December 9, 2019 by AltiusHospital
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What is a prolapse uterus?
The uterus, or womb, is a muscular structure that's held in place by pelvic muscles and ligaments. If these muscles or ligaments stretch or become weak, they're no longer able to support the uterus, causing prolapse. Uterine prolapse occurs when the uterus sags or slips from its normal position and into the vagina, or birth canal.
Uterine prolapse may be incomplete or complete. An incomplete prolapse occurs when the uterus is only partly sagging into the vagina. A complete prolapse describes a situation in which the uterus falls so far down that some tissue rests outside of the vagina.
WHAT ARE THE POSSIBLE Risk factors for uterine prolapse?
The risk of having a prolapsed uterus increases as a woman ages and her estrogen levels decrease. Estrogen is the hormone that helps keep the pelvic muscles strong. Damages to pelvic muscles and tissues during pregnancy and childbirth may also lead to prolapse. Women who've had more than one vaginal birth and postmenopausal women are at the highest risk.
Any activity that puts pressure on the pelvic muscles can increase your risk of a uterine prolapse. Other factors that can increase your risk for the condition include:
Confirmed risk factors
Possible risk factors :
What are the Vaginal/general symptoms?
What are the Urinary symptoms?
Is there any Coital difficulty in prolapse?
HOW IS IT GRADED?
Uterine prolapse is graded based on level of descent:
Vaginal prolapse may be 2nd or 3rd degree.
What are the Types of prolapse?
Prolapse can occur in the anterior, middle, or posterior compartment of the pelvis.
What is Anterior compartment prolapsed?
WHAT ARE THE BLADDER TRAINING EXERCISES?
Bladder training, to delay urination after you get the urge to go. You may start by trying to hold off for 10 minutes every time you feel an urge to urinate. The goal is to lengthen the time between trips to the toilet until you're urinating only every two to four hours.
Double voiding, to help you learn to empty your bladder more completely to avoid overflow incontinence. Double voiding means urinating, then waiting a few minutes and trying again.
Scheduled toilet trips, to urinate every two to four hours rather than waiting for the need to go.
Fluid and diet management, to regain control of your bladder. You may need to cut back on or avoid alcohol, caffeine or acidic foods. Reducing liquid consumption, losing weight or increasing physical activity also can ease the problem.
What is Middle compartment prolapse?
Uterine prolapse: descent of the uterus into the vagina.
WHAT IS VAGINAL PROLAPSE?
Uterine prolapse is descent of the uterus toward or past the introitus. Vaginal prolapse is descent of the vagina or vaginal cuff after hysterectomy
How is uterine prolapse diagnosed?
Your doctor can diagnose uterine prolapse by evaluating your symptoms and performing a pelvic exam.
Any Conservative methods to treat prolapse?
These measures are particularly helpful for women who:
What are the Conservative measures available?
Watchful waiting. If a women reports little in the way of symptoms this is probably appropriate. Treatment may be needed if symptoms become troublesome or if complications develop.
Lifestyle modification: including treatment of cough, smoking cessation, constipation and overweight and obesity. However, even though the association of prolapse with these lifestyle factors has been demonstrated, the role of lifestyle modification as a prevention or treatment of prolapse is not supported by evidence.
Pelvic floor muscle exercises.
Vaginal oestrogen creams.
Oestrogen creams before surgery may reduce the incidence of postoperative cystitis
When to consider Surgery?
WHAT ARE THE SURGICAL OPTIONS?
Laparoscopic repair of prolapse has less risk of perioperative morbidity than laparotomy.
Using mesh may lower the risk of prolapse recurrence after a vaginal repair, but complications may occur more frequently. Patients should be advised that all mesh may not be removed completely so that they can make an informed decision.
How can I prevent uterine prolapse?
What is kegels exercise?
Kegel exercises, also called pelvic floor exercises, help strengthen the muscles that support the bladder, uterus, and bowels. By strengthening these muscles, you can reduce or prevent leakage problems.
How is it done?
Tighten your pelvic floor muscles, hold the contraction for five seconds, and then relax for five seconds. Try it four or five times in a row. Work up to keeping the muscles contracted for 10 seconds at a time, relaxing for 10 seconds between contractions.Do it 3-4 times a day.
Laparoscopic sacrocervicopexy is an effective option for women with pelvic organ prolapse who desire uterine preservation. Laparoscopic surgery gives the added benefit of shorter hospital stay,better cosmesis,lesser postoperative pain,short recovery period .
to have a balanced diet
Any form of physical activity say yoga,meditation,walking ,sport to keep urself fit n fine.
Will there be weight gain later?
No surgery does not make you put on weight.might be the restriction of physical inactivity self imposed can lead to weight gain.
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