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Uterine  prolapse, also known as pelvic organ prolapse (POP), occurs when the organs in the pelvic area, such as the bladder, uterus, rectum, or vaginal walls, bulge or protrude into or through the vaginal canal. This condition can result from weakened pelvic floor muscles and supporting tissues, causing the pelvic organs to lose their normal position and stability.

There are several types of Uterine Prolapse, each involving different pelvic organs:

Causes Of Uterine Prolapse

Uterine Prolapse is primarily caused by factors that weaken the pelvic floor and supporting structures. These factors may include:

  • Pregnancy and childbirth, especially multiple pregnancies or traumatic deliveries.
  • Aging and hormonal changes that affect tissue elasticity and muscle tone.
  • Chronic constipation or straining during bowel movements.
  • Chronic coughing, which can increase abdominal pressure.
  • Obesity and excess body weight.
  • Genetic predisposition.
  • Connective tissue disorders.

Symptoms Of Uterine Prolapse

The symptoms of Uterine Prolapse can vary depending on the type and severity of the prolapse but may include

  • A sensation of fullness or pressure in the pelvis or vagina.
  • Vaginal or pelvic pain.
  • Discomfort or pain during sexual intercourse.
  • Urinary incontinence or difficulty controlling urine flow.
  • Difficulty with bowel movements or constipation.
  • Vaginal bleeding or discharge.
  • Visible bulging or tissue protrusion from the vagina.

Types

There are several types of Uterine Prolapse, each involving different pelvic organs:

Cystocele (Anterior Uterine Prolapse)

This occurs when the bladder drops down into the front wall of the vagina. It can lead to symptoms such as urinary frequency, urgency, and difficulty emptying the bladder.

Rectocele (Posterior Uterine Prolapse)

A rectocele occurs when the rectum bulges into the back wall of the vagina. This may cause symptoms like constipation, difficulty with bowel movements, and a sensation of rectal fullness.

Uterine Prolapse

Uterine prolapse involves the descent of the uterus into the vaginal canal or even outside the vagina in severe cases. It can lead to pelvic pressure, discomfort, and changes in menstrual bleeding.

Enterocele

An enterocele is a condition where the small intestine pushes into the upper vaginal wall. It can cause lower abdominal discomfort and pelvic pressure.

Treatment for Uterine Prolapse

Treatment options for Uterine Prolapse depend on the type and severity of the prolapse, the patient's overall health, and their preferences. Common treatment approaches include:

  1. Pelvic Floor Exercises (Kegel exercises): These exercises can help strengthen the pelvic floor muscles and improve support for the pelvic organs.
  2. Pessaries: A pessary is a device inserted into the vagina to provide support for the prolapsed organs.
  3. Physical Therapy: Pelvic floor physical therapy may include exercises and techniques to strengthen and improve pelvic muscle function.
  4. Surgery: Surgical options range from minimally invasive procedures to more extensive surgeries, such as hysterectomy (removal of the uterus) or repair of the pelvic floor tissues.

The choice of treatment is individualized, and Dr Vindhya Gemaraju consider factors such as the patient's age, overall health, desire for future pregnancies, and the impact of symptoms on daily life when making recommendations. If you suspect you have vaginal prolapse or are experiencing symptoms related to it, it's essential to consult for a proper diagnosis and discussion of treatment options.

Contact us today to schedule an appointment with Dr. Vindhya G

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