Prolapsed Uterus (cont.)
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Prolapsed Uterus Surgery
The choice of surgery for uterine prolapse depends upon many factors, including the patient's age, overall state of health, and desire for future childbearing. When indicated, and in severe cases of prolapse, the uterus can be removed (hysterectomy). During the procedure, the surgeon can also correct the sagging of the vaginal walls, urethra, bladder, or rectum. The surgery may be performed abdominally (through an incision on the abdomen), vaginally (through incisions made in the vaginal walls), or laparoscopically (using special instruments to perform the surgery through small tiny incisions.
Prolapsed Uterus Other Therapy
If a woman does not want surgery or is a poor candidate for surgery, she may decide to wear a supportive device (pessary) in the vaginal canal to support the falling uterus. A pessary can be used on a temporary basis in preparation for surgery, or on a permanent basis in patients who cannot or will not undergo surgical correction. They come in many different shapes and sizes, and they must be fitted to each woman. If the prolapse is severe, a pessary may not be retained by the vagina (i.e. it will not stay inside the vagina). Pessaries may cause odor and vaginal discharge. They may also initiate vaginal erosions, leading to vaginal bleeding. Pessaries much be removed, cleaned, and reinserted at periodic intervals.
Prolapsed Uterus Follow-up
Follow-up for uterine prolapse is determined by how the condition was initially treated.
Medically Reviewed by a Doctor on 5/25/2016
Sarah Samreen, MBBS
George Lazarou, MD, FACOG
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