PELVIC ORGAN PROLAPSE

PELVIC ORGAN PROLAPSE Pelvic Organ Prolapse Uterine prolapse Cervical prolapse Herniation of one or more pelvic organs Risk factors: genetics, multiparity, operative vaginal delivery, obesity, increasing age, estrogen deficiency, pelvic floor neurogenic damage (i.e. surgical), strenuous activity (i.e. weight bearing) Uterus Sensation of object "falling out of vagina," possible lower back pain Vaginal ApexPelvic pressure, urinary retention, stress incontinence Bladder Slow urinary stream, stress incontinence, bladder neck hypermobility Bowel/Rectum Defecatory symptoms Vaginal vault prolapse Cystocele (anterior prolapse) Cystourethrocele Enterocele Rectocele (posterior prolapse)