Genital Prolapse

DESCRIPTION

This refer ton descend and protrusion with gaping of the genital organs.
A uterus that has fallen or dropped from its normal location, causing it to bulge into the vagina. In its most pronounced form, it projects outside the vagina. Associated with prolapsed may be retrocede an cystocele (urethra and/or bladder bulge along the front wall of the vagina) and rectocele (rectal wall into the back wall of the vagina).

FREQUENT SIGNS AND SYMPTOMS
Sometimes no sighs but the patient notice the her vagina is wide open on self examination.

  • A lump in front or back of the vagina, or a lump that projects outside of the vagina.
  • Vague discomfort or pressure in the pelvic region.
  • Backache that worsens with lifting.
  • Frequent and painful urination.
  • Occasional stress incontinence (urine leakage when laughing, sneezing or coughing).
  • Difficulty in moving bowels.
  • Pain with sexual intercourse.
  • Flatus-like sound during sexual intercourse.

CAUSES
Prolapse occurs when muscles and ligaments at the base of the abdomen become extremely stretched, usually as a result of childbirth or aging.

RISK INCREASES WITH

  • Obesity.
  • Repeated childbirth, although one pregnancy and vaginal delivery can weaken the area enough to lead to prolapse.
  • Previous vaginal lacerations and tears.
  • Conditions that cause increased intra-abdominal pressure such as tumors, chronic coughing, chronic constipation.
  • Poor physical fitness.
  • Occupations requiring heavy lifting.

PREVENTIVE MEASURES

  • Maintain appropriate weight.
  • Practice pelvic-strengthening exercises during pregnancy and after childbirth.
  • Eat a normal, well balanced diet.
  • Engage in a regular exercise program to maintain good muscle strength.
  • Avoid constipation.
  • Estrogen therapy.