The
vagina lies evenly on the levator ani muscles. The levator ani muscles to some
degree include the pelvic floor muscles, which structure a sling or lounger
over the pelvis. In ladies, this sling holds the uterus, bladder, inside, and
other pelvic organs set up so that everything capacities as it should. Damage
or shortcoming in the pelvic floor muscles can "drop" pelvic organs
into the vagina.
It ought to be noticed that the reason for pelvic organ prolapse
is generally because of numerous elements, with damage to the pelvic floor
being the most striking. In one MRI study, it was shown that ladies who had a
pelvic organ prolapse inside one centimeter of the degree of the hymen were 7.3
occasions bound to have harmed the levator ani muscles when contrasted with
ladies without a prolapse.
Anatomy
The vagina lies on a level
plane on the levator ani muscles. The levator ani muscles to some degree
involve the pelvic floor muscles, which structure a sling or lounger over the
pelvis. In ladies, this sling holds the uterus, bladder, entrail, and other
pelvic organs set up so that everything capacities as it should. Damage or
shortcoming in the pelvic floor muscles can "drop" pelvic organs into
the vagina.
It ought to be noticed that the reason for pelvic
organ prolapse is more often than not because of numerous variables, with
damage to the pelvic floor being the most remarkable. In one MRI study, it was
shown that ladies who had a pelvic organ prolapse inside one centimeter of the
degree of the hymen were 7.3 occasions bound to have harmed the levator ani
muscles when contrasted with ladies without a prolapse.There are different
types of vaginal hernias:
- Prolapse located in the anterior vaginal
wall (front wall of the vagina) is a cystocele, or herniation
of the bladder into the vagina. This distinction makes sense because the
bladder lies in front of the vagina.
- A cystocele can be accompanied by a urethrocele,
which is a sagging of the urethra, a duct through which urine is expelled
from the bladder.
- Herniation in the posterior vaginal wall
(back wall of the vagina) is usually a rectocele, or herniation
of the rectum into the vagina. This distinction makes sense, too, because
the rectum is located behind the vagina.
- Loss of pelvic support at the apex, or
top, of the vagina (close to the cervix) may result in an enterocele,
or hernia of the small bowel into the vagina. Technically, enteroceles are
the only “true” hernia among the different iterations of pelvic organ
prolapse.
- Loss of support in the major ligaments
of the uterus (i.e., cardinal or uterosacral ligaments) can lead to
uterine prolapse, or hernia of the uterus into the vagina. The major
ligaments of the uterus hold the uterus in place.
Treatement:
Treatment of pelvic organ prolapse depends on
several factors, including age, desire for pregnancy, menstruation, and sex.
For milder cases of this
condition, lifestyle modification can help with symptoms, including weight
reduction, pelvic muscle training (I.e., Kegel exercises), high-fiber
diet, and limited straining or lifting activities.
Pessaries are devices placed
within the vagina to re-establish normal pelvic anatomy. They help alleviate
the symptoms attributable to pelvic organ prolapse. About 67 percent of women
will initially choose the pessary as a treatment option, with 77 percent
continuing to use this device after one year.
Pessaries work for women with
different degrees of pelvic organ prolapse—from those with mild illness to more
serious presentations. These devices can slow the progression of this condition
and delay or eliminate the need for surgery.
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