Uterus prolapse and back pain
A common accompanying symptom of uterine prolapse is back pain. These are mainly located in the area of the sacrum and coccyx. Classically, the pain is described as pulling.
The pain is caused by the fact that the sunken uterus is still connected to the holding apparatus in the pelvis and exerts a pull on it. In more advanced uterine prolapse, the posture and gait pattern of the affected person can also change. These changes are related to the foreign body sensation that women feel and the feeling that something could fall out of the vagina at any moment.
These changes in posture can also cause back pain. Lowering the uterus can also cause intestinal complaints, especially in the rectum. This lies directly against the back wall of the vagina. Lowering the uterus can cause intestinal complaints in the form of constipation and discomfort when defecating. On the other hand, fecal incontinence can also be the result of a prolapsed uterus.
Prognosis
All surgical methods have a success rate of 90 – 95%. The long-term consequence of an untreated uterus prolapse is a further prolapse of the uterus until the uterine prolapse occurs. Since the bladder and rectum are in close proximity to the uterus, these organs can also sink and cause symptoms of incontinence or difficult bowel movements or urination.
Before the uterine prolapse progresses to the point where the prolapse occurs, targeted therapeutic measures can be taken to intervene in the progression. However, long-term consequences can arise, especially with surgical therapy. Surgery for uterus prolapse does not cure the underlying disease, namely the weakness of the pelvic tissue and the pelvic floor muscles.
It only treats the symptoms. As a result, even after an operation a new uterus prolapse can occur and this is not uncommon. Although the renewed prolapse can also be treated surgically, it cannot be ruled out that prolapse may occur again and again in the course of life. Furthermore, the operation can cause the bladder to be pulled too far up, which can lead to incontinence. Incontinence can also be treated in a variety of ways, but it cannot be ruled out that it will remain as a long-term consequence.
