Vaginal prolapse: Difference between revisions
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vaginal prolapse may be classified according to Uterine cervical elongation that found in patients undergoing hysterectomy for pelvic organ prolapse into Cervical elongation grades and prolapse stages are correlated. calssified as physiological uterine cervical elongation based on corpus/cervix ratio to (grade 0, CCR>1.5) grade I (CCR>1 and ≤1.5) grade II (CCR>0.5 and ≤1), and grade III (CCR≤0.5)<ref name="pmid: 26967345"><pmid>26967345</pmid></ref> | vaginal prolapse may be classified according to Uterine cervical elongation that found in patients undergoing hysterectomy for pelvic organ prolapse into Cervical elongation grades and prolapse stages are correlated. calssified as physiological uterine cervical elongation based on corpus/cervix ratio to (grade 0, CCR>1.5) grade I (CCR>1 and ≤1.5) grade II (CCR>0.5 and ≤1), and grade III (CCR≤0.5)<ref name="pmid: 26967345"><pmid>26967345</pmid></ref><ref name="pmid: 10"><pmid>10</pmid></ref> | ||
= <big>Pathophysiology</big> = | = <big>Pathophysiology</big> = | ||
Revision as of 06:01, 24 July 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Eman Alademi, M.D.[2]
Synonyms and keywords: Female genital prolapse, procidentia and ptosis.
Overview
Vaginal prolapse is characterized by a portion of the vaginal canal protruding from the opening of the vagina. The condition usually occurs when the pelvic floor collapses as a result of childbirth and is inherent among tall Caucasian women.
Types of vaginal prolapse
- Cystocele (bladder into vagina)
- Enterocele (small intestine into vagina)
- Rectocele (rectum into vagina)
- Urethrocele (urethra into vagina)
- Uterine prolapse (uterus into vagina)
- Vaginal vault prolapse (roof of vagina, after hysterectomy)
Historical Perspective:
vaginal prolapse was first discovered in era of the pharaohs, about 1500 years before Christ. then [diagnostic test/therapy] was developed by Hippocrates to treat/diagnose vaginal prolapse over the centuries, different treatment modalities, some of which we can currently seem strange.[1]
Classification :
vaginal prolapse may be classified according to Uterine cervical elongation that found in patients undergoing hysterectomy for pelvic organ prolapse into Cervical elongation grades and prolapse stages are correlated. calssified as physiological uterine cervical elongation based on corpus/cervix ratio to (grade 0, CCR>1.5) grade I (CCR>1 and ≤1.5) grade II (CCR>0.5 and ≤1), and grade III (CCR≤0.5)[2][3]
Pathophysiology
The pathogenesis of Pelvic organ prolapse is characterized by weakness of the and [feature3].
Differentiating pelvic prolapse from other Diseases
- Vaginal prolapse must be differentiated from other diseases that cause urethral prolapse https://doi.org/10.5980/jpnjurol.110.219 ,cystocele, enterocele, urethral diverticulum, and Gartner duct cyst. https://doi.org/10.1097/spv.0000000000000082 such as:
Epidemiology and Demographics
The prevalence of Vaginal prolapse is approximately [number or range] per 100,000 individuals worldwide
Treatment
Vaginal prolapses must be treated according to the severity of symptoms.
Non-Surgical Therapy
- With conservative measures (changes in diet and fitness, Kegel exercises, etc.)
- With a pessary, to provide support to the weakened vaginal walls
Surgical Therapy
A new minimally invasive surgical procedure is effective in restoring a woman's anatomy to the condition it was before childbirth with a recovery time of only 2 weeks. It is performed vaginally using a laparoscope and surgical mesh to repair the cystocele and rectocele and a laser to tighten the vaginal canal creating a natural support for the uterus.