Uterine Prolapse

Question 1

Uterine Prolapse

Answer 1

the uterus itself prolapsed into the vagina

Question 2

Uterine prolapse Risk factors

Answer 2

• Multiple vaginal deliveries
• Instrumental, prolonged or traumatic delivery
• Advanced age and postmenopause status
• Obesity
• Chronic coughing
• Chronic constipation causing straining

Question 3

Uterine prolapse Sx

Answer 3

• A feeling of “something coming down” in the vagina
• A dragging or heavy sensation in the pelvis
• Urinary symptoms, such as urgency, frequency, weak stream
• Bowel symptoms, such as constipation, incontinence and urgency
• Sexual dysfunction, such as pain, altered sensation and reduced enjoyment

Question 4

Mild uterine prolapse Tx

Answer 4

• Lifestyle mod: weight loss, smoking cessation, avoiding heavy lifting, high-fibre diet
• Pelvic floor exercise
• Vaginal pessary

Question 5

Surgical options for uterin prolapse indications

Answer 5

Reserved for women
- Sx not improved with conservative Tx
- Declined conservative Tx