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Prolapso uterino

Last reviewed: 13 Feb 2025
Last updated: 10 Jan 2025

Summary

Definition

病史和体格检查

关键诊断因素

  • presença de fatores de risco
  • protuberância/saliência vaginal
  • sensação de pressão vaginal
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其他诊断因素

  • incontinência urinária
  • disfunção defecatória
  • dor pélvica
  • Disfunção da micção
  • disfunção sexual
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危险因素

  • parto vaginal
  • idade avançada
  • obesidade
  • cirurgia prévia para prolapso
  • fatores genéticos
  • ascendência branca
  • doenças do tecido conjuntivo
  • aumento da pressão intra-abdominal
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诊断性检查

首要检查

  • avaliação do volume de resíduo pós-miccional (RPM)
  • urinálise
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需考虑的检查

  • urodinâmica
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治疗流程

持续性治疗

assintomático

pacientes sintomáticos

撰稿人

作者

Lior Lowenstein, MD, MS, MHA, MBA
Lior Lowenstein

Associate Clinical Professor and Head of Gynecology Division

Rambam Health Care Campus

Rappaport Faculty of Medicine

Technion-Israel Institute of Technology

Haifa

Israel

利益声明

LL declares that he has no competing interests.

Omer Anis, MD

Urology Department

Chaim-Sheba Medical Center

Tel Aviv

Israel

利益声明

OA declares that she has no competing interests.

鸣谢

Dr Lior Lowenstein and Dr Omer Anis would like to thank Dr Linda Brubaker, a previous contributor to this topic.

利益声明

LB has received editorial honoraria from JAMA, UpToDate, and the Female Pelvic Medicine and Reconstructive Surgery journal. LB is an author of some of the references cited in this topic.

同行评议者

Sarah Collins, MD

Associate Professor of Obstetrics and Gynecology

Northwestern University

Feinberg School of Medicine

Chicago

IL

利益声明

SC declares that she has no competing interests.

Sushma Srikrishna, MRCOG

Locum Consultant Urogynaecologist and Obstetrician

Kings College Hospital

London

UK

利益声明

SS declares that she has no competing interests.

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