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Pelvic Organ Prolapse Health Feed

Uterine Prolapse - How To Identify It?

Dr.Chitra Reddy 87% (44ratings)
Karnatak University, India, J J M M C, DAVANAGERE, JJM Medical College, Davangre(Mysore University)
Gynaecologist, Bangalore
Uterine Prolapse - How To Identify It?

The uterus or womb, is a muscular structure and is held in place by ligaments and pelvic muscles. If these muscles or tendons become weak, they cause prolapse and are no longer able to hold the uterus in its place.

Uterine prolapse happens when the uterus falls or slips from its ordinary position. It could be complete prolapse or even incomplete at times. A fragmented prolapse happens when the uterus is just hanging into the vagina. A complete prolapse depicts a circumstance in which the uterus falls so far down that some tissue rests outside of the vagina. Likewise, as a lady ages and with a loss of the hormone estrogen, her uterus can drop into the vaginal canal. This condition is known as a prolapsed uterus.

Consequences: The risks of this condition are many and have been enumerated as follows:

  1. Complicated delivery during pregnancy
  2. Weak pelvic muscle
  3. Loss of tissue after menopause and loss of common estrogen
  4. Expanded weight in the stomach area, for example, endless cough, constipation, pelvic tumors or accumulation of liquid in the guts
  5. Being overweight
  6. Obesity causing extra strain on the muscles
  7. Real surgery in the pelvic zone
  8. Smoking

Symptoms: Some of the most common symptoms of prolapse involve:

  1. Feeling of sitting on a ball
  2. Abnormal vaginal bleeding
  3. Increase in discharge
  4. Problems while performing sexual intercourse
  5. Seeing the uterus coming out of the vagina
  6. A pulling or full feeling in the pelvis
  7. Constipation
  8. Bladder infections

Nonsurgical medications include:

  1. Losing weight and getting in shape to take stress off of pelvic structures
  2. Maintaining a distance from truly difficult work
  3. Doing Kegel workouts, which are pelvic floor practices that strengthen the vaginal muscles. This can be done at any time, even while sitting down at a desk.
  4. Taking estrogen treatment especially during menopause
  5. Wearing a pessary, which is a gadget embedded into the vagina that fits under the cervix and pushes up to settle the uterus and cervix
  6. Indulging in normal physical activity

Some specialists use the following methods to diagnose the problem:

  1. The specialist will examine you in standing position keeping in mind you are resting and request that you to cough or strain to build the weight in your abdomen.
  2. Particular conditions, for example, ureteral block because of complete prolapse, may require an intravenous pyelogram (IVP) or renal sonography. Color is infused into your vein, and an X-ray is used to view the flow of color through your urinary bladder.
  3. An ultrasound might be utilised to rule out any other existing pelvic issues. In this test, a wand is used on your stomach area or embedded into your vagina to create images of the internal organ with sound waves.
1415 people found this helpful

Uterine Prolapse - How To Detect It?

Dr.Ajay Aggarwal 92% (772ratings)
MBBS, MD - Obstetrtics & Gynaecology, Fellowship in Laparoscopy, DNB (Obstetrics and Gynecology)
Gynaecologist, Chandigarh
Uterine Prolapse - How To Detect It?

The uterus, or womb, is a muscular structure and is held in place by ligaments and pelvic muscles. If these muscles or tendons become weak, they cause prolapse and are no longer able to hold the uterus in its place.

Uterine prolapse happens when the uterus falls or slips from its ordinary position and into the vagina, or birth waterway. It could be complete prolapse or even incomplete at times. A fragmented prolapse happens when the uterus is just hanging into the vagina. A complete prolapse depicts a circumstance in which the uterus falls so far down that some tissue rests outside of the vagina. Likewise, as lady ages and with a loss of the hormone estrogen, her uterus can drop into the vaginal canal. This condition is known as a prolapsed uterus.

