Uterine prolapse

Pelvic organ prolapse, a type of pelvic floor disorder, affects almost 3% of U.S. women. Some women have more than one pelvic floor disorder. What Is a Pelvic Floor Disorder? The "pelvic floor" is a group of muscles that form a kind of hammock across your pelvic opening. Normally, these muscles and the tissues surrounding them keep the pelvic organs in place. These organs include your Sometimes, these muscles and tissues develop problems. Some women develop pelvic floor disorders following When pelvic floor disorders develop, one or more of the pelvic organs may stop working properly. Conditions associated with pelvic floor disorders include: • Pelvic organ prolapse • • Anal What Is Pelvic Organ Prolapse? "Prolapse" refers to a descending or drooping of organs. Pelvic organ prolapse refers to the prolapse or drooping of any of the pelvic floor organs, including the: • • Uterus • • Small bowel • Rectum These organs are said to prolapse if they descend into or outside of the vaginal canal or • Cystocele: A prolapse of the bladder into the vagina, the most common condition • Urethrocele: A prolapse of the urethra (the tube that carries urine) • Uterine prolapse • • Enterocele: Small bowel prolapse • Rectocele: Rectum prolapse What Causes Pelvic Organ Prolapse? Anything that puts increased pressure in the • Pregnancy, labor, and childbirth (the most common causes) • • Respiratory problems with a chronic, long-term • • Pelvic organ cancers • Surgical removal of the uterus ( Gen...

Pelvic organ prolapse care at Mayo Clinic • Your Mayo Clinic care team. A multidisciplinary team of Mayo Clinic experts trained in female pelvic floor medicine and reconstructive surgery evaluate and treat different types of pelvic organ prolapse. This team includes gynecologists and urologists. Each year, Mayo Clinic doctors care for nearly 3,000 women with pelvic organ prolapse. • Advanced treatment. Our doctors have extensive experience with repair procedures, including minimally invasive techniques that require only small incisions, which might result in a shorter hospital stay and faster recovery. Your treatment options might include nonsurgical or surgical interventions. Mayo Clinic in Rochester, Minnesota, ranks among the Best Hospitals for gynecology in the U.S. News & World Report Best Hospitals rankings. Mayo Clinic in Minnesota ranks No. 1 for urology in the U.S. News & World Report Best Hospitals rankings. Diagnosis at Mayo Clinic Diagnosis of pelvic organ prolapse begins with your medical history and a physical exam of your pelvic organs. This can help your health care provider determine the type of prolapse, such as bladder, rectum or uterine. Some tests might also be needed. Ask your health care provider to explain why each test is being done. Tests for pelvic organ prolapse might include: • Bladder function tests. Some tests are as simple as finding out whether your bladder leaks when it's put back into place at the time of your physical exam. Other tests m...

The uterus is held in the pelvis by muscles, ligaments, and other structures. If these tissues weaken, the uterus drops. Uterine prolapse is the displacement of the womb or uterus into the vaginal area. Depending on the direction of uterine displacement, the prolapse will be anterior or posterior and will be called cystocele and rectocele respectively. Generally, uterine prolapse does not require specific treatment unless the woman feels uncomfortable. In this case, the specialist will establish some advice and treatment and to help the patient so that she can lead a normal life. Definition of uterine prolapse Uterine prolapse is the medical term used when there is a stretching of the pelvic floor ligaments, causing them to become weak. As a result, the uterus is no longer supported and falls into the vagina. Uterine prolapse in women can occur at any age, although it is more likely in women who have had several vaginal births and have already reached Difference between normal uterus and uterine prolapse Both the diagnosis and treatment of uterine prolapse is complicated, as there are several reasons why it occurs. In addition, some symptoms experienced by some women with uterine prolapse are similar to clinical manifestations that arise in other conditions, further complicating diagnosis. Symptoms Most women with mild uterine prolapse do not notice any discomfort. If the uterine prolapse is moderate or severe, the most prominent symptoms are as follows: • Urinary incontin...

Symptoms of Uterine Prolapse Sometimes the symptoms of uterine prolapse can be absent or very subtle. Your healthcare provider may discover the condition inadvertently during an exam. Other people experience significant discomfort, especially while walking or standing. Symptoms of uterine prolapse include: • Pregnancy and childbirth: The strain and stretching that occurs with • • Heavy lifting: Long-term or repeated heavy lifting can overload and weaken the pelvic floor muscles. Chronic coughing from smoking or asthma, straining, and having obesity can cause abdominal pressure resulting in uterine prolapse. • Aging: Although uterine prolapse can affect people of all ages, most people who have it are over age 60. Diagnosis of Uterine Prolapse About 50% of people with a uterus will be diagnosed with some degree of uterine prolapse upon A healthcare provider will use a speculum to visualize the inside of the vagina. They will also assess for infection. If no bulge is seen, they may ask to examine you in the standing position. • Ask for support from trusted family and friends. • Educate yourself on ways to reduce symptoms of uterine prolapse. • Incorporate a healthy lifestyle into daily practice. • Be honest with your partner about feeling insecure or self-conscious. • Continue to have intercourse if you can. Use good quality lubrication, try lying on your side or back with your hips elevated on a pillow, and take your time. • Seek counseling from a Summary Uterine prolapse oc...

