Pelvic organ prolapse is a common pelvic floor disorder in postmenopausal women.
The literature is quite poor concerning the management of prolapse during pregnancy in young women. We report the case of a 39-year-old multiparous woman referred for the treatment of an exteriorized uterine prolapse at 13 weeks of gestation. The management of cervical prolapse depends on its stage, its evolution and on gestational age. It combines local antiseptics, rest and manual reintegration or reduction of the prolapsus using a pessary to prevent ulceration of the cervix. In case of stage IV (POP-Q) uterine prolapse, vaginal delivery may be compromised. No recommendation is actually available about route of delivery in case of exteriorized uterine prolapse. It should be clearly discussed regarding the potential risk of cesarean section for dystocia. Surgical repair of the prolapse will be discussed after childbirth according to functional impairment and women's desire for pregnancy.
Written by:
Pizzoferrato AC, Bui C, Fauconnier A, Bader G. Are you the author?
Service de gynécologie obstétrique et médecine de la reproduction, centre hospitalier intercommunal de Poissy/Saint-Germain-en-Laye, 10, rue du Champ-Gaillard, 78303 Poissy, France.
Reference: Gynecol Obstet Fertil. 2013 Jul 15. pii: S1297-9589(13)00168-9.
doi: 10.1016/j.gyobfe.2013.06.002
PubMed Abstract
PMID: 23867760
Article in French.
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