The type of uterine prolapse in which the external body protrudes from the vaginal introits, but the uterine body still remains inside the vagina, is called:
The type of uterine prolapse in which the external body protrudes from the vaginal introits, but the uterine body still remains inside the vagina, is called: Correct Answer II<sup>nd</sup> <span style="">degree</span>
Concept:
- Uterine prolapse is characterized by stretching and weakening of the pelvic floor muscles and ligaments hence unable to provide adequate support to the uterus leading to successive descend of the uterus.
Important PointsCauses:
- A birth injury such as a perineal tear.
- Peripheral nerve injury such as pudendal nerve injury.
- Bear down before full dilatation of the cervix; Loss of pelvic support and post-partum cough.
- It is most common in multiparous women.
Key PointsDegrees of Prolapse:
- First degree: the uterus descends from the anatomical position but the external os remains inside the vagina.
- Second degree: the external os protrudes outside the vaginal introitus but the uterine body remains inside the vagina (Hence option 2 is correct).
- Third degree: The cervix is outside the vagina.
- Fourth degree: the uterine body and the cervix descends to lie outside the introitus. It is also known as procidentia or complete prolapse.
Additional Information
Management:
- Physiotherapy such as Kegel exercises to tone up the pelvic musculature.
- Pessary treatment is a mechanical device for correcting and controlling prolapse.
- Surgical treatment includes vaginal hysterectomy.
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Feb 20, 2025