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Uterine ProlapseAka: Genital Prolapse, Uterine Descensus, Pelvic Organ Prolapse

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  1. Definition
    1. Uterus protrudes out of vaginal canal
  2. Grading
    1. First-degree: On pressing on perineum, cervix visible
    2. Second-degree: Cervix protrudes via vaginal introitus
    3. Third-degree: Entire uterus is external to introitus
  3. Risk Factors
    1. Multiparous women (especially vaginal deliveries)
    2. Overweight
    3. Constipation
    4. Heavy lifting
    5. Ascites
    6. Spina Bifida Occulta
  4. Associated conditions
    1. Urethrocele
    2. Cystocele
    3. Rectocele
  5. Symptoms
    1. Peristent pelvic pressure provoked by straining
    2. Patient notes protruding tissue from introitus
    3. Spotting or bleeding per vagina
  6. Signs
    1. Uterine prolapse on provocative maneuvers
      1. Valsalva
      2. Standing
  7. Managment
    1. General Measures
      1. Treat Constipation
      2. Weight loss in Obesity
      3. Kegal Exercises
      4. Pessary
    2. Medications
      1. Consider Estrogen Replacement Therapy
    3. Surgery
      1. Hysterectomy
      2. Trasvaginal sacrospinous fixation

Prolapse of female genital organs (C0156349)

ConceptsAcquired Abnormality (T020) , Disease or Syndrome (T047)
ICD9618
EnglishGenital prolapse, Prolapse of female genital organs
Spanishprolapso de los organos genitales femeninos, prolapso genital
Parent ConceptsFemale Genital Diseases (C0017411), Other female genital tract disorders (C0178291), Prolapse of female genital organs (C0156349), Disorder of female pelvic region and peritoneum (C0457568), Duplicate concept (C1274013)
SourcesCCS, ICD9CM, MTH, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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