Risks: The risks of this condition are many and have been enumerated as follows:

  1. Complicated delivery during pregnancy
  2. Weak pelvic muscle
  3. Loss of tissue after menopause and loss of common estrogen
  4. Expanded weight in the stomach area, for example, endless cough, constipation, pelvic tumors or accumulation of liquid in the guts
  5. Being overweight
  6. Obesity causing extra strain on the muscles
  7. Real surgery in the pelvic zone
  8. Smoking

Symptoms: Some of the most common symptoms of prolapse involve:

  1. Feeling of sitting on a ball
  2. Abnormal vaginal bleeding
  3. Increase in discharge
  4. Problems while performing sexual intercourse
  5. Seeing the uterus coming out of the vagina
  6. A pulling or full feeling in the pelvis
  7. Constipation
  8. Bladder infections

Nonsurgical medications include:

  1. Losing weight and getting in shape to take the stress off of pelvic structures
  2. Maintaining a distance from truly difficult work
  3. Doing Kegel workouts, which are pelvic floor practices that strengthen the vaginal muscles. This can be done at any time, even while sitting down at a desk.
  4. Taking estrogen treatment especially during menopause
  5. Wearing a pessary, which is a gadget embedded into the vagina that fits under the cervix and pushes up to settle the uterus and cervix
  6. Indulging in normal physical activity

Some specialists use the following methods to diagnose the problem:

  1. The specialist will examine you in standing position keeping in mind you are resting and request that you cough or strain to build the weight in your abdomen.
  2. Particular conditions, for example, ureteral block because of complete prolapse, may require an intravenous pyelogram (IVP) or renal sonography. Colour is infused into your vein, and an X-ray is used to view the flow of colour through your urinary bladder.
  3. An ultrasound might be utilised to rule out any other existing pelvic issues. In this test, a wand is used on your stomach area or embedded into your vagina to create images of the internal organ with sound waves.
2190 people found this helpful

Uterine Prolapse - Know Risk Factors Of It!

MBBS, Diploma in Gynecology and Obstetrics
Gynaecologist, Ahmedabad
Uterine Prolapse - Know Risk Factors Of It!

Uterine prolapse is a disorder, which occurs when pelvic muscles weaken and thus, fail to support the uterus, causing the uterus to slip into or protrude from the vagina. Postmenopausal women with a history of multiple vaginal deliveries are the most vulnerable to this disorder. The pelvic muscles weaken due to the following reasons:

  • Dip in the levels of estrogen
  • Excessive strain
  • Tissue damage resulting from childbirth and pregnancy

Common symptoms include a pulling sensation in the pelvic region, lower back pain, bowel problems, tissue protruding from the vagina, difficulty in urinating. The symptoms tend to worsen as the day progresses.

Causes

  • Loss of muscle tone with increasing age
  • Pregnancy
  • Trauma during childbirth
  • Weakening of the surrounding tissues in case of vaginal delivery
  • Drop in the levels of estrogen post menopause

Apart from the cause, there are certain factors that increase the risks of this disorder, they are

  • Increasing age
  • Multiple pregnancies
  • Lifting heavy weights frequently
  • Any pelvic surgery
  • Conditions such as chronic cough

Treatment available 

If the symptoms of uterine prolapse are mild, then you probably will not require any treatment. In case of any complication, the following treatment methods are available:

  • Vaginal pessary: In this procedure, a device is inserted into the vagina, the function of which is to hold the uterus in place. This is only useful for moderate symptoms of uterine prolapse.
  • Surgery: For severe cases, surgery is carried out to fix the damaged tissues of the vagina. It generally involves grafting of own body tissues, synthetic material or donor tissue on the pelvic muscles to provide support.

Hysterectomy (surgery to remove the uterus) may also be advised by the doctor. However, if one has plans of getting pregnant in the near future, should not go for this surgery as it can nullify its benefits. If future pregnancy is required then repair operation called Manchester repair is done.

2008 people found this helpful

Prolapsed Bladder & Menopause - Is There A Link?

MBBS, MS - General Surgery, MCh - Urology
Urologist, Vadodara
Prolapsed Bladder & Menopause - Is There A Link?

Bladder prolapse is a condition wherein a woman’s vaginal wall ceases to adequately support the urinary bladder. The front wall of the vagina gives support to the bladder under normal circumstances but when this wall weakens, it allows the bladder to droop and become prolapsed. This can lead to a wide range of medical problems such as urinary difficulties, stress incontinence (leakage of urine while coughing or sneezing), pain and discomfort, etc.

Prolapsed bladders are generally associated with menopause. Also known as cystoceles or fallen bladders, they are categorized into four different types depending on the extent to which the bladder has prolapsed.

Grade 1: This is the mild stage wherein a small portion of the bladder droops into the vagina.
Grade 2: This is the moderate stage in which the bladder droops far enough to reach the opening of the vagina.
Grade 3: This is when the condition becomes severe and the bladder protrudes from the body through the opening of the vagina.
Grade 4: This occurs when the bladder has completely prolapsed. The entire bladder protrudes outside the vagina and is normally associated with other forms of pelvic organ prolapse such as uterine prolapse (the sagging of the uterus from its normal spot) and rectocele (prolapse of the wall between the vagina and the rectum).

