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PubMed2005

[Chronic renal failure secondary to uterine prolapse].

Acute and chronic renal failure secondary to bilateral severe hydroureteronephrosis is a rare sequela of uterine prolapse. We report a case of neglected complete uterine prolapse in a 72-year-old patient resulting in bilateral hydroureter, hydronephrosis, and chronic renal failure. In an attempt to diminish the ureteral obstruction a vaginal pessary was used to reduce the uterine prolapse. Finally, surgical repair of prolapse by means of a vaginal hysterectomy was performed. In conclusion, all patients presenting with complete uterine prolapse should be screened to exclude urinary tract obstruction. If present, obstructive uropathy should be relieved by the reduction or repair of the prolapse before irreversible renal damage occurs.

Aged↗
PubMed2005

Uterine prolapse in a young nulligravida with scleroderma and premature ovarian failure.

We report a case of pelvic organ prolapse quantification (POPQ) stage III uterine prolapse in a 25-year-old nulligravida. Premature ovarian failure was diagnosed after 1 year of amenorrhea. Localized scleroderma was noticed on her thigh and lower back. We discuss the possible role of scleroderma and ovarian failure on the occurrence of uterine prolapse in light of the literature.

Adult↗
PubMed1992

[Individualization of operative procedures for uterine prolapse based on categorization using X-ray urethrocystohysterography and postoperative outcomes evaluated with a scoring system].

A urethrocystohysterography (UCHG) and a prolapse scoring system (PSS) have been used to assess the types of uterine prolapse and postoperative outcomes since 1979. UCHG was useful in identifying the type of uterine prolapse and in selecting operative procedure. UCHG was done by injecting contrast medium into the bladder and uterine cavity and inserting a metallic bead chain into the urethra. A lateral pelvic X-ray was then taken at rest and during straining. The length of the uterus (UL), distance from the pelvic outlet (PO) to the bladder base (BB), distance from PO to the uterine fundus (UF), and distance from the ischial spine (IS) to UF were measured on the UCHG. We found that there were three types of uterine prolapse on the UCHG findings, type 1: cervical elongation without descent of uterine fundus and cystocele, type 2: uterine prolapse with moderate descent of uterine fundus and cystocele, and type 3: giant vaginal eversion including completely prolapsed uterus, marked cystocele, enterocele and rectocele. The operative time of vaginal hysterectomy with anterior and posterior colporthaphy (VH with AP repair) correlated well with UL and PO-UF distance on UCHG, and blood loss. Operating time was significantly shorter and amount of blood loss was significantly smaller in cases of Machester operation (cervical amputation, fixation of cardinal ligament stumps to the anterior wall of the remaining cervix and AP repair) than in those of VH with AP repair.(ABSTRACT TRUNCATED AT 250 WORDS)

Aged↗
PubMed1994

[Beeswax pessary in conservative treatment of uterine prolapse].

The own method of uterine prolapse treatment with the use of beeswax pessary is presented. The described method is applied in cases where general health conditions do not allow to perform the surgery. The study revealed that the beeswax is a good material to make a vaginal pessary. It's great plasticity allows individual modelling in compliance with anatomical conditions of treated patient. That provides the proper stability of uterine position. The risk of possible urinary stress incontinence due to uterine reposition is also diminished.

Animals↗
PubMed2004

Incidental findings in uterine prolapse specimen: frequency and implications.

Uterine prolapse is a benign and common condition, especially in older women. In this study, we investigated the frequency and implications of incidental findings in uteri removed for prolapse. We found a high frequency of incidental findings that was greater than previously reported and a correlation between the occurrence of leiomyomata and adenomyosis. As long as all grossly visible lesions are sampled, two routine sections were found to be sufficient to identify all significant lesions.

Adenocarcinoma↗
PubMedDate not supplied

Self-reported uterine prolapse in a resettlement colony of north India.

