Uterine Prolapse

Uterine Prolapse (Uterine Prolapse) – Comprehensive Guide

What is Uterine Prolapse?

It is the downward displacement of the uterus into or out of the vagina due to the weakening of the pelvic floor support tissues.

What Causes It?

• Vaginal births
• Menopause (estrogen decrease)
• Pelvic floor weakness
• Chronic cough
• Constipation and straining
• Obesity
• Heavy lifting

Symptoms

• Feeling of fullness in the vagina
• Palpable mass
• Lower back and groin pain
• Urinary and defecation problems
• Discomfort during sexual intercourse

Grading

• Stage 1: Mild prolapse
• Stage 2: To the vaginal introitus
• Stage 3: Protrusion outside the vagina
• Stage 4: Complete prolapse

Diagnosis

• Gynecological examination
• Pelvic examination
• Imaging and urodynamics if necessary

Treatment Options

1. Observation (mild cases)
2. Pelvic floor exercises
3. Vaginal pessary
4. Surgical treatment

Surgical Treatment

• Vaginal hysterectomy
• Uterus-preserving surgeries (hysteropexy)
• Sacrocolpopexy
The aim is to restore pelvic organ support.

Who Needs Surgery?

• Advanced prolapse
• Significant symptoms
• Conditions affecting quality of life

Prevention

• Kegel exercises
• Weight management
• Constipation prevention
• Avoiding heavy lifting

Clinical Fact

Uterine prolapse is often seen together with other pelvic organ prolapses.

Conclusion

Uterine prolapse is a treatable condition. With early diagnosis and appropriate treatment, quality of life can be improved.