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Query: UMLS:C0033377 (prolapse)
 11,717 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Occult prolapse, a syndrome of pelvic pain, sacral ache, dyspareunia, irritable bladder, but not severe dysmenorrhoea, has been studied in 180 young parous women. Organic disease was not present, but the uterus was very mobile and descended easily down the vagina. The pain was worse in the upright posture and was relieved by lying down, supporting, elevating or removing the uterus in 87% of cases.
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PMID:Psychogenic pelvic pain or occult prolapse syndrome? 395 67

Hysterectomies, as well as conservative surgery of the uterus (where indication might have been in favour of hysterectomy), were analysed according to case records during two periods, from 1960 to 1963 and from 1978 to 1980, at the Department of Obstetrics and Gynaecology at Hannover University. In the second period the average number of hysterectomies pro year doubled, whereas the conservative uterine surgery showed a definite decline. Descensus was diagnosed in 48.5% of the hysterectomies performed during the second period compared to 13.6% during first period. Prolapse frequency was about the same in both groups. In the second period, 97.7% of the descensus operations were combined with hysterectomy, whereas this applied in the first period to only 24.3%. The results show a definite tendency towards extending the indication for hysterectomy. In the second period, sterilisation and carcinoma prophylaxis were additionally considered as indications for surgery.
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PMID:[Changes in the orientation in indications for hysterectomy--presented with the example of prolapse]. 400 62

6 tubal sterilizations by the vaginal route were performed between October 1968 and April 1969 using the Rosenzweig technique. The principal steps of this technique are 1) anterior colpotomy, 2) dissection of the utero-vesical membrane, 3) opening of the vesico-uterine cul-de-sac, 4) moving the uterus aside, 5) sectioning of the tube at the isthmo-ampullary junction, and 6) fixing the free extremities to the anterior surfact of the isthmus. Advantages of the method are its safety, effectiveness, and the possibility of simultaneously correcting a genital prolapse.
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PMID:[A technic of tubal sterilization by vaginal route: vesico-uterine interposition of the Fallopian tubes]. 539 52

In vivo and in vitro studies were conducted to determine the contribution of the bovine uterus to concentrations of 15-keto-13,14-dihydro-prostaglandin F2 alpha (PGFM) in peripheral plasma of postpartum cows. In Experiment 1, cows were assigned to three groups: untreated control (n = 4), hysterectomy following a manually induced prolapse of the uterus (n = 5) and sham operation (n = 3: prolapse of the uterus and replacement). Surgery was performed within 8 h of parturition, and blood samples collected frequently on the day of surgery and once (0800 h) or twice (0800 and 1700 h) daily from Day 1 to Day 15 postpartum. Following hysterectomy, PGFM concentrations decreased precipitously, became essentially undetectable by 5 h, and remained so for the rest of the experimental period. In contrast (P less than 0.01), PGFM concentrations, which remained elevated during the day of surgery in the sham-operated group, peaked on Day 2 (sham-operated group: 1339 pg/ml) or Day 3 (untreated control: 2143 pg/ml), and declined to a basal concentration between Days 10 to 15. In Experiment 2, in vitro metabolism of tritiated arachidonic acid ([3H] AA: 10 microCi) and production of PGF2 alpha and PGFM were studied in explants of early postpartum intrauterine tissues (myometrium, caruncle and intercaruncular endometrium). Extracts of [3H] AA metabolites released into the incubation medium were separated on Sephadex LH-20 column chromatography. Metabolites of [3H] AA, having the same chromatographic mobility as PGF2 alpha, PGFM and PGE2, were detected.(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:Source of F series prostaglandins during the early postpartum period in cattle. 644 Jun 2

Inversion and prolapse of the uterus in cats is a rare complication of parturition. It is usually observed within a few hours after a previously normal birth, though it may also be observed during parturition. Possible complications are discussed. Possible forms of treatment are also reviewed. In simple uncomplicated cases, the manual reposition is to be preferred. In other cases, amputation may also be contemplated, although there are drawbacks to this method. In many cases, particularly when complications have occurred, combined laparotomy and ovariohysterectomy is preferable.
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PMID:[Uterine inversion and prolapse in a cat]. 649 95

