What are the common causes of uterine prolapse. How can uterine prolapse be diagnosed. What are the available treatment options for uterine prolapse. Are there any preventive measures for uterine prolapse. How does uterine prolapse affect a woman’s quality of life.

What is Uterine Prolapse?

Uterine prolapse is a condition where the uterus descends or slips from its normal position in the pelvic region. This occurs when the muscles and ligaments supporting the uterus weaken, causing it to drop into the vaginal canal. In severe cases, the uterus may even protrude outside the vagina.

The severity of uterine prolapse is typically categorized into stages:

• Stage 1: The uterus is in the upper half of the vagina
• Stage 2: The uterus has descended to the opening of the vagina
• Stage 3: The uterus protrudes outside the vagina
• Stage 4: The entire uterus is outside the vagina

Common Causes and Risk Factors of Uterine Prolapse

Uterine prolapse can occur due to various factors that weaken the pelvic floor muscles and supporting ligaments. Some of the most common causes include:

• Pregnancy and childbirth, especially multiple vaginal deliveries
• Aging and menopause
• Obesity
• Chronic cough or constipation
• Heavy lifting or straining
• Genetic predisposition to weak connective tissue
• Previous pelvic surgery

Can hormonal changes contribute to uterine prolapse? Yes, hormonal changes, particularly during menopause, can affect the strength and elasticity of pelvic floor muscles, increasing the risk of uterine prolapse.

Recognizing the Symptoms of Uterine Prolapse

Identifying the symptoms of uterine prolapse is crucial for early diagnosis and treatment. Common symptoms include:

1. A feeling of heaviness or pulling in the pelvic area
2. A bulge or protrusion from the vagina
3. Difficulty urinating or having a bowel movement
4. Lower back pain
5. Painful intercourse
6. Recurrent bladder infections
7. Vaginal bleeding or increased discharge

Is it possible to have uterine prolapse without noticeable symptoms? In some cases, mild uterine prolapse may not cause noticeable symptoms, especially in the early stages. Regular gynecological check-ups can help detect prolapse before it progresses.

Diagnostic Procedures for Uterine Prolapse

Diagnosing uterine prolapse typically involves a combination of physical examination and imaging tests. The diagnostic process may include:

• Pelvic examination: A doctor assesses the position of the uterus and checks for any protrusion
• Imaging tests: Ultrasound, MRI, or CT scans may be used to evaluate the extent of the prolapse
• Bladder function tests: These tests check for any urinary incontinence associated with the prolapse

Are there any specific tools used in diagnosing uterine prolapse? Yes, doctors may use a tool called a speculum during the pelvic examination to better visualize the extent of the prolapse. Additionally, a grading system known as the Pelvic Organ Prolapse Quantification (POP-Q) system is often used to assess the severity of the condition.

Treatment Options for Uterine Prolapse

The treatment for uterine prolapse depends on the severity of the condition and the patient’s individual circumstances. Options include:

Non-surgical Treatments

• Pelvic floor exercises (Kegel exercises) to strengthen supporting muscles
• Lifestyle changes, such as weight loss and avoiding heavy lifting
• Pessaries – removable devices inserted into the vagina to support the uterus
• Hormone replacement therapy to improve tissue strength and elasticity

Surgical Interventions

• Vaginal repair surgery to reinforce pelvic floor muscles
• Laparoscopic or robotic-assisted uterine suspension
• Hysterectomy (removal of the uterus) in severe cases or for postmenopausal women

How effective are non-surgical treatments for uterine prolapse? Non-surgical treatments can be highly effective for mild to moderate cases of uterine prolapse. Studies have shown that pelvic floor exercises and lifestyle modifications can significantly improve symptoms and prevent progression in many patients.

Preventing Uterine Prolapse: Lifestyle and Exercises

While not all cases of uterine prolapse can be prevented, certain lifestyle changes and exercises can reduce the risk or slow the progression of the condition:

• Maintaining a healthy weight
• Practicing regular pelvic floor exercises
• Avoiding constipation through a high-fiber diet and adequate hydration
• Quitting smoking
• Using proper lifting techniques
• Managing chronic cough

How often should pelvic floor exercises be performed for optimal results? For best results, pelvic floor exercises should be performed daily. It’s recommended to do 3 sets of 10 to 15 repetitions each day. Consistency is key in strengthening these muscles and preventing prolapse.

Impact of Uterine Prolapse on Quality of Life

Uterine prolapse can significantly affect a woman’s quality of life, both physically and emotionally. Common impacts include:

• Discomfort and pain during daily activities
• Sexual dysfunction and reduced intimacy
• Urinary and bowel problems
• Emotional distress and reduced self-esteem
• Limitations in physical activities and exercise

Can uterine prolapse affect a woman’s ability to conceive or carry a pregnancy? While mild uterine prolapse may not directly affect fertility, severe cases can potentially impact conception and pregnancy. Women with uterine prolapse who wish to become pregnant should consult with their healthcare provider for personalized advice and management strategies.

