子宮脱
WordNet
- slip or fall out of place, as of body parts; "prolapsed rectum"
- the slipping or falling out of place of an organ (as the uterus) (同)prolapsus, descensus
- of or involving the uterus; "uterine cancer"
PrepTutorEJDIC
- (腸・子宮などの)脱出,下垂
- 子宮の / 同母異父の
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2015/05/15 20:54:10」(JST)
[Wiki en表示]
Female genital prolapse |
Uterine prolapse in a 71 year old woman, with the cervix visible in the vaginal orifice.
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Classification and external resources |
ICD-10 |
N81.4 |
ICD-9 |
618.1 |
DiseasesDB |
13651 |
MedlinePlus |
001508 |
MeSH |
D014596 |
Uterine prolapse is a form of female genital prolapse. It is also called pelvic organ prolapse or prolapse of the uterus (womb).
Risk factors for uterine prolapse include pregnancy, childbirth, chronic increases in intra-abdominal pressure such as lifting, coughing or straining, connective tissue conditions,[1][2] and damage to or weakness of the muscles.[3]
Treatment may be conservative or surgical and should be based upon patient symptoms and preference.
Contents
- 1 Pathophysiology and causes
- 2 Treatment
- 3 Further reading
- 4 References
- 5 External links
Pathophysiology and causes
The uterus (womb) is normally held in place by a hammock of muscles and ligaments. Prolapse happens when the ligaments supporting the uterus become so weak that the uterus cannot stay in place and slips down from its normal position. These ligaments are the round ligament, uterosacral ligaments, broad ligament and the ovarian ligament. The uterosacral ligaments are by far the most important ligaments in preventing uterine prolapse.
The most common cause of uterine prolapse is trauma during childbirth, in particular multiple or difficult births. About 50% of women who have had children develop some form of pelvic organ prolapse in their lifetime.[citation needed] It is more common as women get older, particularly in those who have gone through menopause. This condition is surgically correctable.
Treatment
Treatment is conservative, mechanical or surgical. Conservative options include behavioral modification and muscle strengthening exercises such as Kegel exercise.[4] Pessaries are a mechanical treatment as they elevate and support the uterus.[5][6] Surgical options are many[7] and may include a hysterectomy or a uterus-sparing technique such as laparoscopic hysteropexy,[8] sacrohysteropexy[9][10] or the Manchester operation.[11]
In the case of hysterectomy, the procedure can be accompanied by sacrocolpopexy.[12] This is a mesh-augmented procedure in which the apex of the vagina is attached to the sacrum by a piece of medical mesh material.[13]
Further reading
- Abha, Sharma; Ping, Zhang Jing (March 2014). "Risk factors and symptoms of uterine prolapse: reality of Nepali women". Asian Women (Research Institute of Asian Women (RIAW)) 30 (1): 81–95. doi:10.14431/aw.2014.03.30.1.81.
References
- ^ Carley, Michael (May 2000). "Urinary incontinence and pelvic organ prolapse in women with Marfan or Ehlers-Danlos syndrome". American Journal of Obstetrics & Gynecology. doi:10.1067/mob.2000.105410.
- ^ Mastoroudes, H (December 2012). "Prolapse and sexual function in women with benign joint hypermobility syndrome". British Journal of Obstetrics & Gynecology. doi:10.1111/1471-0528.12082.
- ^ DeLancey, John (February 2007). "Comparison of Levator Ani Muscle Defects and Function in Women With and Without Pelvic Organ Prolapse". Obstetrics & Gynecology. doi:10.1097/01.AOG.0000250901.57095.ba.
- ^ Hagen, Suzanne (7 December 2011). "Conservative prevention and management of pelvic organ prolapse in women". The Cochrane Library. doi:10.1002/14651858.CD003882.pub4.
- ^ Bugge, Carol (28 February 2013). "Pessaries (mechanical devices) for pelvic organ prolapse in women". Cochrane Library. doi:10.1002/14651858.CD004010.pub3.
- ^ Cundiff, Geoffrey (April 2007). "The PESSRI study: symptom relief outcomes of a randomized crossover trial of the ring and Gellhorn pessaries". American Journal of Obstetrics & Gynecology. doi:10.1016/j.ajog.2007.02.018.
- ^ Maher, Christopher (30 April 2013). "Surgical management of pelvic organ prolapse in women". The Cochrane Library. doi:10.1002/14651858.CD004014.pub5.
- ^ Rahmanou, Philip (January 2013). "Laparoscopic hysteropexy: 1- to 4-year follow-up of women postoperatively". International Urogynecology Journal. doi:10.1007/s00192-013-2209-5.
- ^ Price N, Slack A, Jackson S. Laparoscopic hysteropexy: the initial results of a uterine suspension procedure for uterovaginal prolapse. BJOG 2010;117:62–68. doi:10.1111/j.1471-0528.2009.02396. www.bjog.org
- ^ Rosati, Maurizio (August 2014). "A review on the role of laparoscopic sacrocervicopexy". Current Opinions in Obstetrics & Gynecology. doi:10.1097/GCO.0000000000000079.
- ^ Surgical correction of uterine prolapse: cervical amputation with uterosacral ligament plication versus vaginal hysterectomy with high uterosacral ligament plication By de Boer T, Milani F, Kluivers K, Withagen M, Vierhout M. Part of ICS 2009 Scientific Programme, Thursday 1 October 2009
- ^ Nygaard, Ingrid (May 2013). "Long-term Outcomes Following Abdominal Sacrocolpopexy for Pelvic Organ Prolapse". JAMA. doi:10.1001/jama.2013.4919.
