2010-5-6 Definition The uterus gradually descends in the axis of the vagina taking the vaginal wall with it. It may present clinically at any level, but is usually classified as one of three degrees. www.freelivedoctor.com
In recent years,the incidence of prolapse is greatly reduced .The more liberal use of caesarean section and the elimination of labours are probably the two most important factors.
2010-5-6 12 Symptoms Something coming down Backache Increased frequency of micturition A ‘bearing down’ sensation Stress incontinence Coital problems Difficulty in voiding urine www.freelivedoctor.com
17 Treatment Pessary treatment Indications Patient prefers a pessary. Pelvic surgery risks Prolapse amenable to pessary The patient is not fit for surgery Patient wishes to delay operation www.freelivedoctor.com