Uterine Prolapse

Uterine Prolapse




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Требуется лабораторный анализ или снимки
Длительность течения: несколько месяцев
Затрагивает людей в возрасте от 50 и старше
Предрасположенность может быть обусловлена генетически
Только для информационных целей. Необходимо проконсультироваться с врачом.
Источник: Focus Medica (английский язык), переведено на [русский]. Дополнительные сведения
What are the symptoms of uterine prolapse?
What are the symptoms of uterine prolapse?
Uterine prolapse occurs when the muscles and tissue in your pelvis weaken. This allows your uterus to drop down into your vagina. Common symptoms include leakage of urine, fullness in your pelvis, bulging in your vagina, lower-back pain, and constipation.
www.hopkinsmedicine.org/health/condition…
When does a uterine prolapse occur in childbirth?
When does a uterine prolapse occur in childbirth?
Uterine prolapse happens when vaginal childbirth or other conditions weaken the muscles and tissues of the pelvic floor so they can no longer support the weight of the uterus. It can happen as a result of: Your health care provider can diagnose uterine prolapse with a medical history and physical examination of the pelvis.
www.webmd.com/women/guide/prolapsed …
What are the risk factors of uterine prolapse?
What are the risk factors of uterine prolapse?
Uterine prolapse is a relatively common condition in which the uterus drops when the pelvic muscles become too weak to support it. Risk factors include having a high body mass index (BMI), having completed menopause, and pregnancy and childbirth. Symptoms include urine leaks, discomfort in the pelvic area, and lower back pain.
www.medicalnewstoday.com/articles/3059…
What is incomplete uterine prolapse?
What is incomplete uterine prolapse?
Complete uterine prolapse: A portion of the uterus protrudes from the vaginal opening. The condition is graded by its severity, determined by how far the uterus has descended: 3rd grade: cervix has descended outside the introitus 4th grade: cervix and uterus have both descended outside the introitus
www.medicalnewstoday.com/articles/3059…
https://www.mayoclinic.org/diseases-conditions/uterine-prolapse/symptoms-causes/syc...
Overview
Symptoms
Causes
Risk Factors
Complications
Prevention
Uterine prolapse occurs when pelvic floor muscles and ligaments stretch and weaken and no longer provide enough support for the uterus. As a result, the uterus slips down into or protrudes out of the vagina. Uterine prolapse ca…
https://en.m.wikipedia.org/wiki/Uterine_prolapse
Diagnostic method: Based on examination
Symptoms: Vaginal fullness, pain with sex, …
Treatment: Pessary, hormone replacement …
Usual onset: Gradual
Uterine prolapse is when the uterus descends towards or through the opening of the vagina. Symptoms may include vaginal fullness, pain with sex, trouble urinating, urinary incontinence, and constipation. Often it gets worse over time. Low back pain and vaginal bleeding may also occur.

Risk factors include pregnancy, childbirth, obesity, constipation, and chronic coughing. …
Uterine prolapse is when the uterus descends towards or through the opening of the vagina. Symptoms may include vaginal fullness, pain with sex, trouble urinating, urinary incontinence, and constipation. Often it gets worse over time. Low back pain and vaginal bleeding may also occur.

Risk factors include pregnancy, childbirth, obesity, constipation, and chronic coughing. Diagnosis is based on examination. It is a form of pelvic organ prolapse, together with bladder prolapse, large bowel prolapse, and small bowel prolapse.

