Uterine Prolapse, Medical Terminology

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Uterine Prolapse, Lilit Gevorgyan

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Uterine Prolapse:

Uterine Prolapse Lilit Gevorgyan Medical Terminology Prof. Baldwin

Uterine Prolapse Objectives:

Uterine Prolapse Objectives Overview Epidemiology Diagnosis Treatment

Overview:

Overview A uterine prolapse ( hysteroptosis ) is a condition in which the muscles and ligaments of the pelvis become weakened Uterus drops (prolapses) into the vaginal canal

Epidemiology:

Epidemiology Most common cause of uterine prolapse is a history of multiple vaginal childbirth Can occur following a delivery

Diagnosis:

Diagnosis During a pelvic examination History of pelvic heaviness, low back pain Patient may present with urinary retention Firm, muscular mass in or protruding from vagina Stage I-IV (Figure)

Stage I:

Stage I Uterus descends 1/3 down the vaginal canal

Stage II:

Stage II C ervix usually protrudes through the introitus

Stage III or procidentia:

Stage III or procidentia E ntire cervix and uterus protrude beyond the vaginal opening

Stage III or procidentia (cont.):

Stage III or procidentia (cont.) Cystocele, rectocele, and enterocele are commonly associated with procidentia . Cystocele Rectocele Enterocele

Stage IV:

Stage IV Vagina is inverted

Treatment:

Treatment For Stages I-II: Vaginal Pessary

Pessary:

Pessary

Treatment (cont.):

Treatment (cont.) Later Stages: Surgery (Hysterectomy)

Treatment (cont.):

Treatment (cont.) Post Delivery: Reversion of uterus by manual pressure

References:

References "Pelvic Organ Prolapse: Uterine Prolapse, Cystocele, Rectocele or Enterocele ." Quick Answers to Medical Diagnosis and Therapy: http://www.accessmedicine.com/quickam.aspx . Buckley R.G., Knoop K.J. (2010). Chapter 10. Gynecologic and Obstetric Conditions. In K.J. Knoop , L.B. Stack, A.B. Storrow , R.J. Thurman ( Eds ), The Atlas of Emergency Medicine , 3e. Retrieved May 5, 2012 from http://www.accessmedicine.com/content.aspx?aID=6002489 . Tucker R., Platt M. (2011). Chapter 38. Obstetric and Gynecological Emergencies and Rape. In R.L. Humphries, C. Stone ( Eds ), CURRENT Diagnosis & Treatment Emergency Medicine , 7e. Retrieved May 5, 2012 from http:// www.accessmedicine.com / content.aspx?aID =55754966.

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