Pelvic Organ Prolapse
Pelvic organ prolapse is a condition in which an organ extends beyond its normal anatomical domains into the vagina. The prolapse may occur due to weakening of the vaginal walls or loss of support to the visceral structures. The urinary bladder and urethra lie anterior to the vagina and can descend through the anterior vaginal wall. Similarly, rectum and anal canal can prolapse through the posterior vaginal wall. The descent of uterus and vaginal vault is referred to apical prolapse. Symptoms depend on the type of prolapse. Generally there is a sense of something coming out of the vagina. There may be incomplete urination and defecation. Frequent urinary tract infections may also be encountered. Risk factors for pelvic organ prolapse include normal vaginal delivery which weakens the pelvic floor, conditions that raise intraabdominal pressure such as constipation, COPD, obesity, connective tissue disorders e.g Ehlers Danlos syndrome and estrogen deficiency in post menopausal females. Image via: https://www.slideshare.net/AbhishekJoshi151/prolapse-of-uterus-72577242
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