Prolapse of the Uterus and Vagina

Abstract

Childbirth is the most common cause of the various forms of genital prolapse; however, constitutional inadequacy of tissues, postmenopausal atrophy, and intraabdominal pressure also may cause this condition. Treatment may not be necessary in mild, asymptomatic cases. If symptoms are marked and childbearing is desired, repair of cystocele and rectocele, with or without uterine suspension, may be valuable.

If childbearing need not be considered, various operations may be performed. Vaginal hysterectomy, with repair of cystocele and rectocele and obliteration of enterocele, if present, seems to be the most satisfactory procedure.