Preventive efforts include managing chronic breathing problems, not smoking, and maintaining a healthy weight. Mild cases may be treated with a pessary together with hormone replacement therapy. More severe cases may require surgery such as a vaginal hysterectomy. About 14% of women are affected. It occurs most commonly after menopause.
https://www.mayoclinic.org/diseases-conditions/uterine-prolapse/diagnosis-treatment/...
Diagnosis
Treatment
Clinical Trials
Lifestyle and Home Remedies
Preparing For Your Appointment
A diagnosis of uterine prolapse generally occurs during a pelvic exam. During the pelvic exam your doctor is likely to ask you: 1. To bear down as if having a bowel movement. Bearing down can help your doctor assess how far the uterus has slipped into the vagina. 2. To tighten your pelvic muscles as if you're stopping a stream of urine. This test checks …
https://my.clevelandclinic.org/health/diseases/16030-uterine-prolapse
Перевести · What is uterine prolapse? A uterine prolapse is a condition where the internal supports of the uterus become weak over time. The uterus is one of the organs that makes up part of your …
https://www.hopkinsmedicine.org/health/conditions-and-diseases/uterine-prolapse
Перевести · 15.05.2021 · Uterine prolapse occurs when the muscles and tissue in your pelvis weaken. This allows your uterus to drop down into your vagina. Common symptoms include leakage …
https://www.webmd.com/women/guide/prolapsed-uterus
Перевести · 01.01.2000 · Uterine prolapse happens when vaginal childbirth or other conditions weaken the muscles and tissues of the pelvic floor so they can no longer support the weight of the uterus.
https://www.healthline.com/health/uterine-prolapse
Перевести · 17.09.2018 · Uterine prolapse occurs when the uterus sags or slips from its normal position and into the vagina (birth canal). Uterine prolapse may be …
https://www.medicalnewstoday.com/articles/305971
Перевести · 22.11.2017 · A uterine prolapse is when the uterus descends toward or into the vagina. It happens when the pelvic floor muscles and ligaments become weak and are no longer able to support the uterus. …
https://www.seug.com/blog/uterine-prolapse-early-warning-signs-and-effective-treatments
Перевести · Uterine prolapse — a condition in which the tissues that support the uterus lose strength — is a common affliction. In fact, up to 68% of women are believed to experience this condition at …
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Uterine prolapse is when the uterus descends towards or through the opening of the vagina.[1] Symptoms may include vaginal fullness, pain with sex, trouble urinating, urinary incontinence, and constipation.[1] Often it gets worse over time.[2] Low back pain and vaginal bleeding may also occur.[3]
Pelvic organ prolapse, prolapse of the uterus (womb), female genital prolapse, uterine descensus
Uterine prolapse in a 71-year-old woman, with the cervix visible in the vaginal opening.
Preventive efforts include managing chronic breathing problems, not smoking, and maintaining a healthy weight.[3] Mild cases may be treated with a pessary together with hormone replacement therapy.[1][3] More severe cases may require surgery such as a vaginal hysterectomy.[1] About 14% of women are affected.[2] It occurs most commonly after menopause.[3]
The most common cause of uterine prolapse is trauma during childbirth, in particular multiple or difficult births. About 50% of women who have had children develop some form of pelvic organ prolapse in their lifetime.[5] It is more common as women get older, particularly in those who have gone through menopause. This condition is surgically correctable.
The uterus (womb) is normally held in place by a hammock of muscles and ligaments. Prolapse happens when the ligaments supporting the uterus become so weak that the uterus cannot stay in place and slips down from its normal position. These ligaments are the round ligament, uterosacral ligaments, broad ligament and the ovarian ligament. The uterosacral ligaments are by far the most important ligaments in preventing uterine prolapse.
In some cases of uterine prolapse, the uterus can be unsupported enough to extend past the vaginal wall for inches.[6]
Treatment is conservative, mechanical or surgical.
Conservative options include behavioral modification and muscle strengthening exercises such as Kegel exercise.[7] Pessaries are a mechanical treatment that supports the vagina and elevates the prolapsed uterus to its normal, correct position. Pessaries are frequently offered as a first-line treatment for uterine prolapse.[8][9]
