There are some other conditions associated with uterine prolapse causing weakness of pelvic floor that hold uterus in place:

  1. Cystocele: bulging of  vaginal wall(upper) where a part of bladder bulges into vagina which may leads to retention, regency, urinary frequency and incontinence (urine loss).
  2. Retrocele: the herniation of lower rear vaginal wall where a part of rectum bulges into vagina leads to difficult bowel movements.
  3. Enterocele: the herniation/bulging of vaginal wall (upper rear) where a small portion of bowel bulges into vagina, standing leads to pulling sensation and backache which is relieved by lying down.

Causes of uterine prolapse:

  1. Conditions that lead to increased pressure in abdomen such as in bronchitis and asthma, straining (in constipation), accumulation of fluid in abdomen (edema), pelvic tumors.
  2. Being overweight and obese
  3. Major surgery in pelvic area
  4. After menopause (weakening and loss of tissue tone)
  5. Pregnancy, childbirth or difficult delivery through vagina

Risk factors:

  1. Being Caucasian
  2. Lifting excess weight
  3. Advancing age
  4. Increased BMI
  5. Chronic coughing
  6. Chronic constipation

Uterine prolapse symptoms:

  1. Recurrent bladder infections
  2. Increased bleeding (vaginal)
  3. Increased vaginal discharge
  4. Pulling or heavy feeling in the pelvis
  5. Constipation
  6. Problems with sexual intercourse
  7. Feeling that something is coming out of vagina
  8. Discomfort walking
  9. Low back pain
  10. Difficulty in urination

How is uterine prolapse diagnosed?

Uterine prolapse can be diagnosed by evaluating symptoms and performing pelvic exam.

·         During this exam, device called speculum is inserted to see inside vagina and examine vaginal canal and uterus.
·         To rule out other pelvic problems ultrasound is performed. As a wand is passed and inserted into abdomen and vagina to create sound wave images.
·         Due to complete prolapse such as in ureteral obstruction, renal sonography or IVP (intravenous pyelogram) is performed. In this procedure, dye is injected into vein and then X-ray series is performed to view progress through bladder.
·          To increase the pressure inn abdomen, patient is asked to cough or strain while lying down.
·         Examination in standing position is performed.