Advances in Uterine Prolapse Research and Treatment

The field of uterine prolapse research is continuously evolving, with new treatments and technologies emerging. Some recent advancements include:

• Minimally invasive surgical techniques with faster recovery times
• Bioengineered mesh materials for improved support during surgical repairs
• Advanced imaging technologies for more accurate diagnosis and treatment planning
• Stem cell therapies to regenerate and strengthen pelvic floor tissues

What role does regenerative medicine play in treating uterine prolapse? Regenerative medicine, particularly the use of stem cells, shows promising potential in treating uterine prolapse. Early studies suggest that injecting stem cells into weakened pelvic floor tissues may help regenerate and strengthen these structures, potentially offering a less invasive alternative to traditional surgical approaches.

Emerging Non-Invasive Treatments

Researchers are exploring various non-invasive treatments for uterine prolapse, including:

• Low-intensity extracorporeal shock wave therapy to stimulate tissue regeneration
• Electromagnetic stimulation to strengthen pelvic floor muscles
• Advanced biofeedback techniques for more effective pelvic floor exercises

Personalized Treatment Approaches

The future of uterine prolapse treatment is moving towards more personalized approaches, taking into account factors such as:

• Genetic predisposition to pelvic floor disorders
• Individual biomechanical factors affecting pelvic organ support
• Patient-specific tissue characteristics and healing potential

How might genetic testing influence uterine prolapse treatment in the future? Genetic testing could potentially help identify individuals at higher risk for uterine prolapse, allowing for earlier intervention and preventive measures. Additionally, understanding a patient’s genetic profile may help clinicians tailor treatments more effectively, choosing interventions most likely to succeed based on the patient’s genetic predisposition to tissue strength and healing.

Living with Uterine Prolapse: Coping Strategies and Support

For women living with uterine prolapse, developing effective coping strategies and seeking support can significantly improve quality of life. Some helpful approaches include:

• Joining support groups or online communities for women with pelvic floor disorders
• Working with a pelvic floor physical therapist for specialized exercises and techniques
• Exploring mindfulness and relaxation techniques to manage stress and discomfort
• Maintaining open communication with partners about intimacy concerns
• Adapting daily routines to minimize strain on the pelvic floor

Are there specific exercises or activities that should be avoided with uterine prolapse? While moderate exercise is generally beneficial, women with uterine prolapse should avoid high-impact activities and exercises that put excessive strain on the pelvic floor. This may include heavy weightlifting, jumping, or intense abdominal exercises. A pelvic floor physical therapist can provide personalized recommendations for safe and effective exercise routines.

Emotional and Psychological Support

The emotional impact of uterine prolapse should not be underestimated. Women may benefit from:

• Counseling or therapy to address body image concerns and emotional distress
• Education about the condition to reduce anxiety and uncertainty
• Developing a strong support network of family, friends, and healthcare providers

Navigating Intimate Relationships

Uterine prolapse can affect intimate relationships, but open communication and adaptability can help couples maintain a satisfying sex life. Strategies may include:

• Exploring alternative positions that are more comfortable
• Using lubricants to reduce discomfort during intercourse
• Focusing on non-penetrative forms of intimacy when necessary
• Seeking guidance from a sex therapist or counselor specializing in pelvic floor disorders

How can partners support women with uterine prolapse? Partners can provide valuable support by educating themselves about the condition, being patient and understanding about physical limitations, and actively participating in lifestyle changes that can help manage symptoms. Encouraging regular medical check-ups and offering emotional support can also make a significant difference in a woman’s ability to cope with uterine prolapse.

Uterine Prolapse in Special Populations

While uterine prolapse is most common in older women who have given birth, it can affect women of various ages and life stages. Special considerations for different populations include:

Young Women and Athletes

• Focus on early detection and preventive measures
• Tailored exercise programs to strengthen the pelvic floor without exacerbating symptoms
• Education about proper body mechanics during sports and physical activities

Pregnant Women

• Close monitoring during pregnancy and postpartum period
• Specialized prenatal exercises to support the pelvic floor
• Guidance on safe delivery methods to minimize pelvic floor trauma

Postmenopausal Women

• Hormone replacement therapy considerations
• Bone health management to prevent osteoporosis, which can contribute to prolapse
• Adapting treatments to account for age-related changes in tissue elasticity

Can uterine prolapse occur in women who have never been pregnant? While pregnancy and childbirth are significant risk factors for uterine prolapse, it can occur in women who have never been pregnant. Factors such as genetic predisposition, obesity, chronic constipation, or heavy lifting can contribute to prolapse in these cases.

