Prab at 13:09, 18 March 2025

2025-03-18T13:09:59Z

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2025-03-18T00:06:31Z

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2025-02-10T23:47:54Z

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	[[Category:Gynecological disorders]]		[[Category:Gynecological disorders]]
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2024-12-04T19:00:20Z

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{{Infobox medical condition
| name = Procidentia
| image =
| caption =
| field = Gynecology
| synonyms = Uterine prolapse
| symptoms = Pelvic pressure, vaginal bulge, urinary incontinence
| complications = Ulceration, infection
| onset =
| duration =
| causes = Weakening of pelvic support structures
| risks = Childbirth, aging, obesity
| diagnosis = Physical examination
| differential = Cystocele, rectocele
| treatment = Pessary, surgery
| prognosis = Good with treatment
| frequency =
}}

'''Procidentia''', also known as '''uterine prolapse''', is a condition characterized by the descent of the uterus into or beyond the vaginal canal due to the weakening of the pelvic support structures. It is a severe form of pelvic organ prolapse and can significantly impact a woman's quality of life.

==Etiology==
Procidentia occurs when the muscles and ligaments that support the uterus become weakened or damaged. This can be due to several factors, including:

* [[Childbirth]]: Vaginal delivery, especially multiple or traumatic births, can stretch and weaken pelvic support tissues.
* [[Aging]]: As women age, the tissues naturally lose strength and elasticity.
* [[Obesity]]: Excess weight increases pressure on the pelvic floor.
* [[Chronic cough]] or [[constipation]]: These conditions can lead to increased abdominal pressure, further straining pelvic support structures.
* [[Hysterectomy]]: Removal of the uterus can sometimes lead to prolapse of other pelvic organs.

==Clinical Presentation==
Patients with procidentia may present with a variety of symptoms, including:

* A sensation of pelvic pressure or heaviness
* A visible bulge or protrusion from the vaginal opening
* Urinary symptoms such as incontinence or retention
* Bowel symptoms, including constipation or difficulty with bowel movements
* Sexual dysfunction

==Diagnosis==
Diagnosis of procidentia is primarily clinical, based on a thorough pelvic examination. The degree of prolapse is often graded using the [[Pelvic Organ Prolapse Quantification System]] (POP-Q), which provides a standardized method for assessing and documenting the extent of prolapse.

==Management==
Treatment options for procidentia depend on the severity of the condition and the patient's symptoms and preferences. They include:

* '''Conservative management''':
* [[Pessary]]: A device inserted into the vagina to support the uterus and hold it in place.
* Pelvic floor exercises: Strengthening the pelvic muscles can help alleviate symptoms.

* '''Surgical management''':
* Vaginal hysterectomy: Removal of the uterus through the vaginal canal.
* Uterine suspension procedures: Techniques to reposition and support the uterus without removal.

==Prognosis==
With appropriate treatment, the prognosis for women with procidentia is generally good. Surgical interventions have high success rates, and conservative measures can provide significant symptom relief.

==Also see==
* [[Pelvic organ prolapse]]
* [[Cystocele]]
* [[Rectocele]]
* [[Pessary]]
* [[Hysterectomy]]

{{Pelvic disorders}}

[[Category:Gynecological disorders]]
[[Category:Pelvic organ prolapse]]

Procidentia - Revision history

Prab at 13:09, 18 March 2025

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