- Loss of anatomical support for the uterus.
- Late-stage prolapse usually presents as a palpable protruding cervix with vaginal tissue, which is often noticed by the patient.
- Symptoms include sensation of vaginal bulging, pelvic pressure, urinary frequency or incontinence, incomplete bladder emptying, defecatory dysfunction, and dyspareunia.
- Diagnosis is made by vaginal examination during resting and straining.
- Conservative management encompasses observation, physiotherapy, and use of pessaries.
- Surgical intervention is by either a vaginal or an abdominal approach, with or without augmenting graft material.
- Vaginal bleeding, abnormal discharge, dyspareunia, urine retention, and pelvic pain are possible complications of therapy.
Last updated: Dec 11, 2012