Women with Comorbidities

Managing uterine prolapse in women with other health conditions requires a comprehensive approach:

• Coordinating care with other specialists to address overlapping health issues
• Considering medication interactions when planning treatments
• Adapting pelvic floor exercises and lifestyle recommendations to accommodate other health limitations

How does obesity impact the management of uterine prolapse? Obesity can significantly complicate the management of uterine prolapse by increasing pressure on the pelvic floor and making surgical interventions more challenging. Weight loss is often recommended as part of the treatment plan, as it can alleviate symptoms and improve the success rates of both conservative and surgical treatments.

Future Directions in Uterine Prolapse Research and Care

The field of uterine prolapse research continues to evolve, with several promising areas of investigation:

Tissue Engineering and Regenerative Medicine

• Development of biocompatible scaffolds to support weakened pelvic tissues
• Advanced stem cell therapies for tissue regeneration and strengthening
• 3D-printed tissue constructs tailored to individual patient anatomy

Precision Medicine Approaches

• Genetic profiling to identify risk factors and guide preventive strategies
• Personalized treatment algorithms based on individual patient characteristics
• Targeted therapies addressing specific molecular pathways involved in pelvic floor weakness

Technological Advancements

• Artificial intelligence-assisted diagnosis and treatment planning
• Virtual reality tools for patient education and pelvic floor rehabilitation
• Wearable devices for real-time monitoring of pelvic floor health

How might artificial intelligence contribute to the management of uterine prolapse? Artificial intelligence could potentially revolutionize uterine prolapse management by analyzing vast amounts of patient data to predict individual risk, optimize treatment plans, and even assist in surgical planning. AI algorithms could also enhance the accuracy of diagnostic imaging interpretation and provide personalized recommendations for pelvic floor exercises and lifestyle modifications.

Integrative Approaches

Future care for uterine prolapse may increasingly incorporate integrative medicine approaches, combining conventional treatments with complementary therapies:

• Acupuncture for pain management and pelvic floor relaxation
• Yoga and Pilates adapted for pelvic floor health
• Nutritional interventions to support tissue health and healing

What role might telemedicine play in the future of uterine prolapse care? Telemedicine is likely to play an increasingly important role in uterine prolapse management, offering patients more convenient access to specialists, ongoing monitoring, and support. Virtual consultations, remote monitoring of pelvic floor exercises, and online support groups could enhance care continuity and patient engagement, particularly for those in rural or underserved areas.

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uterusprolaps vektor icon set – uterine prolapse stock-grafiken, -clipart, -cartoons und -symbole

Uterusprolaps Vektor Icon Set

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histologische untersuchung der uterusbiopsie suggestiver uterusprolaps. chronische zervizitis mit prolaps. – uterine prolapse stock-fotos und bilder

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Weibliche Beckenorgane flache Illustration

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Das Becken ist die unterste Region des Rumpfes.

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die harnwege bestehen aus niere, harnleiter, blase und harnröhre – uterine prolapse stock-fotos und bilder

Die Harnwege bestehen aus Niere, Harnleiter, Blase und Harnröhre

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Spermienweg im männlichen Fortpflanzungssystem, Samenbläschen

die harnwege bestehen aus niere, harnleiter, blase und harnröhre – uterine prolapse stock-fotos und bilder

Die Harnwege bestehen aus Niere, Harnleiter, Blase und Harnröhre

die harnwege bestehen aus niere, harnleiter, blase und harnröhre – uterine prolapse stock-fotos und bilder

Die Harnwege bestehen aus Niere, Harnleiter, Blase und Harnröhre

die harnwege bestehen aus niere, harnleiter, blase und harnröhre – uterine prolapse stock-fotos und bilder

Die Harnwege bestehen aus Niere, Harnleiter, Blase und Harnröhre

männlicher querschnitt der unteren harnwege – uterine prolapse stock-fotos und bilder

Männlicher Querschnitt der unteren Harnwege

sagittaler querschnitt des männlichen beckens – uterine prolapse stock-fotos und bilder

Sagittaler Querschnitt des männlichen Beckens

sagittaler querschnitt des männlichen beckens – uterine prolapse stock-fotos und bilder

Sagittaler Querschnitt des männlichen Beckens

das becken ist die unterste region des rumpfes. – uterine prolapse stock-fotos und bilder

Das Becken ist die unterste Region des Rumpfes.

sagittaler querschnitt des männlichen beckens – uterine prolapse stock-fotos und bilder

Sagittaler Querschnitt des männlichen Beckens

sagittaler querschnitt des männlichen beckens – uterine prolapse stock-fotos und bilder

Sagittaler Querschnitt des männlichen Beckens

das becken ist die unterste region des rumpfes. – uterine prolapse stock-fotos und bilder

Das Becken ist die unterste Region des Rumpfes.

uterusbiopsie: chronische zervizitis, leiomyom, endometrioszyste, zeigen chronische entzündungszellen in der subepithelialen schicht. myom. – uterine prolapse stock-fotos und bilder

Uterusbiopsie: Chronische Zervizitis, Leiomyom, Endometrioszyste,

uterusbiopsie: chronische zervizitis, leiomyom, endometrioszyste, zeigen chronische entzündungszellen in der subepithelialen schicht. myom. – uterine prolapse stock-fotos und bilder

