| ID | 317 |
|---|---|
| Name | GENITAL PROLAPSE |
| Cause | |
| Signs Symptoms | |
| Diagnosis | |
| Investigations | Investigations: To see any complication- 1. Urine for C/S, protien, sugar 2. IVU 3. Renal function test |
| Management | |
| Introduction | Descent of the pelvic organ (uterus & vagina) from its normal position in the pelvis through the vagina is known as genital prolapse. |
| History | |
| Etiology | |
| Clinical Features | Clinical feature: Symptoms: 1. Something coming out per vagina. 2. Vaginal discomfort or fullness. 3. Whitish or blood stained discharge per vagina. 4. Symptoms due to cystocoele - increased frequency of micturition. - retension of urine 5. Symptoms due to rectocoele - constipation &/or difficulty in emptying bowel Signs: 1. Something coming out per vagina. 2. Keratinization or decubitus ulcer of vaginal wall. 3. P/Vexam-to see the degree of prolapse. 4. P/R exam- for diagnosis of rectocoele. |
| Preventions | |
| Treatment | Treatment: Surgery is the treatment of choice. 1. In case of 1st degree uterine prolapse: Vaginal pelvic floor exercise. 2. In 2nd degree prolapse: If patient is young- fothergill’s operation. If patient is older (>45 years) & 3rd degree prolapse- vaginal hysterectomy. If ther is cystocoele- anterior colporrhaphy. If rectocole- posterior colpoperineorrhaphy. |
| Complications | Complications: 1. Decubitus ulcer 2. Keratinization of vaginal wall 3. Urinary tract infection 4. Hydronephrosis |
| Prognosis | |
| Types | Types: 1. Utero-vaginal prolapse: a. 1st degree- cervix descent from its normal position but lies within the vagina, b. 2nd degree- cervix at the level of introitus & on straining & standing it comes out. c. 3rd degree- uterus completely comes out-side the vagina. 2. Vaginal prolapse: a. anterior wall prolapse- i. cystocoele ii. urethrocoele b. posterior wall prolapse i. enterocoele ii. rectocoele |
| Classification | |
| Observation | |
| Pathology |
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