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Uterine Prolapse

Descent of the uterus into the vagina; advanced stages may require surgical treatment.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kadın Hastalıkları ve Doğum department. Book Appointment →

What is Uterine Prolapse?

Uterine prolapse develops with insufficiency of the cardinal and uterosacral ligaments and pelvic floor muscles. In mild cases the uterus is partially descended from its normal position; in advanced cases the uterus may protrude outside the vagina (procidentia).

Birth trauma, advanced age, estrogen deficiency in menopause, chronic constipation, and cough are the main causes. Prolapse is often accompanied by other compartment defects such as cystocele and rectocele.

Treatment is determined by symptoms and impact on quality of life: pelvic floor exercises, pessary, local estrogen, and surgery (vaginal hysterectomy + colporrhaphy, sacrohysteropexy) are options.

Symptoms

Sense of swelling and fullness in the vagina
Sensation of pulling down in the pelvis
Lower back pain
Difficulty urinating or incontinence
Constipation and difficulty defecating
Discomfort during sexual intercourse

Risk Factors

Multiple vaginal births
Delivery of large babies and prolonged labor
Menopause and advanced age
Heavy work and lifting
Chronic cough and constipation
Obesity and connective tissue weakness

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • When swelling or palpable mass is felt in the vagina
  • When urinary incontinence and frequency are added
  • When low back pain and pelvic pressure increase
  • When sexual intercourse is affected
  • When hygiene and skin care become difficult

Treatment Methods

01
Pelvic floor rehabilitation
02
Pessary use
03
Local estrogen creams
04
Vaginal hysterectomy and colporrhaphy
05
Uterus-preserving surgeries (sacrohysteropexy)
06
Postoperative lifestyle modifications

Which Department to Visit?

You can visit our Kadın Hastalıkları ve Doğum department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Kadın Hastalıkları ve Doğum Department

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You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.