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Chapter 6 - Vaginal Prolapse and Previous Prolapse Surgery

Published online by Cambridge University Press:  14 July 2023

By
Swati Jha
Edited by
Swati Jha  and
Priya Madhuvrata
Swati Jha
Affiliation:
Sheffield Teaching Hospital NHS Foundation Trust
Priya Madhuvrata
Affiliation:
Sheffield Teaching Hospital NHS Foundation Trust
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Summary

Pelvic organ prolapse is a common gynaecological problem and often requires surgical management. It is therefore inevitable that vaginal prolapse will also be encountered in pregnancy. Antepartum prolapse is managed conservatively with pessaries and physiotherapy, though occasionally more active surgical intervention will be required. Intrapartum complications in women going into labour with a prolapse are uncommon, however may occur and the commonest problems encountered are cervical dystocia and cervical lacerations. Mode of delivery remains controversial. Women usually have a recurrence of prolapse post-natally and treatment needs to be tailored to patient preferences.

Keywords

pregnancypelvic organ prolapseprolapsevaginal prolapsecervical prolapseuterine prolapse

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Gynaecology for the Obstetrician , pp. 50 - 60
Publisher: Cambridge University Press
Print publication year: 2023

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