Uterusbiopsie: Chronische Zervizitis, Leiomyom, Endometrioszyste,

uterusbiopsie: chronische zervizitis, leiomyom, endometrioszyste, zeigen chronische entzündungszellen in der subepithelialen schicht. myom. – uterine prolapse stock-fotos und bilder

Uterusbiopsie: Chronische Zervizitis, Leiomyom, Endometrioszyste,

uterusbiopsie: chronische zervizitis, leiomyom, endometrioszyste, zeigen chronische entzündungszellen in der subepithelialen schicht. myom. – uterine prolapse stock-fotos und bilder

Uterusbiopsie: Chronische Zervizitis, Leiomyom, Endometrioszyste,

uterusbiopsie: chronische zervizitis, leiomyom, endometrioszyste, zeigen chronische entzündungszellen in der subepithelialen schicht. myom. – uterine prolapse stock-fotos und bilder

Uterusbiopsie: Chronische Zervizitis, Leiomyom, Endometrioszyste,

gebärmutterbiopsie: chronische zervizitis mit plattenepithelmetaplasie, proliferative phase, gebärmutterhals zeigen chronische entzündungszellen infiltration in subepitheliale schicht mit dysplastischen veränderungen. – uterine prolapse stock-fotos und bilder

Gebärmutterbiopsie: Chronische Zervizitis mit…

Uterusbiopsie: Chronische Zervizitis mit Plattenepithelmetaplasie, proliferativer Phase, Gebärmutterhals zeigen chronische Entzündungszellen Infiltration in subepitheliale Schicht mit dysplastischen Veränderungen.

gebärmutterbiopsie: chronische zervizitis, proliferative phase, leiomyom, endometriotische zyste, zeigen chronische entzündungszellen. – uterine prolapse stock-fotos und bilder

Gebärmutterbiopsie: Chronische Zervizitis, proliferative Phase,…

Uterusbiopsie: Chronische Zervizitis, proliferative Phase, Leiomyom, endometriotische Zyste, zeigen chronische Entzündungszellen mit dysplastischen Veränderungen, keine Malignität gesehen.

gebärmutterbiopsie: chronische zervizitis, proliferative phase, leiomyom, endometriotische zyste, zeigen chronische entzündungszellen. – uterine prolapse stock-fotos und bilder

Gebärmutterbiopsie: Chronische Zervizitis, proliferative Phase,…

Uterusbiopsie: Chronische Zervizitis, proliferative Phase, Leiomyom, endometriotische Zyste, zeigen chronische Entzündungszellen mit dysplastischen Veränderungen, keine Malignität gesehen.

gebärmutterbiopsie: chronische zervizitis mit plattenepithelmetaplasie, proliferative phase, gebärmutterhals zeigen chronische entzündungszellen infiltration in subepitheliale schicht mit dysplastischen veränderungen. – uterine prolapse stock-fotos und bilder

Gebärmutterbiopsie: Chronische Zervizitis mit…

Uterusbiopsie: Chronische Zervizitis mit Plattenepithelmetaplasie, proliferativer Phase, Gebärmutterhals zeigen chronische Entzündungszellen Infiltration in subepitheliale Schicht mit dysplastischen Veränderungen.

gebärmutterbiopsie: chronische zervizitis, proliferative phase, leiomyom, endometriotische zyste, zeigen chronische entzündungszellen. – uterine prolapse stock-fotos und bilder

Gebärmutterbiopsie: Chronische Zervizitis, proliferative Phase,…

Uterusbiopsie: Chronische Zervizitis, proliferative Phase, Leiomyom, endometriotische Zyste, zeigen chronische Entzündungszellen mit dysplastischen Veränderungen, keine Malignität gesehen.

gebärmutterbiopsie: chronische zervizitis, proliferative phase, leiomyom, endometriotische zyste, zeigen chronische entzündungszellen. – uterine prolapse stock-fotos und bilder

Gebärmutterbiopsie: Chronische Zervizitis, proliferative Phase,. ..

Uterusbiopsie: Chronische Zervizitis, proliferative Phase, Leiomyom, endometriotische Zyste, zeigen chronische Entzündungszellen mit dysplastischen Veränderungen, keine Malignität gesehen.

gebärmutterbiopsie: chronische zervizitis mit plattenepithelmetaplasie, proliferative phase, gebärmutterhals zeigen chronische entzündungszellen infiltration in subepitheliale schicht mit dysplastischen veränderungen. – uterine prolapse stock-fotos und bilder

Gebärmutterbiopsie: Chronische Zervizitis mit…

Uterusbiopsie: Chronische Zervizitis mit Plattenepithelmetaplasie, proliferativer Phase, Gebärmutterhals zeigen chronische Entzündungszellen Infiltration in subepitheliale Schicht mit dysplastischen Veränderungen.

histologische untersuchung der uterusbiopsie suggestiver uterusprolaps. chronische zervizitis mit prolaps. – uterine prolapse stock-fotos und bilder

Histologische Untersuchung der Uterusbiopsie suggestiver. ..

