Uterine Prolapse or Vaginal Bulge Uterine
Pelvis | Obstetrics and Gynaecology | Uterine Prolapse or Vaginal Bulge Uterine (Disease)
Uterine prolapse is when the uterus has sunk from its normal location and extends into the vagina or outside the vagina. Uterine prolapse affects women especially after menopause, or those who gave birth vaginally once or several times. Connective tissue damage during pregnancy and birth, with the effects of gravity and low estrogen levels can weaken pelvic muscles and are as many causes of uterine prolapse.
Uterine prolapse is more common in elder women and is rare in nulliparous women or those who have not reached menopause. Other conditions may be associated with uterine prolapse as weaken the muscles that support the uterus in normal position: cystocele - prolapse of part of the bladder into the vagina, resulting in frequent urination, urge to pass urine, or urinary incontinence; enterocel - prolapse of a portion of small intestine - is manifested by a feeling of pulling that disappears in decubit. Prolapse cancer is annoying and sometimes very painful. Some women have no symptoms and the disease is discovered only during examinations performed for other reasons.
However, most women with prolapse will have a heavy feeling in the pelvis. If prolapse is second or third degree, the uterus can be seen (prolapsing). Symptoms tend to be less troublesome in the morning, or after a long sitting and worse during the day, especially if the woman is long standing. Severity of uterine prolapse vary greatly. Prolapse grade 1 does not cause symptoms, while one of moderate prolapse will occur by: feeling of heaviness or pulling down the pelvis; pain during intercourse; pain on walking; pain during urination.
Causes and Risk factors
Relaxation or weakness of muscles and fibrous tissues of the uterus into the vagina perineum determine descent in varying degrees, the minimum shift to complete it by externalizing vulva.
Diagnosis and Treatment
Mild cases of uterine prolapse requires no treatment. In contrast, patients experiencing discomfort or impaired quality of life due to this disease, may benefit from surgery, or choose to support some special devices (pessary), which are inserted into the vagina. Uterine prolapse of various degrees affects up to 30% of women who had children. ...