Prolapse

Prolapse means drop.

The term genital prolapse indicates the descent of the uterus , but often also of the bladder and rectum , which may appear on the outside of the vagina , and sometimes also leak completely .

 

What produces it?

Essentially damage to the supporting tissues of the genital organs that arise during childbirth.

It 'still involved also some congenital weakness of these fibrous structures of support. Obesity , constipation and chronic cough , diabetes, are recognized as pejorative factors .

 

The symptoms.

They can be present in varying degrees:

sense of weight or pelvic pain

backache

bleeding

fleshy body that protrudes from the vagina

 

The degrees of prolapse.

It ' usually described briefly with a score from 1 (lowest) to 4 (maximum down regulation , with the uterus completely escaped from the vagina).

It may improve with time?

No. It may remain stable or , more frequently, worse.

 

It is necessary to make specific tests before surgery for prolapse?

It could be useful to perform urodynamic tests , examinations , in a single session , define the opportunity to correct urinary incontinence, if present, or the likelihood that this appears after the surgery, if absent.

 

The genital prolapse produces urinary incontinence?

No, although sometimes prolapse and leakage of urine are associated .

 

It is necessary to undergo surgery?

When the prolapse determines a discrete decrease in the quality of life, especially if associated with urinary incontinence.

 

What is the surgery?

There are several types, depending on the type of prolapse and the need to preserve the uterus for preserving fertility .

The standard provides for the intervention colpoisterectomia ( removal of the uterus through the vagina ) and the plastic bladder and rectal ( affixing of special points to reposition and support the vagina, bladder and rectum). In selected cases may be indicated by a prosthetic surgery with the positioning of appendage of heterologous material , in this case the intervention can be conducted with the help of small abdominal laparoscopic access .

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