TY - CHAP M1 - Book, Section TI - Chapter 141. Prolapsed Uterus Reduction A1 - Reichman, Eric F. PY - 2013 T2 - Emergency Medicine Procedures, 2e AB - There is a progressive relaxation of pelvic support for the uterus and vagina with advancing age. This relaxation may in turn lead to symptomatically important uterine prolapse in susceptible women. The quality of life issues associated with uterine prolapse have become increasingly more relevant with women living a third of their lives in the susceptible period after menopause. Population-based studies note that up to 10% of women report symptoms of pelvic organ prolapse. The Women's Health Initiative study found evidence of uterine prolapse on physical examination in 14% of study participants. Manual reduction of the prolapsed uterus and placement of a pessary represents 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.1–4 SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/03/29 UR - accessemergencymedicine.mhmedical.com/content.aspx?aid=57715544 ER -