Uterine prolapse or prolapse of the womb occurs when the connective tissue suspending the uterus and pelvic floor muscles are damaged and the uterus has moved from its original position to a lower position in the vagina, sometimes even protruding through the vaginal opening.
Usually the sensation is one of pressure when a patient is on her feet, or straining, palpation of a bulge through the vagina, pain or discomfort during intercourse, soreness post intercourse, bowel or urinary difficulty, and back pain.
Usual causes are trauma to the pelvic organs during childbirth, staining, heavy lifting, hormonal deficiency, chronic constipation, and cough.
Many treatment options for this problem has been devised ranging from pessary placement, to minimally invasive suspension of the uterus, to removal of the uterus. The treatment depends on the severity of the prolapse and the patient expectations. Treatment is usually successful with very satisfactory results.