What are the causes of prolapsed bladders?
Following are the factors that lead to the condition of prolapsed bladders:

  1. Menopause: The vaginal walls are known to become weak upon the onset of menopause. This occurs because the body inhibits the production of oestrogen, the hormone that renders strength to the muscles of the vagina. As a result, the bladder is no longer supported by the vagina.
  2. Childbirth: The process of childbirth puts a tremendous amount of stress on the vagina and often leads to deterioration of the muscles of the vaginal wall. This, in turn, leads to the condition of prolapsed bladder.
  3. Straining: Anything that puts a strain on the walls of the vagina can lead to this condition. This includes lifting heavy objects, chronic constipation, obesity, excessive coughing and sneezing or any other factor that damages the pelvic floor.

What are the symptoms of a prolapsed bladder?

Symptoms of a prolapsed bladder vary from case to case, depending on the category and extent of the condition. Some of the most commonly experienced symptoms of the condition are as follows:
Tissue sticking out of the vagina (that may be tender and/or bleeding)

  1. Frequent urge to urinate
  2. Urinary incontinence (unwanted leakage of urine)
  3. Pain during urination
  4. Pain during sex
  5. Frequent urinary tract and bladder infections
  6. Pain in the vagina, pelvis, lower abdomen or lower back
  7. Incomplete urination
1679 people found this helpful

Hi Sir, My wife has problem of vaginal prolapse since the normal delivery of our first child. Will this problem effect the fertility, Is surgery necessary? Can surgery be done during the birth of second child?

Dr.Girish Dani 93% (13495ratings)
MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Not during the birth but depending on type of proplapse, severity etc. may be decided to do after second delivery. Ask examining Gynecologist
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Uterine Prolapse - How To Track It?

MBBS, MS - Obstetrics & Gynaecology, Fellowship in Minimal Access Surgery, Post Graduate Diploma in Sonography (Obstetric- Gynae), Fellowship In Assisted Reproductive Technology
Gynaecologist, Jaipur
Uterine Prolapse - How To Track It?

The uterus or womb is a muscular structure and is held in place by ligaments and pelvic muscles. If these muscles or tendons become weak, they cause prolapse and are no longer able to hold the uterus in its place.

Uterine prolapse happens when the uterus falls or slips from its ordinary position and into the vagina or birth waterway. It could be complete prolapse or even incomplete at times. A fragmented prolapse happens when the uterus is just hanging into the vagina. A complete prolapse depicts a circumstance in which the uterus falls so far down that some tissue rests outside of the vagina. Likewise, as a lady age and with a loss of the hormone estrogen, her uterus can drop into the vaginal canal. This condition is known as a prolapsed uterus.

Risks: The risks of this condition are many and have been enumerated as follows:

  1. Complicated delivery during pregnancy
  2. Weak pelvic muscle
  3. Loss of tissue after menopause and loss of common estrogen
  4. Expanded weight in the stomach area, for example, endless cough, constipation, pelvic tumors or accumulation of liquid in the guts
  5. Being overweight
  6. Obesity causing extra strain on the muscles
  7. Real surgery in the pelvic zone
  8. Smoking

Symptoms: Some of the most common symptoms of prolapse involve:

  1. Feeling of sitting on a ball
  2. Abnormal vaginal bleeding
  3. Increase in discharge
  4. Problems while performing sexual intercourse
  5. Seeing the uterus coming out of the vagina
  6. A pulling or full feeling in the pelvis
  7. Constipation
  8. Bladder infections

Nonsurgical medications include:

  1. Losing weight and getting in shape to take stress off of pelvic structures
  2. Maintaining a distance from truly difficult work
  3. Doing Kegel workouts, which are pelvic floor practices that strengthen the vaginal muscles. This can be done at any time, even while sitting down at a desk.
  4. Taking estrogen treatment especially during menopause
  5. Wearing a pessary, which is a gadget embedded into the vagina that fits under the cervix and pushes up to settle the uterus and cervix
  6. Indulging in normal physical activity

Some specialists use the following methods to diagnose the problem:

  1. The specialist will examine you in standing position keeping in mind you are resting and request that you to cough or strain to build the weight in your abdomen.
  2. Particular conditions, for example, ureteral block because of complete prolapse, may require an intravenous pyelogram (IVP) or renal sonography. Color is infused into your vein, and an X-ray is used to view the flow of color through your urinary bladder.
  3. An ultrasound might be utilised to rule out any other existing pelvic issues. In this test, a wand is used on your stomach area or embedded into your vagina to create images of the internal organ with sound waves.
2491 people found this helpful

Rectocele - How To Avert It?

