Uterine prolapse
| Classification according to ICD-10 | |
|---|---|
| N81.2 | Partial prolapse of the uterus and vagina |
| N81.3 | Total prolapse of the uterus and vagina |
| N85.5 | Inversio uteri |
| ICD-10 online (WHO version 2019) | |
Uterine prolapse refers to a prolapse of the uterus , a pressing of the uterus through the birth canal , sometimes up to the exit inside the now everted vagina ( vaginal prolapse ) outside the body. This is due to a failure of the retaining straps.
The uterine prolapse is the extreme form of uterine subsidence ( Descensus uteri ) with the uterus shifting in front of the vulva . Pelvic floor exercises are recommended to prevent uterine prolapse .
A Inversio uteri , a dangerous complication of the birth is associated with an incident of the uterus. A common cause is excessive tension on the umbilical cord when the uterus is not contracted or increased fundic pressure in connection with the abdominal pressure. Treatment consists of immediate reduction of the uterus.
causes
The most common causes and favorable factors for uterine prolapse include vaginal births, constitutional weakness of the connective tissue , pelvic floor damage caused by birth trauma, obesity, chronic cough and heavy physical labor.
treatment
The treatment today usually consists of a vaginal hysterectomy combined with a vaginal compression (colporrhaphy) and / or a fixation of the cervix or the vagina on the sacrum . In the past, complete or partial vaginal occlusion operations such as the subtotal Kolpokleisis according to Neugebauer-LeFort (a procedure first proposed by the surgeon Léon Le Fort in 1877) were used, which are largely abandoned today.
Web links
- Uterus subsidence . Netdoktor.de
- Diagnosis and therapy of female pelvic floor dysfunction . Ärzteblatt.de
Individual evidence
- ↑ a b Inversio uteri . In: Pschyrembel Dictionary Sexuality. Walter de Gruyter, Berlin 2006, ISBN 3-11-016965-7 , p. 247.
- ↑ Horst Kremling : Changes in the position of the female genitals from a historical perspective. In: Würzburger medical history reports , Volume 22, 2003, pp. 204–214, here: p. 204.
- ↑ Inversion of the uterus . (PDF; 293 kB)
- ↑ Entry on Inversio uteri in Flexikon , a Wiki of the DocCheck company , accessed on November 26, 2015.
- ↑ Barbara I. Tshisuaka: Le Fort, Leon. In: Werner E. Gerabek , Bernhard D. Haage, Gundolf Keil , Wolfgang Wegner (eds.): Enzyklopädie Medizingeschichte. De Gruyter, Berlin / New York 2005, ISBN 3-11-015714-4 , p. 830.
