What are uterine prolapse signs and symptoms? How can uterine prolapse be treated? What are the risk factors for uterine prolapse? Find answers to these questions and more in this detailed article.

Understanding Uterine Prolapse

Uterine prolapse is a condition where the uterus (womb) drops or slips from its normal position in the pelvis. This can occur when the muscles and ligaments that support the uterus become weakened, often due to childbirth, obesity, or aging. In mild cases, the uterus may only slightly lower into the vagina, while in more severe cases, the uterus can protrude outside the vagina.

Causes and Risk Factors of Uterine Prolapse

The primary causes of uterine prolapse include:

• Childbirth, especially multiple vaginal deliveries or difficult deliveries
• Obesity or significant weight gain
• Chronic constipation or straining during bowel movements
• Chronic coughing or heavy lifting
• Aging and weakening of the pelvic floor muscles

Risk factors for uterine prolapse include:

1. Genetics and family history
2. Menopausal status, as estrogen deficiency can weaken pelvic floor muscles
3. Smoking, which can contribute to chronic coughing
4. Pelvic radiation therapy

Symptoms of Uterine Prolapse

The most common symptoms of uterine prolapse include:

• A feeling of pressure or fullness in the vagina
• A bulge or protrusion in the vagina that may be visible or felt
• Difficulty urinating or having a bowel movement
• Incontinence or leakage of urine
• Pain or discomfort during sexual intercourse
• Backache or pelvic pain

Diagnosing Uterine Prolapse

Uterine prolapse is typically diagnosed through a physical examination by a healthcare provider. They may also order additional tests, such as:

1. Imaging tests (e.g., ultrasound, MRI) to evaluate the extent of the prolapse
2. Urodynamic testing to assess bladder function
3. Biopsy of the cervix or uterus to rule out any underlying conditions

Treatment Options for Uterine Prolapse

The treatment for uterine prolapse depends on the severity of the condition and the individual’s overall health and preferences. Options may include:

• Pelvic floor exercises (Kegel exercises) to strengthen the pelvic floor muscles
• Vaginal pessaries, which are devices inserted into the vagina to support the uterus
• Hormone therapy, which can help improve the health of the vaginal and pelvic tissues
• Surgical interventions, such as vaginal hysterectomy or uterine suspension procedures

Preventing Uterine Prolapse

While some risk factors for uterine prolapse are not modifiable, there are steps individuals can take to reduce their risk:

1. Maintaining a healthy weight and avoiding significant weight gain
2. Practicing pelvic floor exercises regularly, especially after childbirth
3. Avoiding heavy lifting and straining during bowel movements
4. Quitting smoking and treating chronic cough or constipation
5. Undergoing regular gynecological exams to detect and address any pelvic floor issues

Stock Photos, Royalty-Free Images, Graphics, Vectors & Videos on Uterine Prolapse

The images in this collection depict various aspects of uterine prolapse, including anatomical illustrations, surgical procedures, and medical devices used in treatment. These high-quality, royalty-free resources can be used for educational, medical, or commercial purposes.

The collection includes a wide range of visuals, such as:

• Vector icons and illustrations of the female reproductive system, highlighting the uterus and its relationship to other pelvic organs
• Histological images of uterine biopsies showing signs of chronic cervicitis, leiomyoma, and endometriosis associated with uterine prolapse
• Diagrams and cross-sections of the male and female pelvic anatomy, illustrating the positioning and structures involved in uterine prolapse
• Stock photos and graphics of medical devices like vaginal pessaries used in the treatment of uterine prolapse

These visual resources can be valuable for medical professionals, researchers, healthcare educators, and anyone interested in understanding and communicating about uterine prolapse and related conditions.

To browse and download the available stock photos, royalty-free images, graphics, vectors, and videos on uterine prolapse, simply visit the collection and explore the diverse range of high-quality visual assets.