Surgical options are many[10] and may include a hysterectomy or a uterus-sparing technique such as laparoscopic hysteropexy,[11] sacrohysteropexy[12][13] or the Manchester operation.[14]
In the case of hysterectomy, the procedure can be accompanied by sacrocolpopexy.[15] This is a mesh-augmented procedure in which the apex of the vagina is attached to the sacrum by a piece of medical mesh material.[16]
A Cochrane review found that sacral colpopexy was associated with lower risk of complications than vaginal interventions, but it was unclear what route of sacral colpopexy should be preferred.[10] No clear conclusion could be reached regarding uterine preserving surgery versus vaginal hysterectomy for uterine prolapse. The evidence does not support use of transvaginal mesh (TVM) compared to native tissue repair for apical vaginal prolapse. The use of a transvaginal mesh is associated with side effects including pain, infection, and organ perforation. According to the FDA, serious complications are "not rare".
A number of class action lawsuits have been filed and settled against several manufacturers of TVM devices.[example needed]
^ a b c d e f g h i j "Uterine and Vaginal Prolapse - Gynecology and Obstetrics". Merck Manuals Professional Edition. February 2017. Retrieved 15 October 2018.
^ a b c d Culligan, Patrick J.; Goldberg, Roger P. (2007). Urogynecology in Primary Care. Springer Science & Business Media. p. 5. ISBN 9781846281679.
^ a b c d e f g h Ferri, Fred F. (2015). Ferri's Clinical Advisor 2016 E-Book: 5 Books in 1. Elsevier Health Sciences. p. 939. ISBN 9780323378222.
^ "Uterine prolapse - Symptoms, diagnosis and treatment". BMJ Best Practice. Retrieved 15 October 2018.
^ "Oxford Gynaecological and Pelvic Floor Centre, Gynaecology in Oxford". www.oxfordgynaecology.com. Retrieved 25 April 2017.
^ D'Amico D, Barbarito C (10 February 2015). Health & physical assessment in nursing (3rd ed.). Boston. p. 665. ISBN 9780133876406. OCLC 894626609.
^ Hagen, Suzanne (7 December 2011). "Conservative prevention and management of pelvic organ prolapse in women". The Cochrane Database of Systematic Reviews (12): CD003882. doi:10.1002/14651858.CD003882.pub4. PMID 22161382.
^ Cundiff GW, Amundsen CL, Bent AE, Coates KW, Schaffer JI, Strohbehn K, Handa VL (April 2007). "The PESSRI study: symptom relief outcomes of a randomized crossover trial of the ring and Gellhorn pessaries". Am. J. Obstet. Gynecol. 196 (4): 405.e1–8. doi:10.1016/j.ajog.2007.02.018. PMID 17403437.
^ Bugge, Carol; Adams, Elisabeth J.; Gopinath, Deepa; Stewart, Fiona; Dembinsky, Melanie; Sobiesuo, Pauline; Kearney, Rohna (November 2020). "Pessaries (mechanical devices) for managing pelvic organ prolapse in women". The Cochrane Database of Systematic Reviews. 11. doi:10.1002/14651858.CD004010.pub4. ISSN 1469-493X. PMID 33207004 – via PubMed.
^ a b Maher, Christopher; Feiner, Benjamin; Baessler, Kaven; Christmann-Schmid, Corina; Haya, Nir; Brown, Julie (1 October 2016). "Surgery for women with apical vaginal prolapse" (PDF). The Cochrane Database of Systematic Reviews. 10: CD012376. doi:10.1002/14651858.CD012376. ISSN 1469-493X. PMC 6457970. PMID 27696355.
^ Rahmanou P, White B, Price N, Jackson S (January 2014). "Laparoscopic hysteropexy: 1- to 4-year follow-up of women postoperatively". Int Urogynecol J. 25 (1): 131–8. doi:10.1007/s00192-013-2209-5. PMID 24193261. S2CID 19806486.
^ Price N, Slack A, Jackson SR (January 2010). "Laparoscopic hysteropexy: the initial results of a uterine suspension procedure for uterovaginal prolapse". BJOG. 117 (1): 62–8. doi:10.1111/j.1471-0528.2009.02396.x. PMID 20002370. S2CID 14569376.
^ Rosati M, Bramante S, Conti F (August 2014). "A review on the role of laparoscopic sacrocervicopexy". Curr. Opin. Obstet. Gynecol. 26 (4): 281–9. doi:10.1097/GCO.0000000000000079. PMID 24950123. S2CID 24527586.
^ Surgical correction of uterine prolapse: cervical amputation with uterosacral ligament plication versus vaginal hysterectomy with high uterosacral ligament plication By de Boer T, Milani F, Kluivers K, Withagen M, Vierhout M. Part of ICS 2009 Scientific Programme, Thursday 1 October 2009[permanent dead link]
^ Nygaard I, Brubaker L, Zyczynski HM, Cundiff G, Richter H, Gantz M, Fine P, Menefee S, Ridgeway B, Visco A, Warren LK, Zhang M, Meikle S (May 2013). "Long-term outcomes following abdominal sacrocolpopexy for pelvic organ prolapse". JAMA. 309 (19): 2016–24. doi:10.1001/jama.2013.4919. PMC 3747840. PMID 23677313.
^ "Sacrocolpopexy with hysterectomy using mesh to repair uterine prolapse". NICE. GOV.UK. Retrieved 28 March 2018.
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