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Proplapse
1.
2. Protusion of the vaginal wall at the
Vaginal orifice
which in severe cases
the cervix of uterus may be
pushed down to the level of vulva.
3. Extreme cases the whole uterus and most of
the vaginal walls may be extuded from the
vagina.
Mostly seen in postmenopause ,multi
parous women
4. Delancy Introduced 3 level system of support
Level 1 - uterosacral,cardinal ligaments supports the
uterus and vaginal vault
Level 2 – pelvic fascias and paracolpos connect
vagina to the white line of the lateral pelvic wall
through arcus tendinocus
Level 3 – levator ani muscle supports the lower 1/3rd
of the vagina.
7. CYSTOCELE
Upper part of the anterior vaginal wall is
descends and in advanced cases may protude
outside the vaginal orifice
In the case of the vesical and vaginal
fasciae are thined out and fail to support the
bladder
8.
9. Urethra along with the lower 1/3 rd of
anterior vaginal wall prolapse .
Lower portion of the anterior vaginal wall
does not prolapse urethra . It is well
supported by posterior urethral ligament.
10.
11. RECTOCELE
Rectum protude with posterior vaginal wall,
the rissue which normally intervere between
posterior vaginal wall and the rectum must
injured by obstetrics injury. Vagina and
rectum must be adherent by tissue.
prolapse of pouch of dougles is not
uncommon for upper part of posterior
vaginal walloutside the vulvaand for coils of
the intestine to be palpable in the prolapsed
part.
12.
13. Heriniation of pouch of douglas into
rectovaginal septum. It after associated with
uterine prolapse.
Greater the uterine prolapse bigger is
enterocele.
14.
15. UTERUS PROLAPSE is always some associated
descent of the another vaginal wall.
It described 3* of prolapse of uterus
16. 1 *- Descent of the cervix into the vagina
2* - Descent of the cervix upto the introitus
3* - Descent of the cervix outside the
intoitus
4* - PROCIDENTIA ,All of the uterus
outside the introitus
