Uterine prolapse (uterine vaginal protrusion)


Description

The uterus has sunk from its normal location and extends into the vagina. When severe, it can project outside the vagina. The disorder occurs when the ligaments and muscles that hold the uterus in place become stretched and damaged. Multiple child births and the loss of muscle mass and strength associated with aging are the major causes.

Symptoms

Sensation of heaviness or pulling in the pelvis, vaginal fullness, leaking of urine, difficulty urinating, low backache, tissue protruding from the uterus, difficult or painful sexual intercourse.

Tests

Common tests used for diagnosis and treatment

Workup:
A history and physical exam will be performed. A pelvic exam will establish the diagnosis. Further information may be obtained by obtaining imaging, such as MRI or ultrasound.

Tests:
Magnetic resonance imaging (MRI), Ultrasound

Specialists:
Obstetrics and Gynecology

Treatment

Therapy depends on the severity of the prolapse and the symptoms being experienced. Treatment includes: losing weight, pelvic muscle exercises, vaginal pessary, and/or surgery.
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