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Genital prolapse
Definition:
Descend of the genital organs below its normal
position.
Types of prolapse:
1. Uterine prolapse.
2. Vaginal prolapse.
3. Combined prolapse: Either vagino-uterine or
utero-vaginal.
Uterine prolapse
Degrees:
First degree:
The external os of the cervix descend below its
normal level at the ischeal spines, when the
patient stands or strains, but it does not
appears from the vulva.
Second degree:
The cervix but not the whole uterus appears from
vagina on standing or straining.
Third degree:
The whole uterus is prolapsed outside the vagina.
This is called complete procedentia.
Genital prolapse
Vaginal prolapse
Anterior vaginal wall prolapse:
Descend of the upper 2/3 of the vagina with the
bladder base Cystocele
Descend of the lower 1/3 of the vagina with the
urethra Urethrocele
Descend of the whole vagina with the bladder
and urethra Urethro-cystocele
Vaginal prolapse
Vaginal prolapse
Posterior vaginal wall prolapse:
Descend of the upper 1/3 of the vagina
Enterocele
Descend of the middle 1/3 of the vagina with
the rectum Rectocele
Descend of the lower 1/3 of the vagina with the
anal canal Rectocele
Vault prolapse:
Descend of the vaginal vault after hysterectomy
Vaginal prolapse