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Treatment of uterine prolapse, metroptosis, procidentia abroad

Uterine prolapse means protrusion of the organ part that usually arises in the area of the natural anatomical orifices. Uterine descent and falling out represents more severe type of prolapse.

 

These pathologies are relatively common and count for 28% of all the gynecological diseases. Almost 15% of all  gynaecological surgeries are carried out due to uterine prolapse. 

 

uterine prolapse treatment abroad

 

Causes of uterine prolapse

Uterine prolapse is a pluricausal condition arising under the influence of several factors such as:

  • Decrease in the strength of the uterus ligamentous apparatus, represented by connective tissue strands, which often has a hereditary character
  • A medical history of injuries or tough childbirth that had lead to the significant stretching or tearing of the muscles and ligaments of the pelvic floor
  • Oestrogen deficiency, characterised by a decreased synthesis of sex hormones, oestrogen
  • Chronic inflammatory or degenerative-dystrophic processes of the pelvic organs, leading to a dysfunction of innervation and microcirculation of the muscles and pelvic floor

 

Uterine prolapses because of predisposing factors such as:

  • Asthenic or weak structure of a woman's body
  • Flat feet
  • Hernias of different locations (inguinal canal, anterior wall of the abdominal cavity)
  • Decrease of the striated muscle tone (muscle hypotension)
  • Change of posture
  • Systematic excessive physical activity

 

Impact of the predisposing factors causes a descending uterus and bladder into the vaginal cavity. 

 

uterine prolapse symptoms

 

Symptoms of uterine prolapse

Clinical signs may be absent for a while. Depending on the degree of progression, a patient can feel the presence of the foreign object in the vagina. 

 

When the uterus falls out the large labia its mucosa becomes rougher. It is covered with a keratinous epithelium and resembles the skin covered with cracks, abrasions or scratches.

 

The following pathologies accompany these changes:

  • Difficulty urinating
  • Retention of urine with subsequent infection of the urethra and kidneys
  • Constipation develops in 30% of cases

 

uterine prolapse diagnostics

 

Diagnostics of the uterine prolapse

Depending on the prolapse manifestations there are 4 stages of uterine prolapse:

  • Stage 1 – uterine protrusion into the vaginal cavity is detected only during strenuous activity and it doesn’t leave the vulva’s borders
  • Stage 2 – prolapse is felt without even straining. During a strenuous activity a part of the uterine gets to the vestibule of the vagina
  • Stage 3 (descending of the uterus) – means a part of the uterus is falling out into the vaginal vestibule without straining. It goes beyond the large labia during strenuous activity
  • Stage 4 (falling out of the uterus) – a part of uterus and the front wall of the vagina are outside the small pelvis cavity without straining

 

Primary diagnostics of the uterine prolapse with its descending or falling out is based on the doctor's examination by a gynaecologist. A specialist performs palpation of the uterus directly in the vaginal cavity and through the front wall of the rectum. A doctor will necessarily assess the condition of the muscles and ligament apparatus of the pelvic cavity bottom.

 

Ultrasound, hysteroscopy, colposcopy is done to differentiate uterine prolapse from the developing tumour or other diseases.

 

uterine prolapse treatment abroad

 

Treatment of uterine prolapse abroad

Uterine prolapse treatment is comprehensive. Conservative therapy may be prescribed for the early stages of the disease including special exercise therapy. 

 

Other cases demand radical treatment and a woman has to undergo surgery. The type of intervention is determined by the stage of illness.

 

Several basic surgical techniques are used in German hospitals:

  • Plastics with the strengthening of the pelvic floor
  • Plastics with strengthening of the uterus hanging device (round ligaments)
  • Plastics with strengthening of uterus-fixing ligaments
  • Hard fixation of the fallen uterus to the walls of the small pelvis
  • Partial obliteration (suturing) of the vaginal cavity
  • Strengthening of the uterus ligamentous apparatus structure and the pelvic floor with the help of various alloplastic materials (special implants)
  • Extirpation (removal) of the uterus

 

Professionals in the modern European hospitals give preference to the laparoscopic interventions as they are better tolerated by the patients; have low risk of complications and help to shorten the time of rehabilitation period. 

 

uterine prolapse prognosis

 

Prognosis for uterine prolapse

Prognosis is unfavourable for uterine prolapse if no adequate treatment course is provided. Prolapse might end up in the organ falling out in 97% of cases. 

 

Timely and the correct radical intervention excludes any further complications and recurrence in the majority of cases. 

 

Risk of recurrence in the medically advanced European states after the surgery doesn’t exceed 10-15%. Recurrence frequency is higher than 30% after the operation in the developing countries. 

 


 

Find the best uterine prolapse hospital

Diagnostic
Price from
1454.00
Implantation free synthetic loop
Price from
6623.00
Plastic reconstruction of the pelvic organs
Price from
7611.00
Anterior or posterior vaginal colporrhaphy (vaginal plastic)
Price from
7628.00
General therapeutic rehabilitation
Price from
510.00

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