Question
I experienced urinary leakage while sneezing and coughing in the late pregnancy of my second child. When I returned for a check-up 42 days after giving birth, I was found to have a second-degree bladder prolapse. How should I be treated, or will it gradually recover on its own?
Answer
Postpartum urinary incontinence is commonly due to pelvic floor muscle compression during pregnancy, leading to fatigue of the pelvic floor muscles, vaginal relaxation, and prolapse of pelvic organs. It is recommended to undergo a pelvic floor function examination 42 days after giving birth. If the pelvic floor muscles are found to be weak or if there is urinary incontinence, treatment can be done through non-surgical methods such as pelvic floor muscle training and electrical stimulation therapy. For patients with more severe symptoms, minimally invasive suspension surgery may need to be considered.