The Health Blog

Complete prolapse of the uterus outside the vagina is called procidentia. This may make it difficult for the woman to move about and the uterus is subject to irritation and inflammation.

When the bladder falls back into the vagina, it distorts the normal anatomy where the urethra, or tube which carries the urine to the outside, leaves the bladder.

This leads to problems with passing urine. It may be difficult to completely empty the bladder and so small quantities are passed frequently.

The commonest symptom, however, is stress incontinence. When the woman strains by coughing, laughing, sneezing or lifting, the urine may involuntarily come away.

A watchspring pessary, which is a flexible rubber ring, can be inserted into the vagina to hold the uterus in place. This sits firmly in the vault or upper part of the vagina and is kept there by pressing on the pubic bone at the front of the pelvis.

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