Pelvic organ prolapse is a relaxation of pelvic structures, which may lead to extreme discomfort and a protrusion of tissue from the vaginal opening. it is very similar to hernias. They are both due to weakness of the supporting tissues. Genital prolapse is due to weakness of the pelvic floor which is composed of muscles, collagen, connective tissue and fascia that extend from the pubic bone anteriorly to the sacrum posteriorly. Problems with sexual activity, as well as bowel and bladder dysfunction, may occur. Prolapse can occur quickly, but usually happens over the course of many years. There are various types of prolapse, which can occur individually or together. More informations are found by clicking on the GLOSSARY OF TERMS section and FAQ.
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* Cystocele
Cystocele
Is experienced as a bulge in the vagina from the top, which comes right down to the vaginal entrance and even through the entrance. Cystoceles are commonly accompanied by urinary incontinence due to a bladder neck support deficiency. However not all patients with cystoceles are incontinent. Some very large cystoceles can actually obstruct the flow of urine and cause backpressure on the kidneys. Cystoceles can also mask incontinence which becomes obvious once the cystocele is reduced. Cystoceles can occur due to a central stretch in the support (central defect) or can be due to the supporting structure tearing away from the pelvic wall (paravaginal defect).
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* Uterine Prolapse
Uterine Prolapse
The
uterus slides down from its normal position and descends to
or outside the vaginal opening. When the entire uterus lies
outside the vaginal opening it is called as procidentia. The
weight of the uterus and the blood vessels which are
dependent cause the organ to become swollen and easily
susceptible to infection. Ulcers are very common in uteri
which prolapse. Moreover difficulty in sexual intercourse
may also result. When the uterus comes down it can pull the
urethra along with it resulting in
urinary incontinence.
Sometimes the prolapse might be so massive that it can
actually mask the incontinence. Hence women who have surgery
for prolapsed uterus comeback within a short period of time
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* Rectocele
Rectocele
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* Vault Prolapse
Vault Prolapse
This
occurs in women who have their uterus removed. The top of
the vagina known as the vault comes down. This can either be
partial or total where it comes fully down. Women might
experience trouble with emptying their bladder or might have
difficulty during intercourse. The commonest reason for this
occurring is that the uterine supports that were cut during
the hysterecytomy were not reattached to the vault.
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* Deficient Perinium
Deficient Perinium
Lack
of support of the perineum ( the area between the
entrance of the vagina and anus ) causes a deficiency
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These
commonly include:
• Obesity The second common cause is a pelvic floor that is weak or damaged and is unable to effectively resist normal increases in abdominal pressure.
Common causes of pelvic floor weakness include:
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.:: What problems does prolapse cause?
Many women with mild to moderate prolapse are unaware of the problem. Most symptoms of prolapse are generalizable to all sorts of prolapse and usually deteriorate as the day progresses and after long standing and improve with lying down.
These
symptoms include:
• Bulge, heaviness or dragging sensation.
• Urinary frequency and urgency.
• Incomplete bowel emptying. ========================================= pUp =========================================
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