(Pelvic Floor Hernia; Pudendal Hernia; Pelvic Relaxation)
- First degree—the cervix protrudes into the lower part of the vagina
- Second degree—the cervix protrudes past the vaginal opening
- Third degree—the entire uterus protrudes past the vaginal opening
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- Pelvic pressure
- A feeling of vaginal fullness or heaviness
- A feeling of pulling in the pelvis
- Vaginal discharge
- Urinary urgency and frequency
- Urination when laughing, sneezing, coughing, or exercising
- Protrusion of pink tissue from the vagina that may be irritated or itchy
- Hysterectomy—This is the removal of the uterus. This will permanently resolve uterine prolapse.
- Vaginal repair—This is usually done with a hysterectomy. The repair can be done with sutures or with insertion of mesh and slings.
- Colpocleisis—This involves closing the vagina. It is done only in women who are elderly and who are no longer sexually active.
- Do Kegel exercises.
- Maintain a healthy weight.
- To avoid constipation, eat plenty of fruits, vegetables, and whole grains. Drink plenty of fluids throughout the day.
- If you smoke, talk to your doctor about ways to quit . Smoking may cause chronic coughing and weakening of connective tissues.
- Limit heavy lifting.
American Congress of Obstetricians and Gynecologists http://www.acog.org
Office on Women's Health http://www.womenshealth.gov
Canadian Women's Health Network http://www.cwhn.ca
Society of Obstetricians and Gynaecologists of Canada http://www.sogc.org
Colpocleisis (LeFort procedure). International Center for Laparoscopic Urogynecology website. Available at: http://www.miklosandmoore.com/prolapse/vault/colpocleisis-lefort.php. Accessed April 22, 2013.
Pelvic organ prolapse. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated January 22, 2013. Accessed April 22, 2013.
Pelvic organ prolapse. International Urogynecological Association website. Available at: http://c.ymcdn.com/sites/www.iuga.org/resource/resmgr/Brochures/eng%5Fpop.pdf. Accessed April 22, 2013.
Uterine and vaginal prolapse. The Merck Manual Professional Edition. Available at: http://www.merckmanuals.com/professional/gynecology%5Fand%5Fobstetrics/pelvic%5Frelaxation%5Fsyndromes/uterine%5Fand%5Fvaginal%5Fprolapse.html. Updated December 2013. Accessed March 18, 2014.
Vaginal pessary. American Academy of Family Physicians Family Doctor website. Available at: http://familydoctor.org/familydoctor/en/drugs-procedures-devices/procedures-devices/vaginal-pessary.html. Updated August 2010. Accessed April 22, 2013.
10/21/2008 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Shariati A, et al. High-fiber diet for treatment of constipation in women with pelvic floor disorders. Obstet Gynecol. 2008;111:908-913.
- Reviewer: Andrea Chisholm, MD
- Review Date: 01/2015 -
- Update Date: 04/30/2014 -
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
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