What are the main causes of uterine prolapse. How is uterine prolapse diagnosed. What are the treatment options for uterine prolapse. Can uterine prolapse be prevented. How does uterine prolapse affect quality of life. What are the risk factors for developing uterine prolapse. How is uterine prolapse different from other pelvic organ prolapses.

Understanding Uterine Prolapse: A Common Pelvic Floor Disorder

Uterine prolapse is a condition where the uterus descends or slips from its normal position in the pelvis towards or through the vagina. This occurs when the pelvic floor muscles and ligaments supporting the uterus become weak or stretched. While it’s a common condition, especially among older women who have given birth, it’s often misunderstood or overlooked.

Do all women with uterine prolapse experience symptoms? Not necessarily. The severity of symptoms often correlates with the degree of prolapse. Some women may have mild prolapse with no noticeable symptoms, while others might experience significant discomfort and disruption to their daily lives.

Degrees of Uterine Prolapse

• First-degree: The cervix descends into the vagina
• Second-degree: The cervix descends to the vaginal opening
• Third-degree: The cervix protrudes outside the vagina
• Fourth-degree: The entire uterus is outside the vagina

Identifying the Causes and Risk Factors of Uterine Prolapse

Understanding the underlying causes and risk factors of uterine prolapse is crucial for both prevention and treatment. While some factors are unavoidable, others can be managed or modified to reduce the risk of developing this condition.

Are there specific events or conditions that increase the likelihood of uterine prolapse? Indeed, several factors can contribute to the weakening of pelvic floor muscles and ligaments, leading to prolapse:

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

Is uterine prolapse an inevitable consequence of aging or childbirth? While these factors increase the risk, uterine prolapse is not an unavoidable part of aging or an automatic result of having children. Many women maintain strong pelvic floor muscles throughout their lives through regular exercise and healthy lifestyle choices.

Recognizing the Symptoms of Uterine Prolapse

Identifying the symptoms of uterine prolapse is crucial for early diagnosis and treatment. The manifestation of symptoms can vary greatly among individuals, ranging from mild discomfort to severe pain and functional impairment.

Which symptoms should women be aware of when it comes to uterine prolapse? Common signs and symptoms include:

• A feeling of heaviness or pulling in the pelvis
• A sensation of sitting on a small ball or as if something is falling out of the vagina
• Urinary problems, such as leakage or difficulty starting urination
• Difficulty with bowel movements
• Lower back pain
• Difficulty or discomfort during sexual intercourse
• Visible or palpable tissue protruding from the vagina
• Recurrent bladder infections

Can uterine prolapse symptoms worsen over time? Yes, if left untreated, the symptoms of uterine prolapse may progress. The prolapse can become more severe, leading to increased discomfort and potential complications. This underscores the importance of seeking medical attention when symptoms first appear.

Diagnosing Uterine Prolapse: Medical Examinations and Tests

Accurate diagnosis of uterine prolapse is essential for determining the appropriate treatment plan. Healthcare providers use a combination of physical examinations and, in some cases, additional tests to assess the severity and impact of the prolapse.

How do doctors diagnose uterine prolapse? The diagnostic process typically involves:

1. Medical history review: The doctor will ask about symptoms, childbirth history, and other relevant factors.
2. Pelvic examination: This is the primary method for diagnosing prolapse. The doctor will visually and manually examine the vagina and pelvic organs.
3. Stress test: The patient may be asked to cough or bear down to observe how it affects the prolapse.
4. Imaging tests: In some cases, ultrasound, MRI, or CT scans may be used to get a more detailed view of the pelvic structures.
5. Bladder and urine tests: These can help determine if the prolapse is affecting urinary function.

Is a pelvic organ prolapse quantification (POP-Q) system used in diagnosis? Yes, many healthcare providers use the POP-Q system to standardize the description of pelvic organ prolapse. This system measures the position of various points in the vagina relative to the hymen, providing a detailed assessment of the prolapse severity.

Treatment Options for Uterine Prolapse: From Conservative to Surgical Approaches

The treatment of uterine prolapse depends on various factors, including the severity of the condition, the patient’s symptoms, overall health, and personal preferences. A range of options is available, from conservative management to surgical interventions.

