Uterine prolapse (prolapsus uteri) - displacement of the uterus beyond the sexual slit. Distinguish the partial loss of the uterus, where only the part of the uterus is located outside the genital cleft, and the full one, in which the entire body of the uterus is determined outside the genital cleft. The term "omission of the uterus" implies the displacement of the uterus below the normal level, at which it does not go beyond the limits of the sexual slit.

Omission and prolapse of the uterus, as a rule, is combined with the ovulation and prolapse of the vagina. The omission of the vagina can be observed in isolation and often precedes the omission and prolapse of the uterus. The term "omission of the vagina" defines a displacement of the vagina, in which the lower third of its anterior or posterior wall extends beyond the genital gaps. If the upper part of the vaginal wall is protruded from the genital slit, this displacement is referred to as the prolapse of the vagina. The figure shows a schematic depiction of the prolapse of the uterus and vagina. Omission of the anterior wall of the vagina is often combined with the displacement of the wall of the bladder, the lowering of the posterior wall of the vagina - with displacement of the rectum wall. Often, when the uterus descends and falls out, the elongation (elongation) of its cervix is ??noted.

The main causes of ovulation and prolapse of the uterus and vagina are congenital insufficiency of the pelvic floor due to an innervation disorder in the developmental defects of the spine and spinal cord, pelvic floor accidents, heavy physical labor (especially during puberty, after childbirth and in the menopause), a sharp loss of mass body, atrophy of tissues in elderly and senile age. Often, the omission and prolapse of the genital organs are due to a combination of several etiological factors.

Minor omission of the uterus and vagina may not cause painful sensations. In cases of significant lowering and prolapse of the genital organs, a feeling of pressure on the bottom, pain in the lumbar region, the sensation of a foreign body in the sexual fissure, a violation of urination caused by the development of cystocele due to the weakening of the supporting apparatus of the bladder: the first symptom is involuntary urination with physical exertion heaviness, cough, laughter). With a significant cystocele and uterine prolapse, urination becomes difficult, sometimes it is only possible after the uterus has been repositioned. With the development of rectocele, there may be difficulty in bowel movements and incomplete emptying of the rectum. Displacement of genital organs, wide gaping of the sexual gap create favorable conditions for infection, formation of pressure sores, development of endocervicitis. Due to the permanent traumatization of the fallen genital organs, trophic ulcers, cervical and vaginal edema, contact bleeding occur. In case of uterine enlargement due to circulatory disorders, edema and inflammatory process, it can be infringed. The presence of residual urine in the bladder with pronounced cystocele creates conditions for the development of cystitis.

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