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PROLAPSE
BY
DR H. DANIEL
UTEROVAGINAL PROLAPSE
INTRODUCTION
CLASSIFICATIONS
ANATOMY OF PELVIC SUPPORT
AETIOLOGY / PREDISPOSING
FACTORS
CLINICAL PRESENTATION
INVESTIGATIONS
COMPLICATIONS
INTRODUCTION
Definition
Due to defect in the pelvic supporting structures hence
Uterus and/or adjacent organs descend from their anatomic confines
to positions within or outside the vaginal introitus
◘ Components / Varieties
Lower backache
Frequency of micturition
Urgency
Stress incontinence
○ Cervical polyp
○ Endometrial polyp
○ Pedunculated myoma
○ Cervical cancer
○ Metastasis of uterine cancer
○ Urethral diverticulum
○ Vaginal wall cyst
Investigations
FBC
E/U/C
FBS
Genotype
Blood group, X-match
URINALYSIS /MCS
CXR
ECG
Others
IVP
Imaging
Ultrasonography
Computed tomography (CT)
MRI
Videocystourethrography
complications
◘Keratinization of vagina
◘Hypertrophy of the cervix
◘Decubitus ulcers – ischaemic changes
◘Recurrent UTI
◘Acute urinary retention
◘Hydorureters / Hydronephrosis
◘Renal failure
◘Incarceration of the prolapse
◘Malignant change: rare
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