Objective: Pelvic organ prolapse (POP) has an important impact on pelvic vasculature consisting of obstruction and consecutive stasis with possible multiple effects on different organs. Materials and Methods: We examined a group of 13 patients with 3rd and 4th degree POP. The subjects were assessed clinically and using a Voluson E8 with a 5 mHz vaginal probe, before and after the gentle reduction of the prolapse. The parameter measured by ultrasound was the resistivity index (RI) on uterine arteries measured transvaginally. Results: Both uterine artery RIs were significantly lower after the reduction the prolapse (p<0.01). This might be interpreted as a pelvic venous stasis associated with POP, which improves after the above mentioned manoeuvre. Conclusion: Uterine vessels are obstructed by POP. Back pressure from obstructed veins due to POP might induce a dilation in low-pressure veins causing haemorrhoids. Prior to the consideration of the surgical excision of haemorrhoids, it may be worthwhile performing a doppler ultrasound test and correcting the prolapse if the result is positive.
Corresponding Author: ENACHE T.|