The aims of this study are to estimate the prevalence of self-reported uterine prolapse and to determine the treatment-seeking behavior of the respondents. Participants of this study are married women of Dadu Majra colony, Chandigarh, India, January-February, 1996. A house-to-house screening of the women was done by a nursing student utilizing a checklist of indicator symptoms of uterine prolapse. All women reporting such symptoms were interviewed further. Among the 2,990 women surveyed, 227 (7.6%) reported symptoms of uterine prolapse. Of the 227 women with self-reported uterine prolapse, 128 (57%) had not taken any treatment, 28 went to a traditional birth attendant (TBA), and 47 (21%) consulted a doctor. Thirty-eight women were advised to have an operation, but only eight complied. Other treatments used by small numbers of women included the use of a ring pessary or alcohol-soaked swab and heel pressure technique. Reasons for non-consultation included shyness (80; 63%), lack of cooperation by the husband, lack of time (80; 63%) and lack of money (74; 58%). The prevalence of prolapse was significantly higher in women with higher parity. More than 7% of the women reported symptoms of uterine prolapse.

Adolescent↗
PubMed2001

Uterine prolapse in 2 dromedary camels.

Two cases of uterine prolapse in dromedary camels in a herd with concomitant cases of white muscle disease are described. Serum selenium and glutathione peroxidase in whole blood were investigated in both patients and showed statistical difference compared with a control group. Results suggest that selenium deficiency could promote uterine prolapse in dromedary camels.

Animals↗
PubMed1992

A nested case-control study of uterine prolapse.

A nested case-control study was conducted to detect risk factors for periparturient uterine prolapse. Records from 4173 lactations were collected for 5 years from 17 Holstein dairies in the vicinity of Cornell University. Logistic regression was used to model the risk factors for uterine prolapse. Milk fever, dystocia, sex of the calf, and stillbirth were examined as potential risk factors. There was no confounding or effect modification by season of calving and parity. The incidence rate for uterine prolapse was 0.6%. Dystocia and milk fever increased the risk of uterine prolapse five and three times, respectively.

Journal Article↗
PubMed2006

Laparoscopic uterosacral ligaments plication for the treatment of uterine prolapse.

OBJECTIVE: To present preliminary results of a simple, minimally interventional, uterus-sparing procedure for uterine prolapse repair. METHODS: This prospective study was undertaken on women with symptomatic uterine prolapse >/=2nd stage, who declined hysterectomy at the time of prolapse surgery. A 10 mm laparoscope and three 5 mm ancillary trocars were used to perform the procedure. The uterosacral ligament was invested with a nonabsorbable suture. A total of three helical type sutures were placed full-thickness in the uterosacral ligament, beginning in the distal third of the ligament. The ends of the suture were tied with an extra-corporeal knot-tying technique on each side, thus shortening the ligaments. Finally, the round ligaments were plicated to restore the uterus to its correct anatomic position. No additional surgical procedure was performed concomitantly. RESULTS: Ten patients underwent laparoscopic uterosacral ligaments plication for the treatment of symptomatic uterine prolapse. The median (range) patients age was 45.5 years (36-66). Five (50%) patients were premenopausal and 3 (60%) had not completed their family. The median operating time was 22.5 min (20-45). No intraoperative complications occurred. The median follow-up time was 21 months (range 15-33). The median postoperative difference in POP-Q point C was -3 cm (range 0 to -5). Eight (80%) patients were objectively cured at the last follow-up evaluation and all of them reported a complete resolution of their symptoms. Two women had prolapse recurrence and underwent vaginal hysterectomy 7 and 24 months after primary surgery, respectively. CONCLUSION: Laparoscopic uterosacral ligaments plication is a minimally invasive and straightforward simple procedure that appears to be a safe and effective treatment option for women with uterovaginal prolapse who desire uterine preservation.

Adult↗
PubMed1994

[A case of uterine prolapse with hydroureter].

