Uterine Prolapse: Difference between revisions

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== Causes  ==
== Causes  ==


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Women most at risk for this condition are those who have had multiple pragnancies and deliveries in combination with obesity. Assosciated risk factors are trama to the pudendal or sacral nerves when giving birth. The disorder has been attributed to prlonged labor, bearing down before full, dialation, and forceful delivery of the palcenta. Decreased muslc tone due to aging, excessive strain during bowen movment and complications of pelvic surgery have also been associated with prolapse of the uterus and adjacent organs.2 Associated risk also axists with pelvic tumors and neurologic condition like spina bifida and diabetic neuropathy which interfrers with innervation of pelvic musculature.2<br>


== Systemic Involvement  ==
== Systemic Involvement  ==

Revision as of 23:26, 2 March 2010

Welcome to PT 635 Pathophysiology of Complex Patient Problems This is a wiki created by and for the students in the School of Physical Therapy at Bellarmine University in Louisville KY. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!

Original Editors - Students from Bellarmine University's Pathophysiology of Complex Patient Problems project.

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Definition/Description[edit | edit source]

Uterine Prolpase is the condition of the uterus collapsing, falling down, or downward displacement of the uterus with relation to the vagina.1 It is also defined as the bulging of the uterus into the vagina.2 It is characterized under a more general classification called pelvic organ prolapse which encomposes descent of anterior, middle and posterior structures into the vagina.3 Those organs that bulge anterior into the vagina are the urinary bladder which is called a cystocele, the urethra which is called a urthrocele or a combination which is a cystourethrocele.2,3 The uterus and the vaginal vault which is the apex of the vagina can prolapse after a hysterectomy make up the organs that constitute the middle portion descent into the vagina.3 The rectum which is called a rectocele, part of hte intestine and peritonem are called a enterocele make up the posteiror portion of pelvic organ prolapse.2,3 This information from this point forward will focus on uterine prolapse. Uterine prolpase is a result of pelvic floor relatxaion or structural overstretching of the muscles of the pelvic wall and ligamentous structures.2 

Prevalence[edit | edit source]

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Characteristics/Clinical Presentation[edit | edit source]

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Associated Co-morbidities[edit | edit source]

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Medications[edit | edit source]

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Diagnostic Tests/Lab Tests/Lab Values[edit | edit source]

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Causes[edit | edit source]

Women most at risk for this condition are those who have had multiple pragnancies and deliveries in combination with obesity. Assosciated risk factors are trama to the pudendal or sacral nerves when giving birth. The disorder has been attributed to prlonged labor, bearing down before full, dialation, and forceful delivery of the palcenta. Decreased muslc tone due to aging, excessive strain during bowen movment and complications of pelvic surgery have also been associated with prolapse of the uterus and adjacent organs.2 Associated risk also axists with pelvic tumors and neurologic condition like spina bifida and diabetic neuropathy which interfrers with innervation of pelvic musculature.2

Systemic Involvement[edit | edit source]

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Medical Management (current best evidence)[edit | edit source]

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Physical Therapy Management (current best evidence)[edit | edit source]

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Alternative/Holistic Management (current best evidence)[edit | edit source]

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Differential Diagnosis[edit | edit source]

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Case Reports[edit | edit source]

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Resources
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Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

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