Prolapse of the uterus, vagina

Prolapse of the uterus, vagina

out of 5 possible based on

LOSS OF UTERUS, VLAGAL:
1 - partial prolapse of the uterus, lengthening of the cervix and prolapse of the vaginal walls;
2 - complete prolapse of the uterus.

Prolapse of the uterus, vagina(prolapsus uteri, vaginae) - offsetuterusandvaginadown from the exit of the genital slit. If the uterus is below the plane of its usual position, but does not come out of the genital slit even when straining, there is a prolapse of the uterus. V. m., C. occurs mostly in middle-aged women who have given birth, to-ryh duringchildbirthLevator and urogenital diaphragm ruptures occurred. The emergence of the w. M., C. increase in intra-abdominal pressure and retrodeduction of the uterus also contribute. There are 3 degrees of displacement of the vagina from the bottom (according to KF Slavyansky): 1st — omission of the anterior, posterior, or both walls of the vagina, not accompanied by their exit beyond the vaginal opening; 2nd — loss of the anterior, posterior, or both of the vaginal walls, with Krom, the latter are determined outside the vaginal entrance;

3rd - complete prolapse of the vagina, accompanied by prolapse of the uterus.The following degrees of displacement of the uterus are distinguished: 1st — the prolapse of the uterus or cervix, during which the cervix reaches the entrance to the vagina; 2nd — the beginning prolapse of the uterus or cervix, with a rum outside the genital slit, the dangling cervix is ​​determined; 3rd — incomplete prolapse of the uterus, with a rum outside the genital slit, not only the cervix is ​​determined, but also part of the body or the whole body of the uterus, with the exception of the bottom;

4th - complete loss of the uterus, with Krom outside the genital slit is determined not only the body but also the bottom of the uterus. CLINICAL SIGNS. Patients are worried about the feeling of pressure in the lower abdomen, the feeling of pulling pain in the vagina. In the future, there are pains in the sacrum, less often in the back, delay or increased urination, urinary incontinence during stress. Often observedbeliMenstrual function may be impaired (bleeding such as me-norray). DIAGNOSTICS is not difficult. To do this, it is enough to perform an inspection and subsequent palpation (before and after straining). In case of prolapse of the vagina - rectocele or cystocele. An important feature in the differential diagnosis is the presence of an external os on the cervix at the lower pole of a prolapse "tumor".

TREATMENT.With a conservative method of treatment prescribed enhanced nutrition,physiotherapy, gynecological massage.In the orthopedic method, pessaries are inserted into the vagina. This type of treatment is irrational, since the pessaries cause whites, bedsores and easily fall out. The most effective surgical. treatment method. The omission of the vaginal walls is eliminated by the operations of the posterior and anteriorkolporafii.If there is also an uterus prolapse at the same time, this operation is supplemented.ventrofixation of the uterus.When the vagina, uterus is omitted, and there are changes on the cervix, along with colporrhaphy, cervical amputation can be performed.

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  • Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina

    Prolapse of the uterus, vagina