e-ISSN 1973-4913
Volume : 41 Issue : 2 Year : 2022
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pelviperineology. 2021; 40(4): 190-193 | DOI: 10.34057/PPj.2021.40.04.2021-7-8

What is the significance of impaired uterine vein blood flow from prolapse?

Traian ENACHE1, Diana Elena SOARE1
1Department of Obstetrics and Gynecology, University Hospital of Obstetrics and Gynecology “Prof. Dr. Panait Sarbu”

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.

Cite This Article

ENACHE T, SOARE D. What is the significance of impaired uterine vein blood flow from prolapse?. 2021; 40(4): 190-193

Corresponding Author: ENACHE T.

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