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CONDITION/DISORDER SYNONYMS
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Cystocele
Pelvic organ prolapse
Rectocele
Uterine prolapse
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618.01 Cystocele midline
618.02 Cystocele lateral
618.04 Rectocele
618.1 Uterine prolapsed
618.2 Uterovaginal prolapse incomplete
618.3 Uterovaginal prolapse complete
618.4 Uterovaginal prolapse unspecified
867.6 Pelvic organ injury
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N81.10 Cystocele unspecified
N81.11 Cystocele midline
N81.12 Cystocele lateral
N81.6 Rectocele
N81.2 Incomplete uterovaginal prolapse
N81.3 Complete uterovaginal prolapsed
N81.4 Uterovaginal prolapsed unspecified
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PREFERRED PRACTICE PATTERN
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PATIENT PRESENTATION
A 68-year-old female was cleaning her rental apartment after the renters had moved out. She was moving furniture and lifting boxes. Later that day, after urinating and while wiping, she felt something bulging into her vagina. When she stood up, she noticed a feeling of pressure in her vagina.
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Abnormal descent or herniation of pelvic organ from normal attachment sites in the pelvis secondary to damage to connective tissue support structures and/or weakening or muscles of the pelvic floor
May or may not be accompanied by
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Essentials of Diagnosis
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General Considerations
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May be asymptomatic.
If symptomatic, then symptoms are often nonspecific.
Symptoms of pressure in the vagina and rectum, self palpation of a mass in the vagina, or visualization of the prolapse may be the first indication to the patient of its presence.
Any complaints or changes in bowel and bladder function should be investigated by a physician.
Degree of prolapse does not correlate with severity of symptoms.
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Does not occur in men.
Some degree of prolpase may be seen in 50% of women in a clinical setting.
In women with a uterus, the rate of uterine prolapse was 14.2%; the rate of cystocele was 34.3%; and the rate of rectocele was 18.6%.
For women who have undergone hysterectomy, the prevalence of cystocele was 32.9% and of rectocele was 18.3%.
African American women demonstrated the lowest risk for prolapse.
Hispanic women had the highest risk for uterine prolapse.
Parity and obesity were strongly associated with increased risk for uterine prolapse, cystocele, and ...