Consumers and physicians are considering mechanical contraceptives as alternatives now, for in recent years there has been an increasing number of reports of adverse reactions and risks associated with IUD and oral contraceptive (OC) use. Yet, the contraceptive devices designed to mechanically cover the cervix have been the least studied and evaluated method of birth control. The currently available vaginal mechanical contraceptive devices are described and their efficacy and advantages and disadvantages are compared. Vaginal sponges are made from various types of synthetic and natural polymers. There is a wide variation in the reported rates of efficacy of vaginal sponges, and it is difficult to obtain accurate figures on rates of efficacy. The International Fertility Research Program (IFRP) has reported a failure rate with the sponge of approximately 7 or 8 pregnancies/100 woman years, or a 6 month pregnancy rate (according to life table analysis) of 3.8 +or- 1.3/100 women. The sponge does not interrupt sexual spontaneity. The spermicide is immediately available after each coital act, and 1 sponge lasts for many coital acts. The sponge is easy to use, and no medical supervision is required for fitting, as the sponges come in only 1 size. Women have cited discomfort to themselves or their partners as the main reason for discontinuing the use of vaginal sponges. The cervical cap is a thimble shaped rubber or plastic device that is placed over the cervix to provide a barrier against sperm. The cap is often used in combination with a spermicidal agent, and it must be left in place at least 12 hours after intercourse to prevent remaining viable spermatozoa from entering the uterus. Failure rates for cervical caps compare favorably with those for diaphragms (3-16%, and 1.9-19.6% respectively). Cervical caps can be left in place longer than other barrier methods, and there is no absolute need to use chemical spermicides. Disadvantages of the cervical cap are the limited number of sizes available and the fact that 40-60% of women cannot be fitted, including those with a long cervix, a flat cervix and vault, or vaginal prolapse. The diaphragm is a shallow rubber cup strengthened by a rim containing a spring. The use of a spermicidal agent increases the efficacy of a diaphragm. The device should be inserted a maximum of 6 hours before intercourse, and a new application of spermicide is required for each repeated coital act. The diaphragm should not be removed until 6-8 hours after the last coitus. Failure rates are in the range of 1.9-2.0 pregnancies/100 woman years. The diaphragm is safe, effective, temporary, natural, easy to use, and inexpensive. Disadvantages are that the diaphragm interferes with sexual spontaneity, is messy and inconvenient, and some women cannot be fitted because of anatomic abnormalities.
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PMID:Vaginal mechanical contraceptive devices. 661 79

This paper presents data on perinatal and maternal deaths occurring in the Black Lion Hospital, Addis Ababa, in 1980. The data were collected by a research midwife. A total of 3936 infants were delivered to 3868 women during this period. The stillbirth rate was 52.6/1000; the perinatal mortality rate was 8.6/1000; and the maternal mortality rate was 7.8/1000. Of the 207 stillbirths 92 (44.5%) were unexplained, 66 (31.9%) were due to mechanical causes (e.g., ruptured uterus, cord prolapse, obstructed labor), 34 (26.4%) resulted from pregnancy complications (e.g., hemorrhage,hypertensive disease, congenital abnormalities), and 15 (7.3%) were due to intrapartum death. There was no obvious pathology in 38 of the 84 neonatal deaths. The remaining cases were due to conditions such as intrapartum asphyxia, antepartum hemorrhage, septicemia, and congenital abnormalities. 10 of these death involved preventable factors. Of the 30 maternal deaths, 13 were due to sepsis, 9 to hemorrhage, 4 to surgical conditions, 3 to medical conditions, and 1 to eclampsia. Inadequate monitoring of shocked patients and the nonavailability of blood tranfusions contributed to some of these deaths. Although socioeconomic and cultural factors play a role in perinatal and maternal mortality, coordinated maternity services could produce short-term improvements. Such maternity services should embrace both primary care, with an emphasis on the training of traditional birth attendants and health assistants, and high-risk hospital care. Good prenatal care and monitoring can identify women at high risk and ensure that they receive adequate medical supervision.
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PMID:Maternal and perinatal deaths in an Addis Ababa Hospital, 1980. 674 50

Prophylactic gynecologic examinations were carried out in 218 women-workers of a cement plant. The most frequent diseases were: retroflexion of the uterus (55.5%), inflammation of the ovary (50.45%), erosion of the vaginal part of the uterus (41.8%), prolapse of the vaginal walls (39.45%), incontinence (35.32%) and Trichomonas vaginalis (18.7%). The extensive prevalence of the diseases imposes a need to carry on preventive examinations of women employed in cement industry. The authors indicate that certain diseases are obviously due to deficient hygiene.
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PMID:[Preventive gynecological examinations of women employed in the cement industry]. 686 41

A case of spontaneous perforation of a tension ulceration in procidentia in an 82 year old woman is reported. A similar case has not been reported in the literature. The extra-ordinary rarity of this observation justifies the publication of this case. The main etiologic factor is considered to be a local perfusion problem of the tissue due to arterial sclerosis of the terminal vessels of the area. The small bowel was replaced. The uterus was replaced. A vaginal packing with clauden and later local treatment of the vaginal ulcers resulted in spontaneous closure of the fistula, histology of the margin of the fistula showed inflammation only and no malignant change. Treatment was completed by a subtotal vaginal colpocleisis according to Labhardt.
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PMID:[A case of spontaneous perforation of a tension ulceration of the posterior vaginal vault in procidentia with subsequent small bowel prolapse (author's transl)]. 691 Apr 60

A case of chronic inversion of the uterus, with involvement of bladder and ureters, due to the prolapse through the cervix and vagina of a submucous fibroid, is presented. A safe scheme of operative treatment is outlined.
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PMID:A large submucous fibroid polyp causing inversion of the uterus. 694 May 74


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