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Genitalprolaps

Sist oppdatert: Sist revidert:
Sist revidert av:
Definisjon:
Nedsynkning i retning vaginalåpningen av en eller flere bekkenstrukturer og skyldes tap av muskelstøtte i bekkenregionen. Kliniske varianter er uterusprolaps, cystocele, cystouretrocele, rektocele og enterocele
Forekomst:
Prevalens av klinisk signifikant descens angis til 1-2%
Symptomer:
Moderat fremfall gir lite symptomer. Ved mer uttalte forandringer merker kvinnen press og tyngdefølelse i underlivet og hun kan merke at en kul kommer ut av skjeden. Tilleggssymptomer er vannlatingsproblematikk, avføringsvansker, gangvansker, bekkensmerter og samleievansker
Funn:
Fremfall kan fremprovoseres i gynekologisk leie
Diagnostikk:
Andre undersøkelser er vanligvis unødvendig, ev. urodynamiske undersøkelser for å identifisere de som har størst nytte av kirurgi
Behandling:
Bekkenstrening, vektreduksjon, ev. pessar, østrogener eller kirurgi
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  • Terje Johannessen, professor i allmennmedisin, Trondheim

Tidligere fagmedarbeidere

  • Per Bergsjø, professor emeritus, dr. med., Universitetet i Bergen. Spesialist i kvinnesykdommer og fødselshjelp, forsker ved Nasjonalt folkehelseinstitutt, Oslo