Presentation
Chronic pelvic pain and a sensation of heaviness in the vagina.
Patient Data
Evidence of severe uterine prolapse is manifested by a significant caudal descend of the uterus, approximately 8.5 cm inferior to the pubococcygeal line. This descent is observed through the vagina with protrusion of the cervix through the vaginal opening, accompanied by anterior vaginal wall prolapse and cystocele.
Case Discussion
Uterine prolapse occurs due to weakness in the pelvic supports (ligaments and musculature), usually in multiparous women or in patients with connective tissue disorders (e.g., Marfan syndrome). The severity of uterine prolapse can be graded based on the depth of the descent below the pubococcygeal line: mild (less than 3 cm), moderate (3 to 6 cm), and severe (greater than 6 cm). This condition also demonstrates urinary bladder prolapse (cystocele), which usually accompanies such significant uterine prolapse.
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