Histologische Untersuchung der Uterusbiopsie deutet auf einen Uterusprolaps hin. Chronische Zervizitis mit Prolaps.

histologische untersuchung der uterusbiopsie suggestiver uterusprolaps. chronische zervizitis mit prolaps. – uterine prolapse stock-fotos und bilder

Histologische Untersuchung der Uterusbiopsie suggestiver…

Histologische Untersuchung der Uterusbiopsie deutet auf einen Uterusprolaps hin. Chronische Zervizitis mit Prolaps.

histologische untersuchung der uterusbiopsie suggestiver uterusprolaps. chronische zervizitis mit prolaps. – uterine prolapse stock-fotos und bilder

Histologische Untersuchung der Uterusbiopsie suggestiver…

Histologische Untersuchung der Uterusbiopsie deutet auf einen Uterusprolaps hin. Chronische Zervizitis mit Prolaps.

histologische untersuchung der uterusbiopsie suggestiver uterusprolaps. chronische zervizitis mit prolaps. – uterine prolapse stock-fotos und bilder

Histologische Untersuchung der Uterusbiopsie suggestiver…

Histologische Untersuchung der Uterusbiopsie deutet auf einen Uterusprolaps hin. Chronische Zervizitis mit Prolaps.

histologische untersuchung der uterusbiopsie suggestiver uterusprolaps. chronische zervizitis mit prolaps. – uterine prolapse stock-fotos und bilder

Histologische Untersuchung der Uterusbiopsie suggestiver…

Histologische Untersuchung der Uterusbiopsie deutet auf einen Uterusprolaps hin. Chronische Zervizitis mit Prolaps.

histologische untersuchung der uterusbiopsie suggestiver uterusprolaps. chronische zervizitis mit prolaps. – uterine prolapse stock-fotos und bilder

Histologische Untersuchung der Uterusbiopsie suggestiver…

Histologische Untersuchung der Uterusbiopsie deutet auf einen Uterusprolaps hin. Chronische Zervizitis mit Prolaps.

histologische untersuchung der uterusbiopsie suggestiver uterusprolaps. chronische zervizitis mit prolaps. – uterine prolapse stock-fotos und bilder

Histologische Untersuchung der Uterusbiopsie suggestiver…

Histologische Untersuchung der Uterusbiopsie deutet auf einen Uterusprolaps hin. Chronische Zervizitis mit Prolaps.

