Prolapse (Procidentia)

Prolapse (Procidentia) - a significant downward displacement of any organ, up to its loss (prolapse) This term is especially often used in relation to the uterus (uterine procidentia), which is visible in the external opening of the vagina. Uterine prolapse may be associated with pelvic floor trauma, which inevitably occurs during childbirth.

Uterine prolapse is a common condition in women, especially after the age of 45 and after multiple births. In this case, the uterus descends into the vagina, and sometimes even comes out through the vagina. This occurs due to weakening of the muscles and ligaments that support the uterus.

The main symptoms of uterine prolapse:

1. Feeling of heaviness, pressure in the lower abdomen. This is the most common and early symptom.

2. Pain and discomfort in the pelvic area, aggravated by physical activity, coughing, sneezing.

3. Urinary disorders: frequent urge, difficulty urinating, urinary incontinence.

4. Stool disorders: constipation, fecal incontinence.

5. Pain during sexual intercourse.

6. Bleeding, inflammation.

To treat uterine prolapse, hormone therapy, physical therapy, and exercises to strengthen the pelvic floor muscles are used. In case of severe prolapse, surgical intervention is indicated - plication of the uterosacral ligaments or hysterectomy (removal of the uterus).

Prevention of uterine prolapse involves following the correct birth technique, strengthening the pelvic floor muscles after childbirth, giving up bad habits, and maintaining normal body weight. Timely treatment of chronic diseases of the pelvic organs is also of great importance.

The term “uterine prolapse” refers to the absence of muscular support for the undrained vault. Against the background of a weakened pelvic floor and hypertonicity of the bladder, overstretching of the muscles that support the uterus occurs. Usually this causes asymmetry, after which the uterus prolapses - falls out through the pelvic opening, but still remains under the control of the ligamentous apparatus. Surgery may be required to treat this condition.

With this disease, problems arise associated with disruption of the gastrointestinal tract, and bowel movements may become difficult. In some cases, vaginal dryness, irritation and infections of the reproductive system may occur. Prolapse can cause the uterus to experience additional pressure during physical stress, which can lead to rupture during later pregnancy. In addition, this disease may be a predisposing factor for the development of other serious diseases such as cervical cancer. Of all women, every fifth will encounter this problem at least once, and every 20th woman is at high risk of developing it. Causes of the disease: scientists have found that uterine prolapse can occur both as a result of a congenital anomaly and due to acquired pathologies. Women with a hereditary predisposition to this disease develop it much more often than others. Most often it appears in older ladies, and least often in girls during puberty (this occurs due to weakness of the pelvic muscles). Other causes of the disease include injuries and tumors of the pelvic organs, insufficiency of rickets, weakening of ligamentous structures due to age, infantilism, obesity, and this disease is often accompanied by varicose veins. Often this disease is noted as a complication after childbirth - due to episiotomy or obstetric forceps. Secondary births can also be provoking factors, if they had a rapid course.

Genital prolapse is a pathological condition characterized by dystopia or prolapse of the genital organs. First of all, it affects the female part of the prolapse. This can occur in different parts of the genitourinary system, but the most common localization of the pathology is prolapse and prolapse of the pelvic organs