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Uterine ProlapseAka: Genital Prolapse, Uterine Descensus, Pelvic Organ Prolapse
- Definition
- Uterus protrudes out of vaginal canal
- Grading
- First-degree: On pressing on perineum, cervix visible
- Second-degree: Cervix protrudes via vaginal introitus
- Third-degree: Entire uterus is external to introitus
- Risk Factors
- Multiparous women (especially vaginal deliveries)
- Overweight
- Constipation
- Heavy lifting
- Ascites
- Spina Bifida Occulta
- Associated conditions
- Urethrocele
- Cystocele
- Rectocele
- Symptoms
- Peristent pelvic pressure provoked by straining
- Patient notes protruding tissue from introitus
- Spotting or bleeding per vagina
- Signs
- Uterine prolapse on provocative maneuvers
- Valsalva
- Standing
- Uterine prolapse on provocative maneuvers
- Managment
- General Measures
- Treat Constipation
- Weight loss in Obesity
- Kegal Exercises
- Pessary
- Medications
- Consider Estrogen Replacement Therapy
- Surgery
- Hysterectomy
- Trasvaginal sacrospinous fixation
- General Measures
Prolapse of female genital organs (C0156349) | |
|---|---|
| Concepts | Acquired Abnormality (T020) , Disease or Syndrome (T047) |
| ICD9 | 618 |
| English | Genital prolapse, Prolapse of female genital organs |
| Spanish | prolapso de los organos genitales femeninos, prolapso genital |
| Parent Concepts | Female 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) |
| Sources | CCS, ICD9CM, MTH, SCTSPA, SNOMEDCT Derived from the NIH UMLS (Unified Medical Language System) |