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Medicine: Rectal prolapse, illustrationElaine Holmes of Scottish Mesh Survivors group gives evidence of her experience of transvaginal mesh implants, to the Scottish Parliament’s Public…Dr Wael Agur, consultant gynaecologist and obstetrician, gives evidence on the risks associated with transvaginal mesh implants, to the Scottish…Dr Wael Agur, consultant gynaecologist and obstetrician, gives evidence on the risks associated with transvaginal mesh implants, to the Scottish…Elaine Holmes and Olive McIlroy of Scottish Mesh Survivors group give evidence on their experience of transvaginal mesh implants, to the Scottish…Dr Wael Agur, consultant gynaecologist and obstetrician, leaves after giving evidence on the risks associated with transvaginal mesh implants, to the…Members and supporters of theScottish Mesh Survivors group listen to evidence on transvaginal mesh implants, on the public benches at the Scottish. ..Olive McIlroy of Scottish Mesh Survivors group gives evidence of her experience of transvaginal mesh implants, to the Scottish Parliament’s Public…Elaine Holmes and Olive McIlroy of Scottish Mesh Survivors group give evidence on their experience of transvaginal mesh implants, to the Scottish…Elaine Holmes and Olive McIlroy of Scottish Mesh Survivors group give evidence on their experience of transvaginal mesh implants, to the Scottish…Elaine Holmes and Olive McIlroy of Scottish Mesh Survivors group give evidence on their experience of transvaginal mesh implants, to the Scottish…Dried Roots Of The Medicinal Plant Thorow-wax. Hare’s Ear. Bupleurum Falcatum. Chai Hu .Dried Roots Of The Medicinal Plant Thorow-wax. Hare’s Ear. Bupleurum Falcatum. Chai Hu .Dried Roots Of The Medicinal Plant Thorow-wax. Hare’s Ear. Bupleurum Falcatum. Chai Hu .Dried Roots Of The Medicinal Plant Thorow-wax. Hare’s Ear. Bupleurum Falcatum. Chai Hu .Illustration of a uterine prolapse, the uterus descends into the vaginal cavity. slipped disc, illustration – prolapsed stock-grafiken, -clipart, -cartoons und -symboleYear old Pakistani woman Bhushra Amin smiles n a press conference in Madras, 15 July 2004, after receiving heart surgery. Amin was diagnosed as…Jeanne McMahon dealt with pelvic organ prolapse for years until she had surgery in October and is now able to get back to physical activity walking…Ammu KANNAMPILLY Nepalese woman Aruna Chaudhary Tharu gestures as she speaks during an interview with AFP in Kathmandu on February 19, 2014. A recent…Ammu KANNAMPILLY Nepalese woman Aruna Chaudhary Tharu gestures as she speaks during an interview with AFP in Kathmandu on February 19, 2014. A recent…Ammu KANNAMPILLY In this photograph taken on February 26 Nepalese woman Madhuri Thakuri speaks during an interview with AFP at Malekhu, Dhading…Ammu KANNAMPILLY Nepalese woman Reena Pokharel gestures as she speaks during an interview with AFP in Kathmandu on February 19, 2014. A recent report…Ammu KANNAMPILLY In this photograph taken on February 26 Nepalese woman Madhuri Thakuri speaks during an interview with AFP at Malekhu, Dhading. ..Ammu KANNAMPILLY Nepalese woman Reena Pokharel gestures as she speaks during an interview with AFP in Kathmandu on February 19, 2014. A recent report…Ammu KANNAMPILLY Nepalese woman Aruna Chaudhary Tharu gestures as she speaks during an interview with AFP in Kathmandu on February 19, 2014. A recent…Ammu KANNAMPILLY Director of Amnesty International – Gender,Identity and Sexuality Madhu Malhotra gestures as she speaks during an interview with AFP…Amnesty International members and guests attend the launch of a report in the Nepalese capital Kathmandu on February 20, 2014. Hundreds of thousands…Nepalese Director of Amnesty International’s Gender, Identity and Sexuality Madhu Malhotra , and attendees Reena Pokharel and Aruna Chaudhary pose…Mitral Insufficiency By Mitral Valve Prolapse. Cardiac Doppler.disc prolapse, illustration – prolapsed stock-grafiken, -clipart, -cartoons und -symbolecystocele (prolapsed bladder) – pelvic organ prolapse seen on magnetic resonance (mri) sagittal t2 view – prolapsed stock-fotos und bilderdisc prolapse, illustration – prolapsed stock-grafiken, -clipart, -cartoons und -symboledisc prolapse, illustration – prolapsed stock-grafiken, -clipart, -cartoons und -symboleDog with Cherry eye scientifically known as a prolapse of the third eyelid gland which is a treatable condition that occurs most commonly in young. ..Dog with Cherry eye scientifically known as a prolapse of the third eyelid gland which is a treatable condition that occurs most commonly in young…amniotic sac prolapse and normal pregnancy, illustration – prolapsed stock-grafiken, -clipart, -cartoons und -symboleprolapse of the amniotic sac, illustration – prolapsed stock-grafiken, -clipart, -cartoons und -symboleprolapsed spinal disc, illustration – prolapsed stock-grafiken, -clipart, -cartoons und -symboleprolapsed spinal disc, illustration – prolapsed stock-grafiken, -clipart, -cartoons und -symboleprolapsed spinal disc, illustration – prolapsed stock-grafiken, -clipart, -cartoons und -symboleprolapsed spinal disc, illustration – prolapsed stock-grafiken, -clipart, -cartoons und -symboleprolapsed spinal disc, illustration – prolapsed stock-grafiken, -clipart, -cartoons und -symboleprolapsed spinal disc, illustration – prolapsed stock-grafiken, -clipart, -cartoons und -symboleIranian veterinarian Mir Sepehr Pedram prepares Churchill, a bulldog, for surgery to remove his urethral prolapse, at Tehran Pet Hospital, the first. .. von 1

Omission and prolapse of the uterus: symptoms, causes, diagnosis.

Uterine prolapse

• Description
• Organization of treatment
• Cost of treatment

Description

In some cases, the uterus is practically in its place, and there is a prolapse of the cervix associated with its hypertrophy and elongation. It so happened historically that any prolapse of the patient (sometimes doctors) is called prolapse of the uterus, although, as mentioned above, this is not entirely true.

Symptoms

Signs of uterine prolapse consist of dysfunction of those organs that are involved in the pathological process. By itself, the displacement of the uterus causes:

• foreign body sensation in the vagina
• sexual discomfort
• Pulling sensations in the lower abdomen.

It is important to remember the fact that the uterus lies at the top of the vagina, so its prolapse is inevitably accompanied by prolapse of the anterior / posterior wall of the vagina, and hence the bladder / rectum.

That is why patients with “uterine prolapse” complain:

• for urination disorders (difficulty urinating, feeling of incomplete emptying of the bladder, frequent urination, loss of urine during exertion or against the background of sharp urges, etc.)
• for problems with defecation (difficult defecation, defecation in portions, the need to adjust the prolapse to completely empty the bowel, etc.).

