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Pelvic organ prolapse

Prolapse literally means "to fall out of place‚" from the Latin prolabi meaning "to fall out." In medicine, prolapse is a condition where organs, such as the uterus, fall down or slip out of place. It is used for organs protruding through the vagina or the rectum or for the misalignment of the valves of the heart. A spinal disc herniation is also sometimes called "disc prolapse."

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with pelvic organ prolapse, 62% report having involuntary urination, 36% report having frequent urination, and 28% report having symptoms of bladder. The symptoms that are highly suggestive of pelvic organ prolapse are involuntary urination, symptoms of bladder, vaginal pain, and pelvic pressure, although you may still have pelvic organ prolapse without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with pelvic organ prolapse often receive pelvis exam, urinalysis, examination of breast, rectal examination, mammography, other non-or therapeutic procedures; female organs, ultrasonography and pap smear .

Common Medications

The most commonly prescribed drugs for patients with pelvic organ prolapse include estradiol, estrogens, conjugated (usp) (premarin), tolterodine (detrol), solifenacin (vesicare), darifenacin (enablex), terconazole topical, selegiline, bethanechol, imipramine, tinidazole, eprosartan (teveten), trospium (sanctura) and estrogens, esterified (usp) / methyltestosterone .

Estradiol
$29
(28 days)
Estrogens, Conjugated (Usp) (Premarin)
$56
(28 days)
Tolterodine (Detrol)
$121
(28 days)
Solifenacin (Vesicare)
$129
(28 days)
Darifenacin (Enablex)
$125
(28 days)
Terconazole Topical

Selegiline
$120
(28 days)
Bethanechol
$67
(28 days)
Imipramine
$29
(28 days)
Tinidazole
$102
(7 days)
Eprosartan (Teveten)
$83
(28 days)
Trospium (Sanctura)
$121
(28 days)

Who is at risk?

Groups of people at highest risk for pelvic organ prolapse include age 75+ years, age 60-74 years and sex == female. On the other hand, sex == male, age 5-14 years, age 1-4 years, and age < 1 years almost never get pelvic organ prolapse.

Age

< 1 years
0.0x
1-4 years
0.0x
5-14 years
0.0x
15-29 years
0.1x
30-44 years
0.5x
45-59 years
1.4x
60-74 years
2.5x
75+ years
2.6x

Sex

Male
0.0x
Female
1.7x

Race/Ethnicity

Black
0.5x
Hispanic
1.1x
White
1.2x
Other
0.7x
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