Prolapse 1B

Question 1

what is uterine prolapse

Answer 1

it is the loss of anatomical support for the uterus and abnormal protrusion of the uterus through the pelvic floor aperture

Question 2

what ligament is stretched in uterine prolapse

Answer 2

cardinal ligament

Question 3

what group of women does it mostly occur in

Answer 3

Multiparous women

Question 4

typical causes of uterine prolapse

Answer 4

can be secondary to childbirth injury 
pelvic malignancy 
sacral nerve disorder
systemic disorders (Obesity and asthma)
ascites

Question 5

symptoms

Answer 5

vaginal pressure
sensation of something falling out
stress urinary incontinence
constipation

Question 6

how do patients typically present

Answer 6

firm mass in lower vagina and cervix projecting through the introitus and vaginal inversion with the cervix and uterus projecting between the legs

Question 7

what is seen on examination

Answer 7

descent of the cervix to the lower third of vagina or through the introitus (opening of the vagina) with being down or straining

Question 8

diagnosis

Answer 8

based on physical examination

Question 9

treatment

Answer 9

keg exercises and pelvic floor exercises for prevention

medical treatment = vaginal pessary and use of oestrogen to strengthen tissue tone

surgical treatment