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Vaginal Prolapse

Medical Questions » Vaginal Prolapse
Name: Vaginal Prolapse
Also known as: Gystocoele; Prolapse of Vagina; Rectocoele; Uterine Prolapse; Womb Prolapse
A protrusion of an organ into the vagina, caused primarily by gravity. A uterine prolapse occurs when the uterus moves down the vagina and completely fills it. Occasionally the cervix, which is the lowest part of the uterus, may protrude through the vulva to the outside. Part of the bladder which is in front of the vagina, may push back into the vagina causing a bladder prolapse (cystocoele). The rectum (last part of the large intestine) may push forward into the vagina as a rectal prolapse (rectocoele). Occasionally there is a combination of all three types of prolapse.
Causes of Vaginal Prolapse
During childbirth, the vagina becomes very stretched, and does not always return to its original size. The muscles around the vagina become weakened and the ligaments supporting the uterus may become stretched and sag.
Symptoms of Vaginal Prolapse
Cystocoele causes difficulty in passing urine, urinary infections and incontinence. A rectocoele causes difficulty in passing faeces and other bowel problems. A uterine prolapse causes discomfort, pain, and ulceration of the cervix may result in infections and bleeding.
Tests for Vaginal Prolapse
None normally necessary.
Treatment for Vaginal Prolapse
Operation that uses strong natural material in the pelvis and artificial slings to support the prolapsing organ. In elderly women, a ring inserted into the vagina may be used to hold prolapse in the correct place. Younger women can prevent the problem by pelvic floor exercises under the guidance of a physiotherapist both before and after the delivery of their babies.
Complications of Vaginal Prolapse of its treatment
None.
Likely Outcome of Vaginal Prolapse
Reasonable results from surgery, but recurrences possible.
       
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