Female genital prolapse (synonyms: Old pelvic injury; Old pelvic floor laceration; Old perineal laceration; Old perineal laceration; Old pelvic floor muscle tear; Old partial perineal tear; Old postpartum prolapse of the cervix uteri; Old postpartum cervical prolapse; Old pelvic floor muscle injury; Pelvic floor relaxation; Pelvic floor weakness; Female bladder prolapse; Female bladder prolapse; Descensus genitalis; Descensus uteri; Descensus uteri 1st. Grade; Descensus uteri 2nd degree; Descensus uteri 3. Grade; Descensus uteri et vaginae; Descensus vaginae; Descensus vaginae anterior; Descensus vaginae et vesicae; Douglashernia; Douglasocele; Sagging of the female pelvic floor; Acquired vaginal enterocele n.d. ; uterine prolapse; uterine prolapse; genital prolapse in woman; urinary bladder hernia in woman; urinary bladder prolapse in woman; hernia rectovaginalis; hernia vaginalis anterior; hernia vesicalis in woman; hernia of posterior vaginal wall; hernia of posterior vaginal wall; colpocele; congenital vaginal enterocele n.d. ; partial descensus uteri et vaginae; partial uterovaginal prolapse; partial uterovaginal prolapse; perineal prolapse in woman; perineal relaxation; perineal insufficiency; portioprolapse; postpartum uterine prolapse; procidentia uteri; proctocele in woman; prolapse of the cervix uteri; prolapse of the posterior vaginal wall; Prolapse of posterior vaginal wall; Prolapse of posterior vaginal wall with uterine prolapse; Prolapse of anterior vaginal wall; Prolapse of anterior vaginal wall; Prolapse of female reproductive organs; Prolapse of stump of cervix uteri; Prolapse of female pelvic floor; Prolapsus genitalis; Prolapsus partialis uteri et vaginae; Prolapsus vaginae et uteri; Prolapsus vaginalis; Prolapse of uterus and vagina; Prolapse of uterus and vagina; Rectocele; Rectocele in woman; Rectocystocele in woman; Vaginal enterocele; Vaginal prolapse; Vaginal prolapse; Vaginal wall prolapse; Subtotal prolapse of uterus and vagina; total descensus uteri et vaginae; total uterovaginal prolapse; total prolapse of uterus and vagina; urethrocele in woman; urethrocele with cystocele in woman; uterovaginal prolapse; uterine ecstrophy after childbirth; uterine eversion; uterine eversion; uterine hernia; uterine partial prolapse; uterine prolapse; uterine prolapse 1st degree; uterine prolapse 1st degree. Grade; Uterine prolapse 2nd degree; Uterine prolapse 3rd degree. Grade; Uterine prolapse; Uterine total prolapse; Uterine prolapse; Vaginal enterocele; Vaginal prolapse; Vaginal prolapse with partial uterine prolapse; Vaginal prolapse; Vaginal total prolapse; Vaginal prolapse; Complete uterovaginal prolapse; Complete uterovaginal prolapse; Prolapse of female reproductive organs; Female urinary bladder prolapse; Female anorectal prolapse; Female descensus vesicae; Female urinary bladder prolapse; Female urethrocele; Female cystocele; Cervical prolapse; Cervical stump prolapse; Cystoenterocele; Female cystorectocele; Cystourethrocele; Female cystourethrocele; Cystocele; 1st. Grade in female; Grade 2 cystocele in female; Grade 3 cystocele in female; Cystocele in female; ICD-10-GM N81.-: Genital prolapse in women) refers to the partial or complete prolapse of the vagina (descensus vaginae/vaginal prolapse) and/or uterus (descensus uteri) from the pubic cleft (rima pudendi). Female genital prolapse represents the maximum form of descensus. Descensus below the vaginal entrance (introitus vaginae) is considered prolapse. Due to close neighboring relationships between the pelvic organs, the urinary bladder as well as the rectum are often also affected. The following forms of genital prolapse (according to ICD-10) can be distinguished:
- Urethrocele in women (ICD-10-GM N81.0) – prolapse of the urethra from the urethral opening.
- Cystocele (ICD-10-GM N81.1) – depression of the floor of the bladder; descent of the bladder into the anterior vaginal wall, possibly out of the vagina
- Partial prolapse of the uterus and vagina (ICD-10-GM N81.2) – partial prolapse of the uterus and vagina.
- Total prolapse of the uterus and vagina (ICD-10-GM N81.3) – complete prolapse of the uterus and vagina
- Uterovaginal prolapse, unspecified (ICD-10-GM N81.4) – prolapse of uterus and vagina.
- Vaginal enterocele (ICD-10-GM N81.5) – herniation (protrusion (prolapse) of a portion of the intestine from the abdomen into the lesser pelvis) that prolapses into the vagina
- Rectocele (ICD-10-GM N81.6) – descent of the anterior wall of the rectum.
- Other genital prolapse in women (ICD-10-GM N81.8).
- Female genital prolapse, unspecified (ICD-10-GM N81.9).
Course and prognosis: Both the course and prognosis depend on which organ has prolapsed and to what extent, and what causes this prolapse (etiology/cause). Comorbidities (concomitant diseases): genital prolapse in women is increasingly associated with stress or stress incontinence.
