Uterovaginal Prolapse Is a form of Hernia in which the uterus and Vagina protrudes down out of their normal confinement.
Types
I. Vaginal
a. Anterior wall
-Cystocele( Uriary bladder prolapse)
-Urethrocele( Urethra)
-Combined
b.Posterior wall
-Relaxed perinium
-Rectocele
-Vault prolapse
II. Uterine
Uterovaginal
Congenital
Causes Of Prolapse
Preciptating factors
I. Acquired
a. Overstretching of mackenrodth and Uterosacral Ligaments due to
Premature bear down
Application of forceps when cervix not fully dilated
down pressure on fundus to deliver placents
Precipitate labour
b. Overstretching of endopelvic fascial sheath of vagina
Degree of distension during delivery and duration
c.Subinvolution
ill nourished mother
early resumption of work
perisitent overfilling of bladder
repeated childbirth
d.Over stretching of perinium
Congenital
Spina Bifida occulta
Neurological disorders.
II. Aggravating factors.
a Increased abd pressure.
cough, constipation
b. bulky uterus, fibroid.
c.post menopausal atrophy
d.Asthenia and undernutrition
Overstretchin of perinium
2 comments:
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