Uterine Prolapse

When pelvic muscles & ligaments stretch and weaken and no longer periods enough support for uterine, Uterine slips down into or protrudes out of the vagina.

Risk Factors

  • Pregnancy & child birth
  • Ageing
  • Hysterectomy
  • Genetics
  • Obesity
  • Prior pelvic surgery
  • Repeated heavy lifting

Symptoms

  • Sensation of heaviness or pulling in your pelvis
  • Tissue protruding from your vagina
  • Urinary problems like urine leaking or retention
  • Trouble having a bowel movement
  • Feeling as if your sitting on a small ball or as if something falling out of your vagina
  • Sexual problems – feeling of loose vagina wall or blockage of vagina

Prevention

  • Perform kegel exercises regularly - these strengthen your pelvic floor muscles
  • Treat and prevent constipation
  • Avoid heavy lifting and lift correctly, while lifting use your legs instead of waist or back
  • Control coughing
  • Avoid wait gain

Uterine Prolapse normally associated with anterior and posterior prolapse

Prolapse

Anterior prolapse (cystocele) or prolapsed bladder
It is when bladder drops from its normal position in pelvis and pushes on the wall of the vagina

Symptoms

  • Feeling of fullness or pressure in your pelvis and vagina
  • Bulge in vagina or Pressure in vagina when you strain, cough, bear down or lift
  • Problems urinating – including difficulty in starting a urine stream, feeling of not completely emptying, bladder after urinate, feeling like urinating frequently or leaking

Posterior vagina Prolapse (Rectocele}

When the thin wall of tissue between rectum (back passage) and vagina weakens, allowing the vagina wall to bulge.

Symptoms

  • Soft bulge of tissue in your vagina that might protrude through the vaginal opening
  • Difficulty having a bowel movement
  • Sensation of rectum pressure or fullness
  • A feeling that the rectum has not completely emptied after a bowel movement
  • Sexual problems – feeling embarrassed or feeling of loose vagina tissue

Treatments

Mild – Pelvic floor exercise
If Symptomatic –

  • Pelvic floor exercises
  • Pessary (A supporting device)

 

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L’Chaim Clinics

1132, 16th B Cross Rd, Yelahanka Satellite Town, Yelahanka New Town, Bengaluru, Karnataka 560064