What Is Vaginal Prolapse?

Vaginal prolapse is a medical condition that happens when the structures including the ligament and floor muscles around the pelvis elongate and devitalize, rendering the entire network to be inefficient in supporting the uterus, which in such case, recedes into the canal in the vagina.

Gehrung Pessary

Gehrung Pessary

A woman’s vagina has a complex network of support holding the pelvic tissues, organs, and structures in their proper place. Included in the support structure are fascia, the muscles located on the walls of vagina, and its skin. In a case of a vaginal prolapse, the support structure will fall out from their usual positions.

If left without treatment, the uterine prolapse, another of its terms, will cause the structures to descend farther into the vaginal opening.

Types of Vaginal Prolapse

There are five types of uterine prolapse that can be diagnosed:

  1. Rectocele. Also known as the prolapse of the rectum, the rectocele includes the prolapse of fascia.
  2. Cystocele. This is the bladder prolapse that happens when fascia prolapses. Thus, the bladder will prolapse towards the vagina.
  3. Enterocele. This results when fascia’s front and back separate, causing the intestines to advance against the skin of vagina.
  4. Prolapsed uterus. The prolapse involves the womb, wherein, the ligaments on vagina’s top portion weaken, causing the uterus to plummet.
  5. Vaginal vault prolapse. This type of vaginal prolapse is common after hysterectomy because the uterus also acts as a supporter of the vagina.
Ring Pessary

Ring Pessary

Pessary Device 

A pessary is a medical device used into a vagina to act as a support to the uterus, bladder, vagina, and rectum. In most cases, the pessary device is used to treat women with vaginal prolapse. It is especially helpful if the prolapse is cystocele or a rectocele. It is also helpful for women who suffer from incontinence.

References:

http://women.webmd.com/vaginal-prolapse

http://www.mayoclinic.com/health/uterine-prolapse/DS00700

http://familydoctor.org/familydoctor/en/drugs-procedures-devices/procedures-devices/vaginal-pessary.html

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