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Uterine Prolapse

When the pelvic organs are mentioned, the first thing that comes to mind is the uterus, the uterus. It is a pear-shaped organ and is adjacent to the urinary bladder anteriorly and the hindgut posteriorly.

If the muscles and ligaments in the abdomen and pelvis become loose; the uterus slides down and begins to protrude. The uterus usually pushes the bladder and hindgut outward with it. If the bladder is protruding, it is called "cystocele", if the hind intestine is protruding, it is called "rectocele" if it is herniated. This sagging condition can be observed in women of all ages.

Who is at risk for uterine sagging?

  • Pregnancy status
  • Strain (excessive straining) or trauma during childbirth
  • Multiple births
  • History of giving birth to a large baby
  • Being overweight
  • Advanced age
  • Chronic constipation
  • Diseases that can cause chronic cough, such as asthma, COPD
  • Repeated heavy lifting
  • Having had pelvic surgery
  • Having had pelvic surgery

What are the symptoms of uterine sagging?

The sagging condition does not give any symptoms in most women. However, as the situation progresses, patients begin to complain.

  • Feeling of fullness, heaviness, or pain in the pelvis or vagina
  • Bloating in the vagina, an overflowing fullness
  • Urinary incontinence with coughing, laughing, heavy lifting
  • The feeling of suddenly getting stuck in the toilet
  • Inability to urinate, or manual intervention
  • Negatives in sexual life
  • Disruption in bowel movements
  • Feeling like sitting on a little ball
  • Vaginal discharge or bleeding

How to detect uterine prolapse?

Uterine prolapse can be detected with a detailed examination. From time to time, the person may notice it himself or even have sagging or bloating.

How is uterine prolapse treated?

There is no need for treatment in patients who have no complaints or symptoms. However, the treatment options in patients with complaints are as follows.

  • Pelvic floor muscle exercises (8-12 weeks)
  • Pesser application
  • Surgery
  • Pesser Application

What can I do to prevent sagging?

  • If you are overweight, you should lose
  • If you smoke, you should quit
  • You can do pelvic floor exercises
  • You have to be careful not to get constipated. Consuming plenty of water, plenty of vegetables and fruits and fibrous foods
  • You should be careful not to lift heavy weights.

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