What is pelvic prolapse?
In the list of gynecological diseases, pelvic prolapse is about 28%, and 15% of the so-called large operations in gynecology are carried out precisely for this reason. And although it is believed that this pathology is the "prerogative" of the weaker sex elderly or senile, it is known that the disease often begins to develop at childbearing age and has a tendency to progress.
Prevalence
The lowering of small pelvis organs is quite widespread. For example, in India, this pathology is found in almost every woman, and in the U.S. the disease is diagnosed in 15 million women of the weaker sex.
The statistical data on pelvic prolapse is striking:
age under 30 - the disease occurs in one in ten women;
age 30- 45 years - the pathology is diagnosed in 40 women out of 100;
age over 50 years - every second woman suffers from pelvic prolapse.
According to an epidemiological study, one in eleven women around the world will be operated on for this pathology, which is due to the high risk of genital prolapse. It also makes one think about the fact of a relapse of the disease, for which more than 30% of patients are operated on again.
Location of small pelvis organs
The uterus is a hollow organ consisting of smooth muscles and has a pear-shaped shape. The main task of the uterus is to carry and give birth to a child. Normally, it is located on the wire axis of the pelvis (in the center and along the line going down from head to feet). The body of the uterus is slightly tilted forward, forming a corner that is open to the front abdominal wall (position anteflexio). The uterine base is at or beyond the entrance plane to the pelvis.
The second corner is formed between the cervix and the vagina, which is also open at the front. At the front of the uterus is in contact with the bladder and at the back with the rectum. Both the uterus and appendages have a certain physiological mobility, which is necessary for their normal functioning (pregnancy / birth, the work of related organs: bladder / rectum). At the same time, the uterus in the small pelvis is securely fixed, which prevents its loss. Fixation of the uterus is carried out by the following structures:
hanging ligaments (wide, round ligaments of the uterus, ovarian ligaments) - due to them, the uterus and appendages are fixed to the pelvic wall;
pelvic floor and anterior abdominal wall muscles and fascias (their normal tone provides the correct position of the internal genitals, and with the loss of elasticity and elasticity muscles, the pelvic organs prolapse develops);
dense ligaments that attach the uterus to the adjacent organs (urea / rectum), fascia and pelvic bones.
What is pelvic prolapse?
The depression (prolapse) of pelvic organs is a disease where there is a disturbance of the position of the uterus and/or vaginal walls, characterized by the displacement of the genitalia either before entering the vagina or leaving (falling out) their boundaries. Often, genital prolapse leads to the prolapse and protrusion of the bladder with the formation of the cystocele and/or rectum - rectocele. The disease is progressive and develops when the pelvic floor muscle layer fails, the ligaments that support the uterus are stretched and intra-abdominal pressure increases. Pelvic prolapse can be called a hernia for ease of understanding. we recommend this program to solve such problems
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