Pelvic Organ Prolapse

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Pelvic Organ Prolapse
Definition and Classification A prolapse is a
downward or forward displacement of one of the
pelvic organs from its normal location. A
variety of terms are used to describe female
genital prolapse. A cystocele is a downward
displacement of the bladder. A
cystourethrocele is a cystocele that imcludes the
urethra as part of the prolapsing organ complex.
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A uterine prolapse is a descent of the uterus
and cervix down the vaginal canal toward the
vaginal introitus. rectocele
enterocele Symptoms of Prolapse feeling of
pressure something is protruding from the
vagina stress urinary incontinence voiding
difficulty inefficient rectal emptying
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Stage of Pelvic Organ Prolapse
Stage 0 No prolapse is demonstrated Stage 1
gt1cm above the level of the hymen Stage 2
the plane of the hymen Stage 3 gt1cm below the
plane of the hymen Stage 4 nearly complete
eversion of the vagina
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Examination
all aspects of vaginal support should be
carefully surveyed. examining patients in the
standing position as well as in the standard
dorsal lithotomy position.
Treatment Asymptomatic prolapse to undergo
surgical bladder neck suspension
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Surgery Vaginal Hysterectomy Manchester
Operation Uteropexy Paravaginal Defect Repair
Operation Posterior Colporrhaphy Colpectomy and
Colpocleisis Colpopexy