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Thursday, September 20, 2007

 

Utero Vaginal Prolapse – Vaginal Hysterectomy with repair

‘Mrs. A. R is an active 76 year-old grandmother who lived on her own for several years. She had an uncomfortable vaginal lump for several years. Occasionally, this required reduction by her late family physician. The patient did not visit a physician after the death of her family doctor ten years earlier. She felt that prolapse is a woman’s lot and nothing could be done about it.

This patient was brought to the emergency room with a history of vaginal bleeding. Examination showed that the uterus was totally outside the vulva (prosidentia), atrophic and ulcerated vaginal mucosa and inflamed cervix. The bladder and rectum were also prolapsed with the uterus and the patient was unable to empty her bladder. X-rays of the kidneys, ureters and bladder with contrast (IVP) suggested chronic inflammation of the bladder.’

.. ‘the uterus was totally outside the vulva’ .. Do I need to stick a warning here? Don’t blame me if you don’t like what you see after you click. 🙂




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