Prolapsed uterus is the displacement of the internal female genital organs with their partial or full exit outward. Prolapse of the vagina and uterine is diagnosed during the gynecological examination. Uterine prolapse requires surgical treatment, which depends on the degree of the prolapse and the patient's age. If uterine prolapse surgery is impossible, the woman may need a pessary, device inserted into the vagina in order to provide it the structural support.
The most comon uterine prolapse cause is the weakening of the ligaments and muscles of the diaphragm, pelvic and the abdominal. If the abdominal is unable to hold the pelvic organs in their anatomical position, it can lead to the prolapse of the uterus. Sometimes the abdominal muscle can not provide adequate resistance to the outside pressure, which causes the gradual downward displacement of the genitals.
The weakening of the ligaments and muscular system most often develops as a result of:
Prolapsed uterus usually appears in the old age, but in rare cases it can develop even in young women with congenital disorders of the pelvic muscles. Prolapsed uterus is more common for female representatives of the European race; for African-American and Asian women pathology is less common.
In some severe cases the uterine prolapse symptoms include urinary retention, cystitis, nerve dysfunction, infection and constipation. If the person does not undergo uterine prolapse treatment, it may lead to hydronephrosis, which subsequently results in the atrophy of the kidney.More rare symptom of a prolapsed uterus involves difficulty in emptying the rectum. The prolapse of female uterus can lead to infection, and then vaginal walls become dry and bleeding. Without prolapsed uterus treatmen the woman can experience the infertility.
The diagnosis depends on the uterine prolapse stages. It is usually discovered during either the pelvic ultrasound or the hysteroscopy.
Surgery. The only radical method to cure the uterine prolarse is surgery.Methods of surgery for uterine prolapse depend on the degree of prolapse, physical state and the age of the woman. Surgery includes hysterectomy and the Manchester operation. Hysterectomy is the surgical removal of the uterus and the Manchester operation reposits the pelvis within the uterus. After the surgical removal of the uterus some special exercise therapy is required for the patients, which is aimed to strengthen their muscles and prevent the constipation.
Conservative therapy may include the insertion of the pessary into the uterus. The use of pessary can develop swelling and irritation of the vagina. It is recommended to practice the kegel exercises, aimed to make muscles stronger. A woman should at the same time visit a gynecologist twice a month.
Diet therapy (reducing the amount of fat and protein foods, big amount of vegetables, cereals, fruits, limited consumption of salt (2-3 g per day).
Physiotherapy (physical therapy).
If the treatment of uterine prolapse is conducted on time, women can fully renew their sexual life. Women, who underwent surgery, are not advised to get pregnant in future. Pregnancy involves additional risks and requires increased safety precautions.
Women can also practice special gymnastics and use laser therapy with electrical stimulation of the pelvic muscles. Fitness classes, balanced diet, maintaining an optimal weight, elimination of hard work are also a good way to prevent the development of the disease.
Other preventive measures are gynecological massage during pregnancy, timely and adequate treatment of infectious and inflammatory diseases.Hide
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