What are the non-surgical treatment options for uterine prolapse? Conservative treatments include:

• Pelvic floor muscle exercises (Kegel exercises)
• Vaginal pessaries
• Lifestyle modifications (weight loss, avoiding heavy lifting)
• Hormone replacement therapy for postmenopausal women

When is surgery considered for uterine prolapse? Surgical intervention may be recommended when conservative treatments fail to provide relief or in cases of severe prolapse. The choice of surgical procedure depends on factors such as the patient’s age, desire for future pregnancies, and overall health.

Common Surgical Procedures for Uterine Prolapse

• Vaginal hysterectomy: Removal of the uterus through the vagina
• Sacrocolpopexy: Using surgical mesh to support the vagina
• Sacrospinous fixation: Attaching the top of the vagina to a ligament in the pelvis
• Manchester procedure: Shortening and supporting the cervix
• Colpocleisis: Closing the vaginal canal (for women who no longer desire sexual activity)

Can uterine prolapse recur after treatment? While treatments can be highly effective, there is a risk of recurrence, especially if underlying risk factors are not addressed. Maintaining a healthy weight, avoiding heavy lifting, and continuing pelvic floor exercises can help reduce the risk of recurrence.

Preventing Uterine Prolapse: Lifestyle Changes and Pelvic Floor Health

While not all cases of uterine prolapse can be prevented, there are several strategies that can significantly reduce the risk or delay its onset. Prevention focuses on maintaining the strength and integrity of the pelvic floor muscles and ligaments.

How can women reduce their risk of developing uterine prolapse? Key preventive measures include:

• Regular pelvic floor exercises (Kegel exercises)
• Maintaining a healthy weight
• Avoiding heavy lifting or using proper lifting techniques
• Managing chronic cough or constipation
• Quitting smoking
• Eating a balanced diet rich in fiber
• Staying physically active with low-impact exercises

Is it possible to strengthen the pelvic floor during pregnancy? Absolutely. Prenatal pelvic floor exercises can help prepare the muscles for the strain of childbirth and potentially reduce the risk of prolapse. However, it’s essential to consult with a healthcare provider before starting any new exercise regimen during pregnancy.

Living with Uterine Prolapse: Coping Strategies and Quality of Life

Uterine prolapse can significantly impact a woman’s quality of life, affecting physical comfort, sexual function, and emotional well-being. However, with proper management and support, many women can maintain a high quality of life despite this condition.

How does uterine prolapse affect daily activities and relationships? The impact can vary depending on the severity of the prolapse but may include:

• Discomfort or pain during physical activities
• Urinary or bowel dysfunction
• Sexual difficulties or decreased libido
• Emotional distress or body image issues
• Limitations in certain types of exercise or work

What strategies can help women cope with uterine prolapse? Effective coping strategies include:

1. Education: Understanding the condition can help reduce anxiety and improve self-management.
2. Support groups: Connecting with other women experiencing similar issues can provide emotional support and practical advice.
3. Pelvic floor physiotherapy: Working with a specialist can help improve muscle strength and function.
4. Adaptive techniques: Learning new ways to perform activities that may exacerbate symptoms.
5. Open communication: Discussing concerns with partners, family, and healthcare providers.
6. Stress management: Practices like yoga or meditation can help manage associated stress and anxiety.

Can women with uterine prolapse still maintain an active sex life? With proper management and open communication with partners, many women with uterine prolapse can continue to enjoy a satisfying sex life. Strategies may include using lubricants, trying different positions, or timing intimacy with pessary use for those who use one.

Uterine Prolapse in Different Life Stages: From Childbearing Years to Menopause

Uterine prolapse can affect women at various stages of life, from young mothers to postmenopausal women. The approach to management and treatment may vary depending on the woman’s age, reproductive plans, and overall health status.

How does the management of uterine prolapse differ for women in their childbearing years versus postmenopausal women? The key differences include:

Childbearing Years

• Focus on conservative treatments to preserve fertility
• Consideration of future pregnancies in treatment planning
• Emphasis on pelvic floor exercises and lifestyle modifications
• Use of removable pessaries to allow for future pregnancies

Postmenopausal Years

• More options for definitive surgical treatments
• Consideration of hormone replacement therapy to improve tissue quality
• Focus on long-term quality of life improvements
• Management of concurrent menopausal symptoms

Can pregnancy occur with uterine prolapse, and what are the implications? Pregnancy is possible with uterine prolapse, but it may carry additional risks and complications. Women with prolapse who become pregnant require close monitoring and specialized care throughout their pregnancy and delivery.