Reasons

The causes of uterine prolapse can be described according to the life path model. At the beginning, a person has one or another predisposition to the development of this pathology. Further, various aggressive factors begin to act on it, which lead to the onset of the disease. At the first stage, the body copes with the damage that has occurred, however, age and the accumulation of breakdowns lead to its manifestation and, in fact, to the complaints that were described above. All pathological factors can be divided into the following:

• Heredity. It has been proven that if the next of kin has the disease, the likelihood of occurrence increases several times. Most often, there is a congenital weakness of the connective tissue, which also affects other body systems, manifesting itself in diseases of the musculoskeletal system, varicose veins, and hemorrhoids. However, heredity is still a predisposition not a sentence, but what makes it a reality are the risk factors, which will be discussed below.
• Childbirth and pregnancy. Perhaps the main factor that leads to changes in the qualitative composition of the supporting apparatus of the pelvic floor and its partial damage. Unfortunately, with severe tissue failure, complete prolapse of the uterus can develop immediately after childbirth. On the other hand, in most parturient women, the prolapse completely regresses within the first year.
• Increased loads. And this is not only hard physical labor, but also chronic constipation, lung diseases, accompanied by a constant and severe cough, obesity. All these factors lead to damage to the ligamentous apparatus of the pelvic organs and their prolapse.
• Age. This factor has a complex effect on all supported structures of the pelvic floor. Firstly, with age, the hormonal background changes, and with it the quality of the connective tissue (it becomes looser and weaker). In some patients, hormonal changes lead to deformation and changes in the cervix, according to the type of its elongation and hypertrophy. Secondly, muscle tone decreases, including that of the pelvic floor. In this regard, once received, injuries of the ligamentous apparatus are deprived of support and become obvious

Diagnosis

Diagnosis of uterine prolapse does not raise questions from specialists. To do this, it is necessary to conduct a standard gynecological examination, on the basis of which the stage of prolapse is set and the vaginal section involved in the pathological process is determined.

Most often, there is damage to all three sections of the pelvic floor: anterior, posterior and apical.

In total, four degrees of uterine prolapse are distinguished: the first (initial), when the patient is practically not bothered by anything, the fourth degree is accompanied by a complete prolapse of the pelvic organs.

The study may be supplemented by a digital rectal examination to rule out rectal prolapse.

As instrumental methods, ultrasound of the pelvic organs is performed, and sometimes MRI.

Treatment

Treatment of uterine prolapse includes surgical and conservative methods of treatment.

Conservative methods include:

• Kegel exercises during uterine prolapse are aimed at increasing the tone of the pelvic floor muscles. Due to this, a base appears in the damaged ligamentous apparatus, which prevents the pelvic organs from dropping excessively. Unfortunately, it is quite difficult to perform these exercises correctly, since it is difficult to train what you cannot see and do not control. To solve this issue, biofeedback devices (BFB-therapy) were developed, which increases the effectiveness of exercises several times. This method will be useful for young patients and women after childbirth.
• Pessaries and bandages are designed to create an obstacle in the way of descending organs. When the uterus is lowered, the pessary is placed in the vagina and serves as a kind of spacer. Unfortunately, the presence of a foreign body inside often causes discomfort, chronic inflammation and, most importantly, requires regular visits to the gynecologist to change it. In the case of bandages, it is just tight underwear that does not allow prolapse to come out of the vagina. Sometimes it is combined with a pessary and works like a “cork”. These methods can be used if the operation cannot be done for some reason. This can be compared with a crutch for a limb injury.

Operation

The main method of treatment is still surgical, since the supporting apparatus of the pelvis is not restored. Unfortunately, the most popular method – removal of the uterus often does not help, since not only the uterus descends, but the pelvic organs (bladder, rectum).

For this reason, this approach leads in 30-50% of cases to the development of vaginal stump prolapse.

Another problem of hysterectomy is post-hysterectomy syndrome, which leads to impaired urination, defecation and decreased sexual function, including due to postoperative shortening of the vagina. The most optimal and proven are reconstructive surgeries performed through the vagina. On the one hand, they allow to achieve a good anatomical result, on the other hand, a good cosmetic effect. One of the most modern techniques is hybrid operations, which allow individualizing the operation for each specific patient, while making the most of his own tissues, and, if necessary, supplementing them with a prosthesis only in the busiest places.

Organization of treatment

Hospitalization for the purpose of surgical treatment is carried out according to the principle “one window” . It is enough for the patient (or the person representing him) to write a letter with the wording of his question. At any time (both before hospitalization and after), you can ask questions of interest to the staff of the department.

CHI and VMP treatment

Citizens of the Russian Federation can receive free treatment under the CHI program for most diseases

It doesn’t matter where you live

80% of patients come to us from the regions of the Russian Federation and countries of near and far abroad

Many years of experience

Every year more than 3000 operations of any complexity are performed in the Department of Urology

At any time (both before hospitalization and after), you can ask questions of interest to the staff of the department.

