medical notes

Apr 16th, 2015
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UTERINE PROLAPSEDefinitionPelvic organ prolapse (POP) is the abnormal descent or herniation of the pelvic organs from their normal attachment sites or their normal position in the pelvis.Uterine prolapse is descent of the uterus/cervix through the vaginal canalUterine prolapse (UP) is a defect of the apical segment of the vagina and is characterized by eversion of the vagina with attendant descent of the uterus. Patients may present with varying degrees of descent. In the most severe cases, complete procidentia, the uterus protrudes through the genital hiatus. UP is the most troubling type of pelvic relaxation because it is often associated with concomitant defects of the vagina in the anterior, posterior, and lateral compartmentsEpidemiologyThe exact prevalence of POP is difficult to determine. However, it is estimated that the lifetime risk of requiring at least 1 operation to correct incontinence or prolapse is approximately 11%EtiologyPelvic floor defects are created as a result of childbirth and are caused by the stretching and tearing of the endopelvic fascia and the levator muscles and perineal body. Partial pudendal and perineal neuropathies are also associated with labor.Impaired nerve transmission to the muscles of the pelvic floor may predispose them to decreased tone, leading to further sagging and stretching. Therefore, multiparous women are at particular risk for UP. Genital atrophy and hypoestrogenism also play important contributory roles

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