Vaginal herniation

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When a body part slips out of position or falls from place, this drop is called a prolapse. Pelvic organ prolapse refers to prolapse of the pelvic organs. Put another way, pelvic organ prolapse is a hernia of the pelvic organs —most commonly the bladder—through the vaginal opening.

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Patient information : See related handout on pelvic organ prolapsewritten by the authors of this article. Pelvic organ prolapse is the descent of one or more of the anterior vaginal wall, posterior vaginal wall, the uterus cervixor the apex of the vagina vaginal vault or cuff scar after hysterectomy. Prevalence increases with age.

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In vaginal prolapse the vagina stretches or expands to protrude on other organs and structures. The situation seldom involves the vagina alone. Supports for the uterus often stretch allowing it to also fall prolapse when a woman strains during a bowel movement. This shows the uterus, which has dropped out of the opening to the vagina.

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Anterior and posterior vaginal wall prolapse involve protrusion of an organ into the vaginal canal. Anterior vaginal wall prolapse is commonly referred to as cystocele or urethrocele when the bladder or urethra is involved. Posterior vaginal wall prolapse is commonly referred to as enterocele when the small intestine and peritoneum are involved and rectocele when the rectum is involved.

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This weakening allows the uterus, urethra, bladder, or rectum to droop down into the vagina. If the pelvic floor muscles weaken enough, these organs can even protrude out of the vagina. If you do have symptoms, your symptoms will depend on the organ that is prolapsed.

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A more recent article on pelvic ogran prolapse is available. Patient information : See related handout on pelvic organ prolapsewritten by the authors of this article. Pelvic organ prolapse, or genital prolapse, is the descent of one or more of the pelvic structures bladder, uterus, vagina from the normal anatomic location toward or through the vaginal opening.

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This fact sheet explains the different types of genital prolapse as well as the symptoms, causes and treatment options availabel to women. Genital prolapse occurs when pelvic organs uterus, bladder, rectum slip down from their normal anatomical position and either protrude into the vagina or press against the wall of the vagina. The pelvic organs are usually supported by ligaments and the muscles, connective tissue and fascia which are collectively known as the pelvic floor.

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A posterior vaginal prolapse, also known as a rectocele, occurs when the wall of fibrous tissue that separates the rectum from the vagina weakens. When this happens, tissues or structures just behind the vaginal wall — in this case, the rectum — can bulge into the vagina. A posterior vaginal wall prolapse occurs when the thin wall of tissue that separates the rectum from the vagina weakens, allowing the vaginal wall to bulge.

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