Uterine prolapse occurs when the pelvic floor muscles and ligaments weaken and cannot provide adequate support for the uterus. The uterus slides into the vagina or protrudes out of the vagina.

Uterine prolapse can be seen in women of all ages. However, it is often seen in women who have given birth in one or more normal ways and have gone through menopause.

Mild uterine prolapse usually does not require treatment. However, uterine prolapse, which will disturb the patient or disrupt his normal life, should be treated.

WHAT ARE THE SYMPTOMS OF uterine prolapse?

Mild uterine prolapse usually does not cause signs or symptoms. Signs and symptoms of moderate to severe uterine prolapse include:

A feeling of heaviness or pulling in the pelvis area
tissue coming out of the vagina
urinary incontinence
Constipation
vaginal bleeding
Having problems with sexual intercourse
recurrent bladder infections
WHAT ARE THE CAUSES OF uterine prolapse?

Uterine prolapse is caused by weakening of the pelvic muscles and supporting tissues. A woman’s risk of sagging uterus increases as she gets older and her estrogen levels drop. Estrogen is the hormone that helps strengthen the pelvic muscles. In addition, damage to pelvic muscles and tissues during pregnancy and childbirth also causes uterine prolapse. Women who have had more than one normal birth are more likely to have a prolapsed uterus. Any activity that puts pressure on the pelvic muscles, such as obesity, chronic coughing, lifting heavy objects, and chronic constipation, can increase the risk of uterine prolapse. In addition, previous pelvic surgery is one of the factors that increase the risk of uterine prolapse.

Complications

Uterine prolapse is often associated with prolapse of other organs.

Bladder prolapse (Cystocele): Weakness in the connective tissue separating the bladder and vagina can cause the bladder to sag.
Intestinal herniation (Rectocele): When the connective tissue separating the rectum and vagina from each other weakens, it may cause the rectum to protrude into the vagina.

WHAT ARE THE METHODS USED IN THE DIAGNOSIS OF uterine prolapse?

The diagnosis of uterine prolapse is usually made during the pelvic examination.
In the case of severe urinary incontinence, testing (urodynamic testing) may be necessary to measure how well the bladder is working.

HOW TO TREAT THE PROLACATION OF THE Uterine?

Treatment of uterine prolapse depends on the severity of the prolapse. If uterine prolapse is minimal or does not cause symptoms, worsening of prolapse can be prevented with simple precautions. These measures may include strengthening the pelvic muscles, losing weight, and treating constipation if present. A plastic ring may also be placed in the vagina to support the uterus.

Surgeries Applied in the Treatment of Uterine Prolapse

Repair of weakened pelvic floor tissues: This surgery is usually done through the vagina and sometimes the abdomen. The surgeon may graft the patient’s own healthy tissues or a synthetic material into weakened pelvic floor structures to support the pelvic organs.