🧬 Reproductive🟢 BasicPelvic Organ Prolapse

Uterovaginal Prolapse

A dropping down of the womb and vaginal walls when their supports weaken, so the pelvic organs bulge toward or out of the vagina.

Key points

The womb and vagina are held up by pelvic floor muscles and ligaments, and prolapse follows when these supports weaken.
The main causes are childbirth injury, ageing with the loss of oestrogen after menopause, and anything that raises abdominal pressure.
The womb may descend in degrees, from slight lowering to protrusion outside the vagina in the most severe case.
The front vaginal wall may bulge with the bladder (a cystocele) and the back wall with the rectum (a rectocele).
Symptoms include a dragging feeling, a lump coming down, and problems with passing urine or stool.

Memory trick

Prolapse is a dropping of womb and vaginal walls when supports weaken (childbirth, menopause, raised pressure): the womb descends in degrees; front wall bulges with bladder (cystocele), back wall with rectum (rectocele); dragging feeling and a lump.

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🧬 Reproductive🟢 BasicPelvic Organ Prolapse

Uterovaginal Prolapse

A dropping down of the womb and vaginal walls when their supports weaken, so the pelvic organs bulge toward or out of the vagina.

Key points

The womb and vagina are held up by pelvic floor muscles and ligaments, and prolapse follows when these supports weaken.
The main causes are childbirth injury, ageing with the loss of oestrogen after menopause, and anything that raises abdominal pressure.
The womb may descend in degrees, from slight lowering to protrusion outside the vagina in the most severe case.
The front vaginal wall may bulge with the bladder (a cystocele) and the back wall with the rectum (a rectocele).
Symptoms include a dragging feeling, a lump coming down, and problems with passing urine or stool.

Memory trick

All of Obstetrics & Gynaecology More Reproductive