How to pass a Reference / Pointer to a Rust Struct to a C ffi interface?

What I am trying to do

I have built a Rust interface, with which I want to interact via C (or C# but it does not really matter for the sake of the question). Because it does not seem to be possible to make a Rust Struct accessible to C I am trying to build some wrapper functions that I can call and that will create the Struct in Rust, call functions of the struct and eventually free the Struct from memory manually.

In order to do this I thought I would pass the pointer to the Struct instance that I create in the init function back to C (or C# and temporary store it as an IntPtr). Then when I call the other functions I would pass the pointer to Rust again, dereference it and call the appropriate functions on the dereferenced Struct, mutating it in the process.

I know that I will have to use unsafe code to do this and I am fine with that. I should probably also point out, that I don't know a lot about life-time management in Rust and it might very well be, that what I am trying to is impossible, because it is quite easy to produce a loose pointer somewhere. In that case, I would wonder how I would need to adjust my approach, because I think I am not the first person who is trying to mutate some sort of state from C inside Rust.

What I tried first

So first of all I made sure to output the correct library and add my native functions to it. In the Cargo.toml I set the lib type to:

[lib]
crate-type = ["cdylib"]

Then I created some functions to interact with the struct and exposed them like this:

#[no_mangle]
pub extern fn init() -> *mut MyStruct {
    let mut struct_instance = MyStruct::default();
    struct_instance.init();
    let raw_pointer_mut = &mut struct_instance as *mut MyStruct;
    return raw_pointer_mut;
}

#[no_mangle]
pub extern fn add_item(struct_instance_ref: *mut MyStruct) {
    unsafe {
        let struct_instance = &mut *struct_instance_ref;

        struct_instance.add_item();
    }
}

As you can see in the init function I am creating the struct and then I return the (mutable) pointer.

I then take the pointer in the add_item function and use it.

Now I tried to test this implementation, because I had some doubts about the pointer still beeing valid. In another Rust module I loaded the .dll and .lib files (I am on Windows, but that should not matter for the question) and then called the functions accordingly like so:

fn main() {
    unsafe {
        let struct_pointer = init();
        add_item(struct_pointer);
        println!("The pointer adress: {:?}", struct_pointer);
    }
}

#[link(name = "my_library.dll")]
extern {
    fn init() -> *mut u32;
    fn add_item(struct_ref: *mut u32);
}

What happened: I did get some memory adress output and (because I am actually creating a file in the real implementation) I could also see that the functions were executed as planned. However the Struct's fields seem to be not mutated. They were basically all empty, what they should not have been after I called the add_item function (and also not after I called the init function).

What I tried after that

I read a bit on life-time management in Rust and therefore tried to allocate the Struct on the heap by using a Box like so:

#[no_mangle]
pub extern fn init() -> *mut Box<MyStruct> {
    let mut struct_instance = MyStruct::default();
    struct_instance.init();
    let raw_pointer_mut = &mut Box::new(struct_instance) as *mut Box<MyStruct>;
    return raw_pointer_mut;
}

#[no_mangle]
pub extern fn add_box(struct_instance_ref: *mut Box<MyStruct>) {
    unsafe {
        let struct_instance = &mut *struct_instance_ref;

        struct_instance.add_box();
    }
}

unfortunately the result was the same as above.

Additional Information

I figured it might be good to also include how the Struct is made up in principle:

#[derive(Default)]
#[repr(C)]
pub struct MyStruct{
    // Some fields...
}

impl MyStruct{
    /// Initializes a new struct.
    pub fn init(&mut self) {
        self.some_field = whatever;
    }

    /// Adds an item to the struct.
    pub fn add_item(
        &mut self,
        maybe_more_data: of_type // Obviously the call in the external function would need to be adjusted to accomodate for that...
    ){
        some_other_function(self); // Calls another function in Rust, that will take the struct instance as an argument and mutate it.
    }
}