What is procidentia of uterus?

Procidentia is a severe form of pelvic organ prolapse (POP) that includes herniation of the anterior, posterior, and apical vaginal compartments through the vaginal introitus.

How is procidentia treated?

Surgical options for procidentia include: vaginal hysterectomy with anterior and posterior traditional colporrhaphy; or vaginal hysteropexy utilising uterosacral and cardinal ligament complex; sacrospinous fixation; or abdominal or laparoscopic hysteropexy, with or without mesh.

What is the best surgery for prolapse?

Colporrhaphy—Used to treat prolapse of the anterior (front) wall of the vagina and prolapse of the posterior (back) wall of the vagina. This type of surgery is performed through the vagina. Stitches are used to strengthen the vagina so that it once again supports the bladder or the rectum.

What causes procidentia?

Procidentia occurs when the ligaments and muscles of the pelvic floor are stretched and weakened to the point that they can no longer provide support to the uterus. When this happens, the uterus slips into the vagina or bulges out of it.

How do you prevent procidentia?

Typically, reduction is accomplished with the aid of a pessary. However, because of this patient’s condition, an obstetric balloon was used for temporary reduction to allow subsequent surgical treatment after tissue rest and medical stabilization.

Does prolapse surgery make you tighter?

Once prolapse is corrected, the vagina is often tighter and could also give the idea of having had a vaginoplasty. Surgery for prolapse is usually insurance covered, vaginoplasty for cosmetic reasons is self-pay.

What are the surgical options for procidentia?

Surgical options for procidentia include: vaginal hysterectomy with anterior and posterior traditional colporrhaphy; or vaginal hysteropexy utilising uterosacral and cardinal ligament complex; sacrospinous fixation; or abdominal or laparoscopic hysteropexy, with or without mesh.

Which tests are performed in the workup of procidentia?

The investigations required with procidentia are few, but renal ultrasonography and mid-stream urinalysis may be important, owing to potential for kinking of the ureters leading with consequent hydronephrosis and urine stasis due to incomplete emptying.

What is procidentia and what causes it?

Procidentia occurs when the ligaments and muscles of the pelvic floor are stretched and weakened to the point that they can no longer provide support to the uterus. When this happens, the uterus slips into the vagina or bulges out of it.

What is the most common treatment for uterine procidentia?

Sacralpromontory fixation remains the most common treatment for uterine procidentia, and the benchmark for which many other procedures are compared. This approach has been traditionally done via laparotomy, but could be done with minilaparotomy. Keeping the uterine cervix was done for previously mentioned reasons.