Vaginal prolapse happens when the muscles that support the organs in a female’s pelvis weaken. This allows the uterus, urethra, bladder, or rectum to droop into and sometimes protrude out of the vagina. There are a few different types of prolapse: • Anterior vaginal prolapse (cystocele or urethrocele) happens when the bladder falls down into the vagina. • Posterior vaginal prolapse (rectocele) is when the wall separating the rectum from the vagina weakens. This allows the rectum to bulge into the vagina. • • Apical prolapse (vaginal vault prolapse) is when the cervix or upper part of the vagina falls down into the vagina. Symptoms can include: • a feeling of fullness in the vagina • a lump at the opening of the vagina • a sensation of heaviness or pressure in the pelvis • a feeling like you’re • achy pain in your lower back that gets better when you lie down • a need to urinate more often than usual • trouble having a complete bowel movement or emptying your bladder • frequent bladder infections • abnormal bleeding from the vagina • leaking of urine when you cough, sneeze, laugh, have sex, or exercise • pain during sex A hammock of muscles, called the pelvic floor muscles, supports your pelvic organs. Childbirth can stretch and weaken these muscles, especially if you had a difficult delivery. Aging and the loss of estrogen during Other causes of vaginal prolapse include: • constant coughing from • pressure from excess weight • • lifting heavy objects You’re more likely to ...

• Vaginal prolapse, also known as vaginal vault prolapse, occurs when the top of the vagina weakens and collapses into the vaginal canal. In more serious cases of vaginal prolapse, the top of the vagina may bulge outside the vaginal opening. • Symptoms of vaginal prolapse include the feeling of vaginal pressure or fullness — like you’re sitting on a small ball — and the sensation that something has fallen out of your vagina. • A • Mild cases of vaginal prolapse do not require treatment. Moderate to severe symptoms require nonsurgical therapies or minimally invasive surgeries, such as vaginal prolapse repair. What is vaginal prolapse? Prolapse occurs when a woman’s pelvic floor muscles, tissues and ligaments weaken and stretch. This can result in organs dropping out of their normal position. Vaginal prolapse refers to when the top of the vagina — also called the vaginal vault — sags and falls into the vaginal canal. In severe cases, the vagina can protrude outside of the body. What causes vaginal prolapse? There are no direct causes of vaginal prolapse. However, women are at an increased risk of developing vaginal prolapse if they: • Delivered children vaginally, especially repeat deliveries • Are approaching or experiencing menopause • Have certain lifestyle factors, including being overweight • Were born with a rare condition, such as Vaginal Prolapse After Hysterectomy Hysterectomy, a surgery to remove a woman’s uterus, is sometimes performed to treat uterine prolapse. H...

• Women’s Health Services • • Conditions • • Bacterial Vaginosis • Bladder Prolapse • Cystocele • Dysfunctional Uterine Bleeding • Dyspareunia • Endometrial Hyperplasia • Endometriosis • Fecal Incontinence • Fibroids • Fistula • Interstitial Cystitis • Low Libido • Low Sex Drive • • Menopause • Menorrhagia • Ovarian Cysts • Overactive Bladder • Painful Bladder Syndrome • Pelvic Inflammatory Disease • Pelvic Organ Prolapse • Polycystic Ovarian Syndrome (PCOS) • Urinary Tract Infection • Uterine Prolapse • Vaginal Prolapse • Yeast Infections • All Conditions • Procedures • • Acessa – Uterine Fibroids • Colposcopy • Cystoscopy • Endometrial Ablation • Fertility Treatment & Solutions for Infertility • Fistula Repair • Hysterectomy • Hysteroscopy • Laparotomy • LEEP • Midurethral Sling • Minimally Invasive Laparoscopic Procedures • • Myomectomy • Oophorectomy • Pap Smear • Percutaneous Nerve Evaluation • Pessary Fittings • Robotic Surgery • Sacrocolpopexy • Tubal Ligation • Urodynamic Testing • Vaginal Lesion or Wart Removal • Vaginal Rejuvenation • Vaginal Surgery • All Procedures • Symptoms • • Abdominal Pain • Bladder Pain • Frequent Urination • Menopause • Pain During Sex • Pelvic Pain • • Urinary Incontinence • Urinary Tract Infection • Urinary Urgency • Vaginal Discharge • Vaginal Pain • All Symptoms • • Care Team • Alexcis Ford, MD, FPMRS • Ashley Hayes, PA-C • Brian Raybon, MD, FPMRS, MIGS • Lina Millan MD, FACOG, MIGS • Lisa Jones, FNP-C • Marcie Nicks, NP-C • Nina Dur...

A cystocele occurs when the ligaments and muscles that hold up your bladder stretch or weaken. You may see or feel tissue bulge through your vaginal opening or have difficulty peeing or inserting menstrual products. Sexual intercourse may also be painful. Treatment may include strengthening your pelvic floor muscles or surgery. Overview A cystocele is a type of pelvic organ prolapse that allows your vaginal wall and bladder to bulge into your vagina. In a grade 2 cystocele, your bladder droops to the vaginal opening. What is a cystocele? A cystocele is a condition in which the supportive ligaments and muscles around your bladder and Other names for a cystocele (SIS-tuh-seel) include: • Prolapsed bladder. • Herniated bladder. • Dropped bladder. • Fallen bladder. What are the types of cystoceles? There are three grades of cystocele: • Grade 1 (mild). Your bladder drops only a short way into your vagina. • Grade 2 (moderate). Your bladder drops to the opening or slightly outside of your vagina. • Grade 3 (severe). Your bladder bulges a lot past the opening of your vagina. How serious is a cystocele? It depends on the severity of your cystocele. A mild cystocele may only cause discomfort or cause you to leak pee accidentally ( How common is a cystocele? Cystoceles are common. Medical experts estimate that about 50% of women and people Symptoms and Causes What are the symptoms of a cystocele? Cystocele symptoms may include: • Feeling or seeing something bulging through your vag...