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Home Suelo pélvico Suelo pélvico y salud Tipos y grados de prolapsos genitales

Tipos y grados de prolapsos genitales

Suelo pélvico y salud


Prolapsos genitales
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A veces el suelo pélvico está tan debilitado que no puede cumplir su función de soporte y alguno de los órganos pélvicos desciende hasta salir por la vagina. En estos casos es necesario que un especialista valore cuál es el tipo de prolapso y su tratamiento.


Compártelo con tus amigas:

Ante todo, si notas un bulto que sobresale de tu vagina, no te alarmes. La mayoría de las veces no se trata de un tumor sino de un prolapso, el descenso de uno de los órganos pélvicos que una musculatura pélvica debilitada no puede sujetar. Normalmente las causas de este problema son el embarazo y los partos vaginales. Pero el prolapso no suele aparecer inmediatamente, sino cuando la mujer llega a la menopausia y el déficit hormonal hace que pierda elasticidad. Solo si se han tenido múltiples partos y muy traumáticos puede verse en mujeres jóvenes.

Tipos de prolapsos

Dependiendo de qué órgano descienda el prolapso se divide en:

  • Cistocele: la vejiga urinaria asoma en la cara anterior de la pared vaginal.
  • Rectocele: el recto (el tramo final del intestino grueso al llegar al ano) desciende sobre la cara posterior vaginal.
  • Prolapso uterino: en este caso es el útero el que desciende asomando primero el cuello y después el cuerpo uterino.
  • Enterocele: las asas intestinales se hernian a través del fondo posterior de la vagina.
  • Prolapso de cúpula vaginal: ocurre en mujeres a las que se les ha extirpado el útero (histerectomía). La vagina, que es un saco ciego, se da la vuelta como si lo pusieran del revés, lo de dentro hacia afuera.

Grados del prolapso

Dependiendo de la gravedad del prolapso, el ginecólogo que examina a la mujer en la mesa de exploración, catalogará el prolapso dentro de un baremo de 4 grados. A cada uno de ellos le corresponde un tratamiento específico:

  • Grado 1 o leve: ligero descenso en el interior de la vagina.
  • Grado 2 o moderado: el descenso alcanza la entrada de la vagina.
  • Grado 3 o grave: el prolapso sobrepasa la entrada de la vagina, la mujer se toca o nota perfectamente el bulto al caminar, sobre todo cuando realiza esfuerzos.
  • Grado 4 o total: el órgano (vejiga, útero o recto) están completamente fuera, incluso en reposo.

Tratamiento de los prolapsos

  • Los grados 1 y 2, sobre todo si ocasionan molestias, deben tratarse con fisioterapia y un cambio de hábitos (dietéticos para corregir, por ejemplo, el estreñimiento, adelgazar, limitar el sobreesfuerzo físico…).
  • Los grados 3 y 4 generalmente necesitan cirugía para ser corregidos. Unas veces se extirpará el órgano que se sale, como en el caso del útero, y otras se reconstruirá su posición con la colocación de mallas que compensan el suelo pélvico debilitado, sustituyéndolo por un material sintético que hace de nuevo tejido de sostén, como en el caso de la vejiga o el recto.

Consulta siempre con un especialista si sientes peso o notas que algo sobresale de tu vagina para que te realice una valoración y marque el tratamiento más adecuado a tu caso. Un suelo pélvico debilitado no sólo no será capaz de contener tus órganos pélvicos, sino que a menudo te provocará incontinencia urinaria.

Si, además, tienes pérdidas de orina, recuerda que es importante confiar en un producto adecuado que te haga sentir segura y protegida, como los absorbentes específicos de TENA Lady*, diseñados para el pH y la densidad de la orina. Consigue aquí muestras gratuitas.

Fuente: Dra. Gema García Gálvez

*Cumple con la normativa de productos sanitarios.

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  42. Me preocupa mucho esto porque solo tengo 16 años y empeze a tener incontinencia y bueno un día me revise y tenia un bultito así como blanco o rosadito adentro de mi vagina lo cual nunca había visto… No se sale ni nada pero si me reviso y abro las piernas si se ve puede ver es como para preocuparme?? Debo recalcar que si hacia peso pero cuando note eso deje de hacerlo… Ayudenmee

  43. Yo tengo prolapse uterino mi vejiga,se aroma Poe la vagina no he podido tener mi cirujia y me .da miedo el cancer de vejiga

  44. soy una mujer de 52 años ,queria empezr a tonicarme con ejercicios ya q e notado flacides en mi cuerpo, pero tengo dignosticado prolapso 2 es de operacion , pero mi pregunta es debo tener mucho de reposo y si puedo retomar mi rutina de ejecicios y pesas ? gracias muy agradecida

  45. buen dia haces unos dos dias estoy sintiendo parte del cuello del ano inflamado y un poco de desgarre que molesta un poco para caminar esto sucede cuendo hago mucho tragin .. caminar hacer peso o mantenerme mucho tiempo parada que debo hacer para mejorar esto?

  46. Buenos dias, tengo un prolapso utero vaginal de grado 3 y vegiga de grado 2.tengo cuta lara recicion de suelo púbico dentro de tres meses. Tengo dolores y estoy muy molesta, mi trabajo es duro 9-10h de oie levantando mucho peso. He acudido en urgencias y me gan dicho que tengo que hacer reposo pero mi medica no me da baja porque dice que esto no es una enfermedad. Cada vez estoy peirry no se que puedo hacer. Porfavir se algen sabe que puedo hacer en un caso asi que me lo diga. Un saludo

  47. Yo he tenido Prolapso grado 3 y me han hecho cirugía dos veces, me siento un poco mal porque es incomodo. Entiendo que las mallas de que hablan aquí no me fue puesta. Que me recomiendan? Soy de Guatemala capital.

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