Dr.Chintan Gandhi 91% (64ratings)
Diploma in Obstetrics & Gynaecology
Gynaecologist, Ahmedabad
Rectocele - How To Avert It?

Also known as Posterior Prolapse, Rectocele involves a weakening of the walls between the vagina and rectum, thereby, causing the rectal wall to swell and protrude into the space of the vagina. This bulging is a common, but the temporary problem that arises after childbirth. In severe cases, the swollen tissues may extend out of the vaginal opening and usually cause more discomfort than pain.

What are the most common causes of Rectocele?

  1. An upright posture places a lot of weight on the pelvic region, which is probably the most important cause for Rectocele or Posterior Prolapse.
  2. Constipation is also a very valid reason for Rectocele because it causes straining of the connective tissues that separate the vagina and the rectum.
  3. Constant heavy lifting and indiscriminate increase of body weight may also put a lot of pressure on the pelvic region that could ultimately lead to the weakening of rectal and vaginal tissues.
  4. Weakening of vaginal passageway due to pregnancy and childbirth is also a common reason for Rectocele development.
  5. Chances of developing Posterior Prolapse increases with age.

Physiological problems posed due to Rectocele:

  1. Passage of bowel becomes difficult and may sometimes require pressure on the vaginal bulge.
  2. The protrusion of tissue takes place from your vaginal opening, when you strain while passing bowel. This usually happens in people with constipation.
  3. This disorder may also induce a sensation that the bowel tract has not been fully emptied even after passing stool.
  4. Such vaginal bulging also causes difficulties and embarrassing concerns during sexual intercourse.

Medical recommendations and preventive measures to tackle Rectocele:

  1. Homemade remedies and exercise are usually effective. Performing exercises help re-tighten the pelvic muscles and tissues, thus reversing the effects of Rectocele. Vaginal pessaries or rubber rings, inserted into the vagina, can also support loose tissues and keep them in place.
  2. Surgical procedures are hardly needed in most cases of Rectocele. But if the issue is chronic, you may opt for removing the protruding tissues by surgery or strengthen the boundary between vagina and rectum by a mesh patch.

If you wish to discuss any specific problem, you can consult.

3982 people found this helpful

Uterine Prolapse - Did You Know Everything About It?

Dr.Reeta Bedi 87% (42ratings)
MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Sri Ganganagar
Uterine Prolapse - Did You Know Everything About It?

Your uterus is held in place by ligaments, tissues and pelvic muscles. The prolapse occurs when the ligaments or muscles weaken, and thus they can no longer support the uterus. The uterus slips or sags from its usual position into the birth canal (vagina).

Uterine prolapse could be complete or incomplete:

  • If the uterus partly sags into the vagina, the prolapse is incomplete.
  • If the uterus falls, and tissues are found to be resting in the vagina's exterior, the prolapse is termed 'complete'

Type of Prolapse:

  1. Cystocele: It is characterized by the herniation (bulging) of the vaginal wall caused by the bladder; it leads to urination problems
  2. Enterocele: It is characterized by the bulging on the vaginal wall caused by the bowel; it leads to backache
  3. Rectocele: If the rectum pushes into the vaginal wall, it makes movement in bowels difficult

Causes:

Uterine prolapse can be caused by any of the following factors:

  • Normal childbirth through the vagina weakens muscles
  • Pelvic muscles weaken with age
  • Tissues weaken after menopause and oestrogen loss
  • Chronic coughconstipation, pelvic tumours or abdominal fluid accumulation puts a lot of pressure on the abdomen leading to prolapse
  • Pelvic muscles are stressed if you are obese or overweight
  • Major pelvic (or areas around it) surgery leads to loss of muscular support
  • Smoking
  • Excessive weight lifting causes weakening of muscles

Symptoms:

Symptoms of uterine prolapse depend on its severity. There are no symptoms or signs if you have mild uterine prolapse. But if you have moderate to severe uterine prolapse, you might experience the following symptoms:

  1. Sensation of pulling or heaviness in the pelvis
  2. Tissue bulges out of your vagina
  3. Urinary problems like urine retention or urine leakage
  4. Bowel movement difficulties
  5. Pain in lower back
  6. Sexual problems such as vaginal tissues feeling loose

Symptoms might feel less distressing during the morning, but they worsen at night.

