Presentation
Patient came with complaint of something coming down into vagina since 3 months
Patient Data
Multicompartmental pelvic organ prolapsed at rest with widening of the pubo and ilio coccygeal muscles.
Prolapse of the urinary bladder at rest with bilateral upstream uretero-hydronephrosis
The uterus is everted at rest and seen filling up the lower third of the vaginal space with multiple fibroids within. Minimal fluid in the endometrial cavity.
Grade II prolapse of the rectum at rest with anorectal junction is noted with an increase in the M line distance measuring approx. 11mm with the descent of the anal verge approx 4.7cm from the pubococcygeal line.
Case Discussion
Pelvic organ prolapse refers to a pathological downward herniation of various pelvic organ structures into or through the perineum. It usually results from a pelvic floor weakness by impairment of various ligaments, fasciae, and muscles that support the pelvic organs.
The prolapse can include one or a combination of structures which comprise of:
urinary bladder prolapse leading to a cystocele
bowel
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