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The most distal prolapse is between 1 cm above and 1 cm below the hymen (at least one point is −1, 0, or +1). 3: The most distal prolapse is more than 1 cm below the hymen but no further than 2 cm less than TVL. 4: Represents complete procidentia or vault eversion; the most distal prolapse protrudes to at least (TVL−2) cm.
When symptoms are present, the most common and most specific symptoms for uterine prolapse—and organ prolapse in general—into the vagina are bulge symptoms, such as pelvic pressure, vaginal fullness, or a palpable vaginal bulge, and these symptoms are often more common and more severe if the prolapse reaches the vaginal hymen.
However, the association between this type of prolapse and vaginal introital laxity is still unclear due to the lack of related data. [2] POP includes (a) the falling out of vagina, bladder and other genito-pelvic structures, (b) vaginal tissue bulging into and through the introitus, or (c) the prolapse of rectal tissues into the vaginal area. [8]
Anything from pushing due to chronic constipation to repeated heavy lifting can cause uterine prolapse, but Eilber says that the most common cause is vaginal childbirth. Sometimes prolapse occurs ...
Endometriosis or pelvic pain can temporarily manage their symptoms with a low dose of benzodiazepine. "This medication can be inserted in the vagina to help relax and reduce the pain," says Dr ...
A pessary is a plastic or silicone device that may be used for women with pelvic organ prolapse. Vaginal pessaries can immediately relieve prolapse and prolapse-related symptoms. [25] This treatment is useful for individuals who do not want to have surgery or are unable to have surgery due to the risk of the procedure.
This is sometimes present in combination with internal rectal prolapse. Enterocele, if causing symptoms. [8] Mucosal prolapse. [5] Obstructed defecation syndrome (which may be caused by external or internal rectal prolapse, but also by other conditions such as rectocele, enterocele, prolapse of the vaginal vault and cystocele). [21] Vaginal ...
Colposacropexy is often used for treating vaginal vault prolapse. A Cochrane Collaboration review [ needs update ] found that limited data are available on optimal surgical approaches, including the use of transvaginal surgical mesh devices, in the form of a patch or sling , similar to its implementation for abdominal hernia .