TY - CHAP M1 - Book, Section TI - Prolapsed Uterus Reduction A1 - Dreyfuss, Andrea A1 - Snoey, Eric R. A2 - Reichman, Eric F. PY - 2018 T2 - Reichman's Emergency Medicine Procedures, 3e AB - Symptomatically important uterine prolapse can result from relaxation of pelvic support with age in susceptible women. Uterine prolapse can significantly impact a woman’s daily activities, sexual function, ability to exercise, and body image. Population-based studies note that approximately 10% of women report symptoms of pelvic organ prolapse.1 Approximately 14% of 16,616 participants possessing a uterus were found to have uterine prolapse in the Women’s Health Initiative Hormone Replacement Therapy Clinical Trial.2 Pelvic organ prolapse was the etiology for 15% to 18% of hysterectomies.3 The most common etiology in postmenopausal women for a hysterectomy is uterovaginal prolapse.3 Manual reduction of the prolapsed uterus and placement of a pessary represent a safe and temporizing measure that may be performed in the Emergency Department. Surgical correction may ultimately be necessary. It is estimated that pelvic organ prolapse is responsible for more than 200,000 surgical repair procedures each year (22.7 per 10,000 women). This chapter will address the nonsurgical management of a prolapsed uterus.2,4-7 SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/24 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=1159807144 ER -