Uterine Prolapse

Question 1

what is uterine prolapse a result of?

Answer 1

1. childbirth (MC)
2. injury to pelvic floor/diaphragm (MC)
   - transverse cervical ligament
   - uterosacral ligament
   - unrepaired perineal tears
   - injury to levator muscles
   - weakening of floor

Question 2

how to assess patients with uterine prolapse?

Answer 2

lithotomy and standing position, both in relaxation and maximal straining

Question 3

what is a stage 1 prolapse?

Answer 3

• partial prolapse of uterus into vagina
• 1 cm above hymen

Question 4

what is a stage 2 prolapse?

Answer 4

• corpus descend to introitus with cervix slightly beyond
• leading edge is less than or equal to 1 cm above or below hyment

Question 5

what is a stage 3 prolapse?

Answer 5

entire cervix and uterus is beyond introitus

Question 6

what is stage 4 prolapse?

Answer 6

vaginal inversion