Commonly used examination methods for uterine prolapse

Uterine prolapse refers to the uterus falling or falling out of the vagina from its normal position. When the cervical outlet is lower than the level of the ischial spine, or even all of the uterus is out of the vaginal outlet, it is called uterine prolapse. So, what are the commonly used inspection methods for uterine prolapse?

1. Urine overflow For most patients with uterine prolapse, when they laugh, cough violently, or exert their physical strength, the abdominal pressure suddenly increases, leading to urinary incontinence and urine overflow.

2. Menstrual changes and excessive leucorrhea Due to pelvic organ prolapse, blood circulation disorders and local congestion affect normal menstruation and can cause excessive menstruation. Due to blood circulation disorders, ulcers and infections secreted from the organs, leucorrhea increases, accompanied by blood secretions.

3. Swelling from the vagina Spherical objects in the vagina are more obvious when walking and doing physical labor. They will return to their original position after bed rest. Severe prolapse will fall out all day and cannot return to their original position. Due to walking activities, friction with clothes and pants will cause ulcers, infections, increased secretions, and even long-term friction bleeding, and local tissue thickening and keratinization.

4. Lumbar pain, especially in the sacrum, is more obvious after work and can be relieved by bed rest. The patient feels a sense of falling in the lower abdomen, vagina, and perineum, which is also aggravated after fatigue.

5. Urethral prolapse. The damage of childbirth can weaken the vaginal wall and cause the paravaginal fascia under the urethra to protrude into the vagina, and the urethra bulges toward the vaginal opening. This is called urethral prolapse. Some patients do not feel anything abnormal, some feel something in the vagina, and some feel vaginal pain or even difficulty in sexual intercourse.