prolapse of the uterus(redirected from procidentia uteri)
pro·lapse of the u·ter·us
prolapse of the uterus
This condition may be congenital or acquired; most often it is acquired. The etiological factors are congenital weakness of the uterine supports and injury to the pelvic floor or to the uterine supports during childbirth.
The condition is most often seen following instrumental deliveries or when the patient has been allowed to bear down during labor before the cervix is fully dilated. Frequently associated with this is a prolapse of the anterior and posterior vaginal walls, as seen in cystocele and rectocele. In the early stages there are dragging sensations in the lower abdomen, back pain while standing and on exertion, a sensation of weight and bearing down in the perineum, and frequency of urination and incontinence of urine in cases associated with cystocele. In the later stages, a protrusion or swelling at the vulva is noticed on standing or straining, and leukorrhea is present. In procidentia, there is frequently pain on walking, an inability to urinate unless the mass is reduced, and cystitis.
The treatment depends on the age of the patient, the degree of prolapse, and the associated pathology. Abdominal surgery with fixation of the uterus is required if the prolapse is complete.