Would large fibroids contribute to a prolapse uterus?
Prolapse of the uterus refers to the downward displacement of the vagina and uterus. The word prolapse is derived from the latin ‘procidere’ which means with effect to fall. The uterus is held in position by adequate ligaments Besides, it has the support of the muscular structures of vagina and all other local tissues and muscles. Due to the laxity of support by muscles, tissue and ligaments, the uterus sags downwards. The presence of fibroids can certainly complicate matters and place even more undue pressure on the downward advance of a woman’s organs. On the other hand, fibroids that are quite large can serve, in some ways, as a blocking mechanism to prolapse. Either way, the situation is most likely to be extremely uncomfortable. Surgery to repair any prolapse may require surgery to remove uterine fibroids at the same time. Under these circumstances, an urogynecologist — a gynecologist with advanced training in urology, specifically treatment of incontinence and prolapse — may be