Which department should I go to for uterine prolapse?

Uterine prolapse is a common disease among women. It has a great impact on women and may also affect their fertility. If a woman has uterine prolapse before giving birth, she must not delay treatment and must actively seek treatment so as not to affect her pregnancy. Many people do not know what department uterine prolapse belongs to. So, which department should you go to for uterine prolapse?

Uterine prolapse should be differentiated from the following diseases.

1. Vaginal wall tumor or cystocele. For patients with vaginal tumor, bimanual examination shows that the tumor (cystic or solid) is inside the vaginal wall, with clear boundaries and is movable or fixed. The cervix cannot be seen during visual examination of cystocele. The cervix can be seen by lifting the forearm of the vagina upwards by pulling the vaginal canal. The cervix and uterine body can be felt during digital examination.

2. Cervical elongation refers to simple cervical elongation without uterine prolapse, sometimes accompanied by mild prolapse of the anterior and posterior vaginal walls. Simple cervical elongation can be differentiated from uterine prolapse by palpation. Bimanual examination shows that the vaginal part of the cervix is ​​extended and the uterine body is in the pelvic cavity and does not move downward when the breath is held. Many patients with uterine prolapse also have

3. Submucosal uterine fibroids. The patient has a history of menorrhagia. When a smaller fibroid is exposed with a speculum, a red, hard and tough protruding mass can be seen at the outer os of the cervix. For larger submucosal myomas that prolapse to the external os of the cervix, visual examination shows no cervix on the mass, but bimanual examination shows the presence of cervix around the mass.

4. Uterine inversion is a chronic uterine inversion, which is extremely rare. The uterus is seen in the vagina, covered with dark red flannel-like endometrium, which is easy to bleed. There is no cervix on it, and the fallopian tube openings are visible on both sides. Bimanual or triple examination shows no uterine body in the pelvic cavity. If necessary, abdominal B-ultrasound examination can be performed.

5. Vaginal vault bulge. Most patients have a history of multiple births or pelvic surgery such as hysterectomy. Posterior vault hernia is often accompanied by uterine prolapse. The patient complained of prolapse of a soft mass in the vulva, often accompanied by constipation. Visual examination revealed a marked bulging of the vaginal wall, with no visible cervix. If the hernia sac is large, the intestinal peristalsis inside can be seen. Bimanual examination shows that the vault hernia can be returned to the pelvic cavity (there is no such feeling when the anterior and posterior walls of the vagina are bulging), and bimanual examination shows that there is no uterus in the pelvic cavity. The patient is in an upright position and the small intestine in the hernia sac can be palpated using the thumb (located in the vagina) and index finger (located in the rectum) for examination (Figure 3). Uterine prolapse and vaginal vault bulge are generally easy to distinguish.

Through the introduction above, I believe you already know which department to go to for uterine prolapse! If you go to the hospital but don't know what department uterine prolapse belongs to, you may make a fool of yourself. We should learn more so that we won't be so ignorant. Patients with uterine prolapse should receive timely treatment and should not hesitate to avoid delaying treatment.