RT Book, Section
A1 Reichman, Eric F.
SR Print(0)
ID 57715544
T1 Chapter 141. Prolapsed Uterus Reduction
T2 Emergency Medicine Procedures, 2e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-161352-1
LK accessemergencymedicine.mhmedical.com/content.aspx?aid=57715544
RD 2024/04/19
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