We report a case of complete uterine prolapse with bilateral hydroureter. The patient was a 81-year-old woman with complete uterine prolapse suffering from dysuria and urinary incontinence. Bilateral moderate hydroureter happened to be revealed by drip infusion pyelography (DIP) but blood creatinine was normal. Hydroureter was ameliorated by vaginal hysterectomy. A brief discussion and review of the literature are given.

Aged↗
PubMed1976

Ureteric obstruction associated with uterine prolapse.

14 cases of ureteric obstruction in patients with uterine prolapse are presented. The clinical, radiological, endoscopic and surgical observations are considered and discussed. Ureteric dilatation develops in two successive stages each of which has a different mechanism. In the first stage, stretching of the terminal ureter leads to a fusiform and gradual dilatation. In the second more advanced stage, caudal and posterior displacement of the trigone and bladder base leads to a rotation of the intramural ureter forming a sharp angle with the juxtavesical ureter, causing further ureteric obstruction. These observations emphasize the importance of urographical evaluation in patients with uterine prolapse.

Aged↗
PubMed1996

Uterine prolapse after laparoscopic uterosacral transection in nulliparous airborne trainees. A report of three cases.

BACKGROUND: Laparoscopic uterine nerve ablation (LUNA) has become a common alternative therapy for refractory dysmenorrhea. Few long-term complications have been reported. CASES: Severe uterine prolapse was diagnosed in three young female soldiers during or after the rigors of airborne training. All three had previously undergone LUNA procedures. No other risk factors for uterine prolapse could be identified in these cases. CONCLUSION: The etiology of uterine prolapse is complex, and although no conclusions as to cause and effect can be made, these cases suggest that LUNA should be performed with caution on women whose occupation or life-style is associated with heavy physical labor or exercises producing marked increases in intraabdominal pressure.

Adult↗
PubMed1977

Reduction of uterine prolapse in a sow by laparotomy.

In the past, total uterine prolapse in the sow has been regarded as a grave condition because manipulative reposition through the vulva and vagina is extremely difficult, if not impossible, and amputation is merely a salvage procedure with a mortality rate approaching 100 percent. Laparotomy as a means of facilitating reduction of the prolapse in the sow appears to have been overlooked although it is a standard procedure in dogs and cats. This report describes a case of uterine prolapse in a sow successfully treated by laparotomy.

Anesthesia, Intravenous↗
PubMed2005

Sexual functioning after vaginal hysterectomy or transvaginal sacrospinous uterine suspension for uterine prolapse: a comparison.

OBJECTIVE: To examine changes in sexuality after total vaginal hysterectomy (TVH) or transvaginal sacrospinous uterine suspension (SSUS)for uterine prolapse. STUDY DESIGN: One hundred fifty-eight women with moderate to severe uterine prolapse undergoing TVH (78) or SSUS (80) were included in a prospective study from January 2001 to June 2002. All women were <50 years old and sexually active within the last 6 months before surgical intervention. None had major medical disorders. Sexual functioning before and 6 months after surgery was examined via a face-to-face questionnaire. Sexual interest, sexual satisfaction, frequency of sexual intercourse and frequency of orgasm were measured using an analogue scale. RESULTS: Of women undergoing TVH, 5.1% had decreased sexual interest, and 21% had less frequent orgasms postoperatively. For women undergoing SSUS, 13% had decreased sexual interest, and 20% had less frequent orgasms postoperatively. Frequency of orgasm was the only parameter that changed significantly after surgery in the 2 groups. All women with less frequent orgasms said that they were afraid of wound disruption or disease recurrence and so refrained from vigorous or exciting sexual intercourse. About four-fifths of the women in both groups accepted or were satisfied with their sexuality after surgery. For women undergoing TVH, 2.6% had increased frequency of orgasm, and 5% had better overall sexual satisfaction postoperatively. For women undergoing SSUS, 10% had increased sexual satisfaction postoperatively. There was a 2.5% and 2.6% increase in postoperative sexual interest in the SSUS and TVH groups, respectively. The sexual functioning scores were not different before or after surgical intervention in either group. CONCLUSION: There is a decrease in thefrequency of orgasm after both TVH and SSUS. However, there is no significant difference in postoperative sexual functioning between women with and without preservation of the uterus in correcting uterine prolapse.

