Uterine Prolapse

[alophysio]

Hi junior_physio,

about your questions: If you aren't sure about what i have written, maybe she needs to be referred to a women's health physio...Better still, go along with her so you can learn as well.

For the following comments, i do not do these myself since i am a man...

1. internal examination of the pelvic floor function - this would be done vagainally using a PFX or similar device

2. Having a hysterectomy is bad - NOT having one is good. The uterus helps to support the organs in a fascial way

3. The crease across the lower abdomen is ABOVE the umbilicus (belly button) if external oblique is overactive. The lower ribs get drawn in and the lower abdomen pokes out somewhat

4. Ask her to kep a fluid diary - this is where she records in mL all her fluid intake and passing - that's right, she has to get a jug and measure her urine.

Honestly, the best thing to do is refer her to a specialist physiotherapist who knows this area well. If there is no one around, then i would start reading if i were you!!!

[junior_physiotherapist]

Hallo,

more about my case:
-No urine incontence.
-Sometimes she feels there is urge feeling to go to toilet then she found there is no more urine to be evacuated!!
-She diagnosed by her Gyna-physician that Uterin Prolapse BETWEEN DEGREE 1&2!!

**So my qestions are :
-i need an indicated theraputic exercises(strengthening and /or relaxation ) and other modalities??
-How i can clinically make distingshes between symptoms of increased intra abdominal pressure,weakness of plvic floor muscles,...??


Regads