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(Pelvic Floor Hernia; Pudendal Hernia; Pelvic Relaxation)
- First degree—the cervix protrudes into the lower part of the vagina
- Second degree—the cervix protrudes past the vaginal opening
- Third degree—the entire uterus protrudes past the vaginal opening
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- Pelvic pressure
- A feeling of vaginal fullness or heaviness
- A feeling of pulling in the pelvis
- Vaginal discharge
- Urinary urgency and frequency
- Urination when laughing, sneezing, coughing, or exercising
- Protrusion of pink tissue from the vagina that may be irritated or itchy
- Hysterectomy —This is the removal of the uterus. This will permanently resolve uterine prolapse.
- Vaginal repair—This is usually done with a hysterectomy. The repair can be done with sutures or with insertion of mesh and slings.
- Colpocleisis—This involves closing the vagina. It is done only in women who are elderly and who are no longer sexually active.
American Congress of Obstetricians and Gynecologists http://www.acog.org
US Department of Health and Human Services Women's Health http://www.womenshealth.gov
Canadian Women's Health Network http://www.cwhn.ca
Society of Obstetricians and Gynaecologists of Canada http://www.sogc.org
Colpocleisis (LeFort procedure). International Center for Laparoscopic Urogynecology website. Available at: http://www.miklosandmoore.com/lap%5Fproc11.php. Accessed April 22, 2013.
Pelvic organ prolapse. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated January 22, 2013. Accessed April 22, 2013.
Pelvic organ prolapse. International Urogynecological Association website. Available at: http://www.iuga.org/resource/resmgr/Brochures/eng%5Fpop.pdf. Published 2011. Accessed April 22, 2013.
Pelvic relaxation syndromes. Merck Manual for Health Care Professionals. Available at: http://www.merckmanuals.com/professional/gynecology%5Fand%5Fobstetrics/pelvic%5Frelaxation%5Fsyndromes/overview%5Fof%5Fpelvic%5Frelaxation%5Fsyndromes.html. Updated February 2012. Accessed April 22, 2013.
Vaginal pessary. American Academy of Family Physicians Family Doctor website. Available at: http://familydoctor.org/online/famdocen/home/women/reproductive/gynecologic/578.html. Updated August 2010. Accessed April 22, 2013.
10/21/2008 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Shariati A, Maceda JS, Hale DS. High-fiber diet for treatment of constipation in women with pelvic floor disorders. Obstet Gynecol. 2008;111:908-913.
- Reviewer: Andrea Chisholm, MD
- Review Date: 03/2014
- Update Date: 04/30/2014