Adult↗
PubMed1997

Traumatic uterine prolapse.

The rare complication of complete uterine prolapse can occur after a motor vehicle accident. One could speculate that a sudden increase in intra-abdominal pressure related to the trauma and seat belt position lead to this condition.

Abdominal Injuries↗
PubMed1995

Uterine prolapse complicated by endometrial cancer.

OBJECTIVE: An infrequent clinical dilemma arises when a patient with uterine prolapse that is best treated vaginally is discovered to have coexisting endometrial cancer. Often the underlying cancer is only discovered intraoperatively or postoperatively. We have reviewed our experience in this situation in an effort to evaluate efficacy of treatment, strategies to avoid late postoperative discovery of cancer, and general guidelines for optimal treatment. STUDY DESIGN: At the Mayo Clinic from 1950 to 1993, 54 patients with coexisting endometrial carcinoma underwent vaginal hysterectomy with repairs for uterine prolapse. RESULTS: We have retrospectively reviewed these cases for relevant data and survival analysis. Complete follow-up is available for 53 patients, and there were four recurrences. In 19 patients bilateral oophorectomy was not performed for multiple reasons, and one of these patients had a recurrence. Twenty-five percent of all patients had disease confined to the endometrium, and 80% overall had low-grade lesions with superficial or no myometrial invasion. Of the four recurrences, three would have been considered low risk of extrauterine spread, and it is doubtful that an abdominal approach would have yielded additional useful information. No patient required reoperation for recurrent pelvic relaxation. CONCLUSION: We believe that for certain selected patients vaginal surgery for uterine prolapse is adequate treatment in the presence of endometrial cancer. We discuss the selection strategies, exclusion criteria, and general guidelines to optimize care for these challenging patients.

Endometrial Neoplasms↗
PubMed1981

Effects of caesarean section, retained placenta and vaginal or uterine prolapse on subsequent fertility in beef cattle.

Data collected at the Livestock and Range Research Station, Miles City, Montana, on 13,296 calving from the years 1963 through 1977 were used to evaluate subsequent reproductive performance of dams experiencing caesarean section, retained placenta or vaginal or uterine prolapse. A total of 121 caesarean sections (.9% of all calvings) was performed from 1963 through 1977, with the highest incidence reported among first-calf 2- and 3-year-old dams. Fall pregnancy rate among the 105 dams that had caesarean deliveries was 52.4%, which was 26.6% lower (p less than .01) than the herd average. Fetal membranes were retained after 49 natural parturitions. Pregnancy rates among dams retaining fetal membranes were not significantly altered (82.2 vs 79.4%). A total of 153 calvings was associated with prolapse of the reproductive tract, including 124 (81.0%) vaginal prolapses and 29 (19.0%) uterine prolapses. Subsequent pregnancy rate of all dams experiencing prolapse was lower (p less than .01) than the herd average. Pregnancy rates following prolapse among primiparous and multiparous dams were 28.0 and 57.9%, respectively. These data indicate that caesarean section and vaginal or uterine prolapse result in significant reductions in subsequent pregnancy rates of affected dams, with no detrimental effect on dams retaining fetal membranes.

Animals↗
PubMed2003

Acute renal failure from complete uterine prolapse: role of polycystic kidney disease.

A 48-year-old female developed acute renal failure from obstruction caused by a complete uterine prolapse. She had polycystic kidney disease (ADPKD) with previously stable mild renal impairment. She presented with rapidly declining renal function and oliguria which reversed following manual reduction of the prolapse and insertion of a ring pessary. None of the usual risk factors for uterine prolapse were present, however ADPKD may have contributed to the prolapse. Rapid deterioration of renal function in female patients with ADPKD should prompt gynecological examination to exclude a uterine prolapse as a cause.

Acute Kidney Injury↗