Uterine prolapse
| Female genital prolapse | |
|---|---|
| Classification and external resources | |
| ICD-10 | N81.4 |
| ICD-9 | 618.1 |
| DiseasesDB | 13651 |
| MedlinePlus | 001508 |
| MeSH | D014596 |
Uterine prolapse is a form of female genital prolapse. It is also called pelvic organ prolapse or prolapse of the uterus (womb).
Pathophysiology and causes
The uterus (womb) is normally held in place by a hammock of muscles and ligaments. Prolapse happens when the ligaments supporting the uterus become so weak that the uterus cannot stay in place and slips down from its normal position. These ligaments are the round ligament, uterosacral ligaments, broad ligament and the ovarian ligament. The uterosacral ligaments are by far the most important ligaments in preventing uterine prolapse.
The most common cause of uterine prolapse is trauma during childbirth, in particular multiple or difficult births. About 50% of women who have had children develop some form of pelvic organ prolapse in their lifetime. [citation needed] It is more common as women get older, particularly in those who have gone through menopause. This condition is surgically correctable.
Treatment
Treatment is surgical, and the options include hysterectomy or a uterus-sparing technique such as sacrohysteropexy[1] or the Manchester operation.[2]
In the case of hysterectomy, the procedure can be accompanied by sacrocolpopexy, in which the apex of the vagina is attached to the sacrum.[3]
References
- ↑ Price N, Slack A, Jackson S. Laparoscopic hysteropexy: the initial results of a uterine suspension procedure for uterovaginal prolapse. BJOG 2010;117:62–68. doi:10.1111/j.1471-0528.2009.02396. www.bjog.org
- ↑ Surgical correction of uterine prolapse: cervical amputation with uterosacral ligament plication versus vaginal hysterectomy with high uterosacral ligament plication By de Boer T, Milani F, Kluivers K, Withagen M, Vierhout M. Part of ICS 2009 Scientific Programme, Thursday 1 October 2009
- ↑ NICE interventional procedure guidance IPG284: Sacrocolpopexy with hysterectomy using mesh for uterine prolapse repair by the National Institute for Health and Care Excellence, Issued: January 2009
External links
- Information about the UP epidemic in Nepal
- Illustrated description of Manchester Operation at atlasofpelvicsurgery.com
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