Uterine Prolapse

Question 1

Secondary prolapse may occur with

Answer 1

prolonged pushing during labor and delivery

large intrapelvic tumors

sacral nerve disorders

surgical resection

Question 2

Pain is primarily due to ?

Answer 2

Stretching of the ligamentous supports and secondarily to excoriation (scratch or abrasion) of the prolapsed cervical or vaginal tissue, which may occur.

Question 3

Third degree prolapse is often accompanied by
low back pain with or without pelvic, sacral, or
abdominal cramping or heaviness.

Symptoms are relieved by 1.?

Aggravated by 2.?

Urinary incontinence is commonly associated with uterine prolapse.

Answer 3

1. Rest and lying down

2. prolonged standing, walking, coughing, sexual intercourse, or straining.

Question 4

Signs & Sx

Answer 4

• Lump in vaginal opening
• Pelvic discomfort, backache
• Abdominal cramping
• Symptoms relieved by lying down
• Symptoms made worse by prolonged standing, walking, coughing, or straining
• Urinary incontinence