Grade III cystocele and grade IV total uterine prolapse

Case contributed by Nikos Karapasias , 11 May 2014
Diagnosis certain
Changed by Henry Knipe, 4 Mar 2018

Updates to Case Attributes

Title was changed:
Bilateral hydronephrosis and megaureters due to grade III cystocele &and grade IV total uterine prolapse
Presentation was changed:
Patient with pain in the right upper quadrant in combination with multiple episodes of vomiting and rigors with fever (39.1 ° C°C). Patient expresses that "something is protruding" from the vagina. US reports bilateral hydronephrosis and dilatation of ureters. The urinary bladder reported as “empty of urine”.
Body was changed:

Pelvic organ prolapse (POP), with bulging of one or more of the pelvic organs into the vagina, is a type of pelvic floor disorder .

About 1/3one-third of all women are affected by prolapse or similar conditions over their lifetime. Pelvic organ prolapse can affect the front, top or back of the vagina:

1.

  1. Anterior prolapse (cystocele): the bladder bulges into the front wall of the vagina

    2.

  2. Prolapse of the cervix or top of the vagina: the cervix or uterus drops.

     3.

  3. Posterior wall prolapse (rectocele or enterocele): part of  the bowel bulges forward into the back wall of the vagina.

It is possible to have more than one of these types of prolapse at the same time.

  • -</xml><![endif]--><a href="/articles/pelvic-organ-prolapse">Pelvic organ prolapse</a> (POP)<strong>, </strong>with bulging of one or more of the pelvic organs into the vagina, is a type of pelvic floor disorder .</p><p>About 1/3 of all women are affected by prolapse or similar conditions over their lifetime. Pelvic organ prolapse can affect the front, top or back of the vagina:</p><p>1. Anterior prolapse (cystocele): the bladder bulges into the front wall of the vagina</p><p>2. Prolapse of the cervix or top of the vagina: the cervix or uterus drops.</p><p> 3. Posterior wall prolapse (rectocele or enterocele): part of  the bowel bulges forward into the back wall of the vagina.</p><p>It is possible to have more than one of these types of prolapse at the same time.</p><p><!--[if gte mso 9]><xml>
  • +</xml><![endif]--><a href="/articles/pelvic-organ-prolapse">Pelvic organ prolapse</a> (POP)<strong>, </strong>with bulging of one or more of the pelvic organs into the vagina, is a type of pelvic floor disorder .</p><p>About one-third of all women are affected by prolapse or similar conditions over their lifetime. Pelvic organ prolapse can affect the front, top or back of the vagina:</p><ol>
  • +<li>Anterior prolapse (cystocele): the bladder bulges into the front wall of the vagina</li>
  • +<li>Prolapse of the cervix or top of the vagina: the cervix or uterus drops.</li>
  • +<li>Posterior wall prolapse (rectocele or enterocele): part of  the bowel bulges forward into the back wall of the vagina.</li>
  • +</ol><p>It is possible to have more than one of these types of prolapse at the same time.</p><p><!--[if gte mso 9]><xml>

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