=Prolapse= of the =uterus= is of common occurrence. The prolapse may be
incomplete or complete; the latter when the organ is presented to the
external world. Of special interest are those affections exclusive of
surgical cases. Ptosis of the abdominal organs upon the pelvic organs
is a common cause of uterine prolapse. The abdominal prolapse crowds
uterine space, congests the uterus, weakens the ligaments, and drives
the uterus downward as a wedge.
Lumbar spinal curvatures are frequent causes of prolapse, as well as
other displacements of the uterus. In this region vasomotor nerves
to the pelvic organs make their exit, and, consequently congestions,
inflammations, and weaknesses of supports are results. Also, slips of
the innominata disturb the pelvic circulatory balance. Weakness of the
uterine support from below, the vaginal walls and perineum, most often
arises from lacerations at childbirth. Still, the vaginal walls may
become relaxed through other causes. Tumors and extreme congestions are
causes of prolapse. Heavy lifting is quite a frequent source of uterine
displacements. Osteopathy is very successful in uterine prolapses;
that is, any displacement of the uterus not of a surgical character.
Correction of the external causes comes first. Then local treatment
to replace, tone, and relieve congestion, and break up adhesions is
necessary. The external treatment is usually the primary treatment.
Local work is not always necessary. Lacerations and other surgical
indications, of course, require surgery.