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Uterine Prolapse

Uterine Prolapse

If the muscles and ligaments in the abdomen and pelvis become loose; the uterus slides down and begins to protrude. The uterus usually pushes the bladder and hindgut outward with it. If the bladder is protruding, it is called “cytocele”, if the hind intestine is protruding, it is herniated, it is called “rectocele”. This sagging condition can be observed in women of all ages.
Who is at risk for uterine sagging?
  • Pregnancy status
  • Strain (excessive straining) or trauma during childbirth
  • Multiple births
  • History of giving birth to a large baby
  • Being overweight
  • Advanced age
  • Chronic constipation
  • Diseases that can cause chronic cough, such as asthma, COPD
  • Repetitive heavy lifting
  • Having had pelvic surgery
  • Connective tissue diseases
What are the symptoms of uterine sagging?
The sagging condition does not give any symptoms in most women. However, as the situation progresses, patients begin to complain.
  • Feeling of fullness, heaviness or pain in the pelvis or vagina
  • Bloating in the vagina, an overflowing fullness
  • Urinary incontinence with coughing, laughing, heavy lifting
  • Sudden urgent feeling of need to be in the toilet
  • Inability to urinate, or with manual intervention
  • Negativities in sexual life
  • Deterioration in bowel movements
  • Feeling like sitting on a small ball
  • Vaginal discharge or bleeding
How is uterine prolapse diagnosed?
The person may notice it herself or even have sagging or bloating.
How is uterine prolapse treated?
  • Pelvic floor muscle exercises (8-12 weeks)
  • Pesser application
  • Surgery

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