1. Online consultation with a specialist

The organization of hospitalization for the purpose of surgical treatment is carried out according to the principle of “one window”. To do this, it is enough for the patient (or the person representing him) to write a letter with the wording of his question.

Write a letter

2. Appointment of the date of hospitalization

After the consultation, our administrator will contact you within a few days to make an appointment for hospitalization.

3. Examination before hospitalization

Preoperative examination should be carried out only after the approval of the date of hospitalization. You can get most of the examinations at the antenatal clinic or polyclinic at the place of residence free of charge, under the CHI policy.

If in your locality there is no opportunity to be adequately examined – do it in the regional center, if everything cannot be done within the framework of compulsory medical insurance (under the policy) – do it in paid laboratories (clinics).

NOT LATE THAN 14 DAYS before hospitalization, you must send SCANS (not photographs) of the test results to the email address: [email protected]

4. Hospitalization in department

10 days before surgery withdrawal of drugs that affect blood coagulation (aspirin, Plavix, warfarin, etc.) is REQUIRED unless otherwise agreed with the attending physicians.

It is highly desirable to arrive for surgical treatment with pre-selected and purchased surgical compression stockings (white stockings, antithrombotic 2nd class of compression or as recommended by the vascular surgeon).

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Prolapse of the uterus 3 degrees – symptoms, treatment, surgery.

• Home
• >
• Uterine prolapse
• >
• Grades of uterine prolapse
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• Grade 3 uterine prolapse

Grade 3 uterine prolapse is an advanced form of the disease in which the cervix and vaginal walls move beyond the border of the vaginal entrance, but the body of the uterus is located above it. Since there is a close connection between the organs of the small pelvis, at this stage, the adjacent bladder and rectum are involved in the process. The omission of the anterior wall of the vagina causes a cystocele, due to the displacement of the posterior wall, a rectocele develops – in these conditions, the organs are squeezed out towards the vaginal entrance.

Clinical manifestations

Among the main symptoms of uterine prolapse of the 3rd degree is a disorder of the obstructive type of urination. The displaced tissues compress or bend the urethra, which becomes an obstacle to the outflow of urine. In severe cases, acute urinary retention is possible. With its stagnation or vesicoureteral reflux, infection of the urinary tract with the development of hydroureteronephrosis, hydronephrosis, and urolithiasis is not excluded. With the development of rectocele, dysfunction of the rectum develops according to the type of colitis, incontinence of gases and stool is noted.

Violation of the function of emptying the bladder and intestines leads to an increase in intra-abdominal pressure, which, in turn, only worsens the condition, since increased pressure in the abdominal cavity is one of the causes of prolapse. The patient is not able to get out of this vicious circle on his own, in the absence of high-quality treatment, uterine prolapse of the 3rd degree only progresses.

At this stage, patients experience pain in the lower abdomen, sexual intercourse becomes impossible. Due to the gaping of the genital slit, infection occurs, contact of the cervix and vaginal walls with linen leads to the formation of bedsores and ulcerations on the mucosa.

The quality of life of patients with symptoms of uterine prolapse of the 3rd degree deteriorates significantly, the woman is not able to lead a normal life, to engage in labor activities.

What to do with the prolapse of the uterus 3 degrees

Swiss-clinic, where Prof. K.V. Puchkov performs laparoscopic promontofixation

At this stage, only surgical treatment is effective. Neither medications nor Kegel exercises with uterine prolapse of the 3rd degree will bring an effect. Moreover, in the absence of timely treatment, there is a risk of deterioration of the condition up to disability. Among the complications: acute urinary retention, pinching of prolapsed organs, the formation of a diverticulum of the bladder, the development of renal failure.

Surgery

The purpose of the operation for uterine prolapse of the 3rd degree is to restore the anatomical position of the displaced uterus and vaginal walls, as well as to eliminate the resulting functional disorders of adjacent organs: the bladder, urethra and rectum.

Our clinic uses the author’s technique developed by Professor Puchkov – laparoscopic promontofixation with vaginal plasty with own tissues – colpoperineolevathoroplasty or sphincteroplasty. This simultaneous operation consists of two steps:

1. Laparoscopic – the cervix and uterosacral ligaments are fixed to the promontory of the sacrum using a special mesh implant, prosthetizing the weakened ligaments and restoring two of the three levels of fixation of the pelvic organs.
2. Vaginal – plastic surgery of the vagina and perineum is performed with own tissues, the third physiological level of support for the pelvic organs is restored.
   Located outside the walls of the vagina and covered with its own tissues, the mesh implant is not capable of causing further complications (ulcerations, bedsores, abscesses, etc.). The risk of their occurrence in our clinic does not exceed 0.4-0.7% (for comparison: when using the Prolif method, this figure is 30-50%).

Advantages of the author’s technique

Due to the optimal tension vector of the dome of the vagina or cervix, the risk of recurrence is excluded (unlike other methods, when 35% of patients are forced to undergo repeated surgery due to relapse).