- ^ NICE interventional procedure guidance IPG284: Sacrocolpopexy with hysterectomy using mesh for uterine prolapse repair by the National Institute for Health and Care Excellence, Issued: January 2009
External links
- Information about the UP epidemic in Nepal
- Illustrated description of Manchester Operation at atlasofpelvicsurgery.com
- The Pelvic Clinic
Female diseases of the pelvis and genitals (N70–N99, 614–629)
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Internal |
Adnexa |
Ovary |
- Endometriosis of ovary
- Female infertility
- Anovulation
- Poor ovarian reserve
- Mittelschmerz
- Oophoritis
- Ovarian apoplexy
- Ovarian cyst
- Corpus luteum cyst
- Follicular cyst of ovary
- Theca lutein cyst
- Ovarian hyperstimulation syndrome
- Ovarian torsion
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Fallopian tube |
- Female infertility
- Fallopian tube obstruction
- Hematosalpinx
- Hydrosalpinx
- Salpingitis
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Uterus |
Endometrium |
- Asherman's syndrome
- Dysfunctional uterine bleeding
- Endometrial hyperplasia
- Endometrial polyp
- Endometriosis
- Endometritis
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menstruation |
- flow
- Amenorrhoea
- Hypomenorrhea
- Oligomenorrhea
- pain
- timing
- Menometrorrhagia
- Menorrhagia
- Metrorrhagia
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Myometrium |
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Parametrium |
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Cervix |
- Cervical dysplasia
- Cervical incompetence
- Cervical polyp
- Cervicitis
- Female infertility
- Nabothian cyst
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General |
- Hematometra / Pyometra
- Retroverted uterus
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Vagina |
- Hematocolpos / Hydrocolpos
- Leukorrhea / Vaginal discharge
- Vaginitis
- Atrophic vaginitis
- Bacterial vaginosis
- Candidal vulvovaginitis
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Sexual dysfunction |
- Dyspareunia
- Hypoactive sexual desire disorder
- Sexual arousal disorder
- Vaginismus
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- Fistulae
- Rectovaginal
- Vesicovaginal
- Prolapse
- Cystocele
- Enterocele
- Rectocele
- Sigmoidocele
- Urethrocele
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Other / general |
- Pelvic congestion syndrome
- Pelvic inflammatory disease
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External |
Vulva |
- Bartholin's cyst
- Kraurosis vulvae
- Vestibular papillomatosis
- Vulvitis
- Vulvodynia
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Clitoral hood or Clitoris |
- Clitoral phimosis
- Clitorism
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Index of reproductive medicine
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Description |
- Anatomy
- Physiology
- Development
- sex determination and differentiation
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Disease |
- Infections
- Congenital
- Neoplasms and cancer
- male
- female
- gonadal
- germ cell
- Other
- Symptoms and signs
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Treatment |
- Procedures
- Drugs
- benign prostatic hypertrophy
- erectile dysfunction and premature ejaculation
- sexual dysfunction
- infection
- hormones
- androgens
- estrogens
- progestogens
- GnRH
- prolactin
- Assisted reproduction
- Birth control
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UpToDate Contents
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English Journal
- [Neonatal uterine prolapse].
- Oumarou H1, Adamou H2, Amadou M3, Amadou Magagi I2, Omid AA4, Moustapha H4, Habibou A4.
- Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie.Arch Pediatr.2016 Mar;23(3):307-8. doi: 10.1016/j.arcped.2015.11.024. Epub 2016 Jan 6.
- PMID 26776966
- Uterus-preserving laparoscopic lateral suspension with mesh for pelvic organ prolapse: a patient-centred outcome report and video of a continuous series of 245 patients.
- Veit-Rubin N1, Dubuisson JB2, Lange S3, Eperon I3, Dubuisson J3.
- International urogynecology journal.Int Urogynecol J.2016 Mar;27(3):491-3. doi: 10.1007/s00192-015-2859-6. Epub 2015 Oct 17.
- INTRODUCTION AND HYPOTHESIS: Changes in the psychological value of reproductive organs have led to a growing interest in uterine-preserving surgery for pelvic organ prolapse (POP). Sacral hysteropexy is considered as gold standard, although dissection of the promontory may be challenging. We show a
- PMID 26476819
- Differences in clinical characteristics for the determination of adenomyosis coexisting with leiomyomas.
- Ates S1, Ozcan P1, Aydin S1, Karaca N1.
- The journal of obstetrics and gynaecology research.J Obstet Gynaecol Res.2016 Mar;42(3):307-12. doi: 10.1111/jog.12905. Epub 2015 Dec 10.
- AIM: The objective of the analysis was to determine the characteristics that distinguish women with adenomyosis and leiomyomas from those with leiomyoma only from a sample who underwent hysterectomy for benign uterine diseases.METHODS: This retrospective study was based on the analysis of medical re
- PMID 26663489
Japanese Journal
- ISP-36-4 Modified Gilliam-Doleris Uterine Suspension for Pelvic Organ Prolapse in a Young Nullipara(Group 36 Women's Health 1,International Session Poster)
- 頸部筋腫を伴う閉経前骨盤臓器脱に対する腹腔鏡下仙骨腟固定術の1例
Related Pictures
★リンクテーブル★
[★]
- 関
- aberration、departure、deviate、deviation、diverge、escape、hernia
[★]
- 関
- herniated
- prolapsed true hemorrhoids. internal hemorrhoids
[★]
- 関
- uteri、uterus、womb
[★]
- 関
- uterine、uterus、womb