The Role of Pelvic Floor Physical Therapy in Managing Uterine Prolapse

Pelvic floor physical therapy plays a crucial role in both the prevention and management of uterine prolapse. This specialized form of physical therapy focuses on strengthening and improving the function of the pelvic floor muscles, which are essential for supporting the pelvic organs.

What techniques are used in pelvic floor physical therapy for uterine prolapse? Common techniques include:

• Kegel exercises with biofeedback
• Manual therapy to release tight muscles
• Electrical stimulation to improve muscle strength and coordination
• Bladder and bowel retraining
• Education on proper body mechanics and lifestyle modifications
• Core strengthening exercises

How effective is pelvic floor physical therapy in treating uterine prolapse? While the effectiveness can vary depending on the severity of the prolapse and individual factors, many women experience significant improvement in symptoms and quality of life with consistent pelvic floor physical therapy. In some cases, it may even help avoid the need for surgery.

Understanding the Connection Between Uterine Prolapse and Other Pelvic Floor Disorders

Uterine prolapse often occurs in conjunction with other pelvic floor disorders, as the underlying causes and risk factors are often similar. Understanding these connections can lead to more comprehensive treatment approaches and better overall outcomes.

What other pelvic floor disorders are commonly associated with uterine prolapse? Related conditions include:

• Cystocele (bladder prolapse)
• Rectocele (rectal prolapse)
• Enterocele (small bowel prolapse)
• Urinary incontinence
• Fecal incontinence
• Pelvic organ prolapse of other structures

How does the presence of multiple pelvic floor disorders affect treatment planning? When multiple pelvic floor disorders are present, treatment plans often need to address all affected areas simultaneously. This may involve a combination of therapies or more complex surgical procedures to provide comprehensive support to the pelvic floor.

Emerging Treatments and Research in Uterine Prolapse Management

The field of uterine prolapse management is constantly evolving, with ongoing research into new treatment modalities and improved surgical techniques. Staying informed about these developments can provide hope and new options for women affected by this condition.

What are some of the promising new treatments for uterine prolapse? Emerging approaches include:

• Regenerative medicine techniques using stem cells to strengthen pelvic tissues
• Minimally invasive robotic surgical procedures
• Advanced biomaterials for improved surgical mesh
• Neuromodulation therapies for associated bladder and bowel symptoms
• Personalized treatment plans based on genetic and lifestyle factors

How might future research change the way uterine prolapse is managed? Ongoing research aims to:

• Develop better predictive models for identifying women at high risk of prolapse
• Improve understanding of the biomechanics of the pelvic floor to enhance prevention strategies
• Create more effective and longer-lasting non-surgical treatments
• Refine surgical techniques to reduce complications and improve outcomes
• Explore the potential of tissue engineering for pelvic floor reconstruction

As research in this field progresses, women with uterine prolapse can look forward to more targeted, effective, and personalized treatment options in the future.

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Uterusprolaps Vektor Icon Set

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Uterusprolaps Weibliches Fortpflanzungssystem Gebärmutter in anatomischer Infografik markiert. Seitenansicht im Schnitt. Menschliche Anatomie innere Organe Lageschema flaches Symbol. Vektor medizinische Illustration

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

Histologische Untersuchung der Uterusbiopsie suggestiver…

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Weibliche Beckenorgane flache Illustration

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Organprolaps Farbliniensymbol. Menschliche Krankheiten.

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Die Harnwege bestehen aus Niere, Harnleiter, Blase und Harnröhre

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Sagittaler Querschnitt des männlichen Beckens

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Männlicher Querschnitt der unteren Harnwege

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

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

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Anatomische Form der Gebärmutter mit Eierstöcken ist bei leicht. ..

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Uterusmyome sind gutartige Wucherungen von Gewebe in der Gebärmutt

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Uterusprolaps Weibliches Fortpflanzungssystem Gebärmutter in anatomischer Infografik markiert. Seitenansicht im Schnitt. Menschliche Anatomie innere Organe Lageschema flaches Symbol. Vektor medizinische Illustration

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Prolaps Zystozele Weibliches Fortpflanzungssystem Gebärmutter. ..

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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

spermienweg im männlichen fortpflanzungssystem, samenbläschen – uterine prolapse stock-fotos und bilder

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

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

Sagittaler Querschnitt des männlichen Beckens

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

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, 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 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 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
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• 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).