Symptoms
Various symptoms are described for uterus prolapse. There is a feeling of pressure or foreign body in the vagina. Patients report the feeling as if something is falling out of the vagina.
This is caused by the uterus pressing itself into the vagina, thus creating the feeling. Some patients also report pain in the lower back.The fact that the uterus is attached to the holding apparatus in the pelvis and the lowering of the uterus now pulls the uterus downwards at these ligaments results in a sensation of pain. This is mainly registered in the lower back because the ligaments in the pelvis are fixed at the back.
Furthermore, it can lead to bladder problems, especially bladder weakness. These include stress incontinence, pollakiuria and possibly recurrent urinary tract infections. Stress incontinence means that the urine can no longer be held properly when pressure is increased, such as when coughing, laughing or sneezing, or in more severe cases when climbing stairs or standing up, and urine is involuntarily released.
Pollakisuria is the frequent emptying of the bladder, whereby only small amounts are released at any one time. Urinary tract infections are caused by the fact that the anatomically incorrect structure of the urinary tract and vagina makes it easier for germs to enter the body. Micturition problems can also occur.
These are caused by the fact that the lowering of the uterus has progressed so far that it presses down the urethra. This means that it is more difficult to empty the bladder, which can lead to urinary retention. If a rectocele, i.e. the prolapse of intestine into the vagina, also occurs as part of the prolapse of the uterus, the symptoms may include discomfort during bowel movements.
For example, a difficult bowel movement or constipation may be the result. Pain occurs mainly in the back and pelvic area. They are caused by pulling on the holding structures or by a change in posture. Therefore, they are typically described as pulling.
