Abstract:
Introduction: Vaginal prolapse is characterized by a portion of the vaginal canal protruding from the
opening of the vagina. The type of treatment depends on the cause and severity of the prolapse.
Materials and methods: The study was based on 117 cases. Medical history, gynecological examination, bladder function test and pelvic floor strength, ultrasound, cystourethroscopy were performed.
Results: Some types of vaginal prolapse were appreciated: cystocele in 28 cases (23,9%), rectocele in
12 cases (10,3%), uterine prolapse (75 cases - 64,1%) and vaginal vault prolapse after hysterectomy in
2 cases (1,7%). Factors that caused vaginal prolapse were: multiple births (80,4%), menopause (17,9%),
hysterectomy (1,7%), advanced age in 47,9%. The following symptoms associated with vaginal prolapse
were established: pressure in the vagina or pelvis (98 cases - 83,8%), pain that increases during long
periods of standing (112 cases - 95,7%), enlarged vaginal opening (87 cases - 74,4%), difficulty of emptying bladder (48 cases - 41,0%), urinary stress incontinence (38 cases - 32,5%), constipation (17 cases
- 14,5%), dyspareunia (72 cases - 61,5%). The symptoms affected sexual function in 79 cases (67,5%).
Surgery was usually performed under spinal epidural anesthesia. Women's hospitalization required approximately 3-5 days. Patients were discharged from the hospital in a satisfactory condition. Long-term
results were good. Many patients followed an estrogen replacement therapy, which helped strengthen and
maintain muscles in the vagina.
Conclusion: Surgery is the treatment of option for most sexually active women who develop a vaginal
prolapse, due to the fact that the procedure is usually effective.
