to physiological changes. Adequate preoperative counseling and psychological support are crucial.

After surgery, maintain good external genital hygiene and use prescribed medications to prevent infection. Avoid strenuous exercise and heavy physical labor to reduce pelvic pressure. Follow a light, easily digestible diet rich in dietary fiber. Maintain regular作息 (daily routines) to promote wound healing.