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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

No 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 it is NECESSARY to stop drugs that affect blood clotting (aspirin, Plavix, warfarin, etc.) 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: symptoms and treatment

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• Uterine prolapse: symptoms and treatment

08/01/2018

Uterus prolapse is a gynecological problem that can affect not so few women as it might seem at first glance. This disease is characterized by a constant increasing displacement of the pelvic organs downward. The prolapse of the uterus brings a lot of inconvenience and discomfort to a woman’s life, so this problem needs to be solved as soon as possible. In this article, we will try to figure out what this disease is and what methods it is customary to treat.

Symptoms of prolapse of the uterus

Prolapse of the walls of the uterus is characterized by the following symptoms:

• Changes in the normal schedule of menstruation. The menstrual cycle begins to move away, or vice versa, it comes much faster than expected.
• Sensation of a foreign body in the vagina. The woman will feel as if her vagina is filled with something. The sensations themselves can be both constant and periodically disappear.
• Painful intercourse. Having sex during prolapse of the uterus can cause both sharp and not the most severe pain. In any case, discomfort will be present.
• Drawing pains in the lower abdomen. The stomach will hurt: not too sharply, but the attacks of pain themselves will be relatively protracted.
• Drawing pains in the loin and sacrum. The back will also suffer from uterine prolapse, so if such a symptom occurs, uterine prolapse should also be suspected.
• Problems with urination. They can appear in completely different ways. Someone begins too frequent urge to go to the toilet, and someone begins to feel pain when urinating.
• Congestion in the urinary organs. This symptom leads to more serious complications, which are characterized by infection of the lower and upper urinary tract.
• Urinary incontinence. Due to problems with urination, uncontrolled urination may begin. At the same time, it can be either spontaneous, without any urge to urinate, or with a preliminary desire to immediately visit the restroom.
• Proctological problems. With prolapse of the uterus, they occur in almost a third of patients. It can be both incontinence of gas and fecal masses, and constipation and colitis.
• Uterine prolapse. If a woman does not turn to doctors in time to cure the prolapse of the uterus, her prolapse may begin. The uterus begins to protrude from the vagina. Its external can be both matte and shiny, and the surface will be matte and covered with abrasions. Actually, a woman will be able to detect such an education on her own, which most often serves as the reason for contacting a doctor.

Causes of uterine prolapse

There are many reasons why uterine prolapse can begin. So, the most common is the slowdown in collagen production in connective tissues. Because of this, the ligaments begin to stretch, which leads to the prolapse of the pelvic organs – both the uterus and the vagina.

Another common cause of uterine prolapse problems is decreased muscle tone. This process is most often observed in pregnant women or in women who have recently given birth. The fact is that during childbirth, a rather serious load is placed on the body, and it is especially strong on the pelvic organs. If optimal tone is lost, the muscles will not be able to prevent the uterus from moving towards the vagina.

Quite often, such problems arise as a result of birth trauma. Cases when a woman receives injuries to the perineum during childbirth are not at all uncommon. If the birth was especially difficult, the abdominal organs can suffer quite a lot, from which uterine prolapse begins.

Changes with age are another reason for prolapse and even prolapse of the uterus. With age, women begin to reduce the production of estrogen, due to which a gradual loss of muscle tone begins. Especially often the prolapse of the uterus manifests itself during menopause.

Uterine prolapse is a common syndrome in overweight women. So, excess body weight creates an additional load on the internal organs. Moreover, chronic disorders of the digestive system (especially constipation) can cause changes in the normal position of the uterus.

Diagnosis of uterine prolapse

If a problem of this nature is detected at an early stage, there is every chance of avoiding surgery and the appearance of more serious and painful symptoms.

Diagnosis of uterine prolapse is combined from several stages:

1. Complete examination of the patient on the gynecological chair,
2. Diagnosis with special equipment,
3. Delivery of laboratory tests.

If the case caused a lot of additional symptoms, the gynecologist can prescribe additional consultations of the proctologist and urologist.

Treatment of uterine prolapse

Treatment of uterine prolapse is a lengthy and complex procedure. So, if the symptoms themselves are relatively frivolous, it is quite possible to get by with Kegel exercises. They will be individually prescribed by the doctor to each patient with similar problems.

If the problem turned out to be sufficiently neglected, surgical intervention is mandatory.