1648 people found this helpful

Vaginal Vault Prolapse - Know Treatment Of It!

Dr.Geetam Bharti 90% (74ratings)
MBBS, MS - Obstetrics and Gynaecology, ex senior resident reproductive biology
Gynaecologist, Patna
Vaginal Vault Prolapse - Know Treatment Of It!

Vaginal Vault Prolapse is the condition where the upper portion of vagina may lose its normal shape and drop or sag down into the vaginal canal or maybe even outside the vagina. This may occur after a hysterectomy or even simultaneously with uterine prolapse. 

The treatment of vaginal vault prolapse varies with the severity and extremity of your symptoms. Your health care provider may suggest medications and physical therapy to treat your condition if you feel that the prolapse is not bothersome. However, you might have to undergo surgery later if your symptoms worsen and the prolapse affects your quality of life and hinders functional ability.

 You must keep in mind that usually more than one area is affected by weakness in your pelvic floor. 

The symptoms of Vaginal Vault Prolapse include- backache, pelvic heaviness, bulging mass into or sometimes outside your vagina that hinders normal activities such as walking and sitting, vaginal bleeding and releasing urine involuntarily. 

 Treatments:

1.        Medication

Most of the women with this condition usually go through menopause around the same time. Since the estrogen levels are severely lowered during menopause, it causes vaginal dryness. Discussing about estrogen therapy with your health care provider is a must if you wish to remedy your vaginal dryness. Not every woman should take estrogen so it is imperative to talk to a medical expert first. Usually women are treated with estrogens before they go into surgery.

2.        Physical Therapy

Most health care experts recommend pelvic floor exercises as physical therapy using biofeedback so as to strengthen the specific muscles of your pelvic floor. Biofeedback is the usage of monitoring devices that contain sensors and are placed either in your rectum, vagina or on your skin. Biofeedback is very important because it tells you the strength of each muscle you are squeezing i.e. contractions, and if you are squeezing the right muscles in order to perform the exercise correctly. Long term usage of biofeedback in physical therapy leads to strengthening of your muscles and a reduction in your symptoms. 

3.        Surgery

Corrective surgery may be performed on you by the surgeon either through the abdomen or vagina. If the surgeon is performing the corrective surgery through the vagina, he will use the ligaments which support the uterus to solve the problem.          
 

2248 people found this helpful

Uterine Prolapse - 5 Major Causes Behind It!

Dr.Harjinder Kaur Bedi 87% (58ratings)
MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Jalandhar
Uterine Prolapse - 5 Major Causes Behind It!

Uterine prolapse is a disorder, which occurs when pelvic muscles weaken and thus, fail to support the uterus, causing the uterus to slip into or protrude from the vagina. Postmenopausal women with a history of multiple vaginal deliveries are the most vulnerable to this disorder. The pelvic muscles weaken due to the following reasons:

  • Dip in the levels of estrogen
  • Excessive strain
  • Tissue damage resulting from childbirth and pregnancy

Common symptoms include a pulling sensation in the pelvic region, lower back pain, bowel problems, tissue protruding from the vagina, difficulty in urinating. The symptoms tend to worsen as the day progresses.

Causes

  • Loss of muscle tone with increasing age
  • Pregnancy
  • Trauma during childbirth
  • Weakening of the surrounding tissues in case of vaginal delivery
  • Drop in the levels of estrogen post menopause

Apart from the cause, there are certain factors that increase the risks of this disorder, they are

  • Increasing age
  • Multiple pregnancies
  • Lifting heavy weights frequently
  • Any pelvic surgery
  • Conditions such as chronic cough

Treatment available 
If the symptoms of uterine prolapse are mild, then you probably will not require any treatment. In case of any complication, the following treatment methods are available:

  • Vaginal pessary: In this procedure, a device is inserted into the vagina, the function of which is to hold the uterus in place. This is only useful for moderate symptoms of uterine prolapse.
  • Surgery: For severe cases, surgery is carried out to fix the damaged tissues of the vagina. It generally involves grafting of own body tissues, synthetic material or donor tissue on the pelvic muscles to provide support.

Hysterectomy (surgery to remove the uterus) may also be advised by the doctor. However, if one has plans of getting pregnant in the near future, should not go for this surgery as it can nullify its benefits. If future pregnancy is required then repair operation called Manchester repair is done.

2788 people found this helpful
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