Uterine Prolapse Specialist
Dr. Daniel Stone, MD FACOG
Urogynecologist located in Phoenix, AZ
Dr. Daniel Stone, MD is one of the leading experts in the surgical and non-surgical management of uterine prolapse and other forms of Pelvic Organ Prolapse. Dr. Stone can diagnosis and provides management options for uterine prolapse to patients in the Phoenix, Scottsdale and surrounding Arizona areas.
Uterine Prolapse Q & A
What is Uterine Prolapse?
Uterine prolapse refers to the dropping or protruding of the uterus into the vaginal canal. It is a form of apical prolapse where the top of the vagina loses support. It is a subcategory of pelvic organ prolapse and can often lead to a cystocele and/or a rectocele. If the uterus protrudes completely out, the condition can be referred to as uterine procidentia.
What are the symptoms of Uterine Prolapse?
Uterine Prolapse often causes symptoms of bulge, pressure, and sensation of something falling out of the vagina. When uterine prolapse is more advanced the vaginal tissue or cervix can be felt or seen as it protrudes from the vaginal opening. These symptoms are commonly found in other forms of pelvic organ prolapse.
What is the cause of Uterine Prolapse?
Ultimately uterine prolapse forms due to the loss of pelvic floor support. Like other forms of pelvic organ prolapse, uterine prolapse can have many different causes and risk factors including:
- Pregnancy, labor, or childbirth especially vaginal births or large babies.
- Aging and/or menopause
- Chronic cough
- Constipation and straining
- Repetitive heavy lifting
How is Uterine Prolapse diagnosed?
Dr. Stone will first discuss your symptoms with you. He will then perform a physical exam including a gynecologic exam. This exam is slightly different than a normal gynecologic exam as he will take measurements as you push to see how far the cervix and uterus come down. Based on these measurements, he will then be able to give you a stage of uterine prolapse and show you diagrams of what your anatomy is doing.
Are other disorders commonly found with a Uterine Prolapse?
As mentioned earlier, Uterine Prolapse is a subcategory of pelvic organ prolapse. Other forms of pelvic organ prolapse are commonly found when someone has Uterine Prolapse, including a cystocele, and a rectocele.
What are the conservative treatments for a Uterine Prolapse?
A "watch and wait" strategy could be used. This is best used if your Uterine Prolapse is mild and not causing any bothersome symptoms.
You can also change your lifestyle and behaviors to minimize or lessen your symptoms. Some of these changes can also slow down the progression. These include:
- Avoid chronic straining by avoiding constipation and repetitive heavy lifting
- Keep your weight in a normal range and lose weight if you are overweight.
- Quit smoking
You can also perform pelvic floor muscle exercises (Kegels) to help improve mild prolapse symptoms. Dr. Stone can also refer you to a specialized physical therapist that specializes in this area.
A small silicone device called a pessary could also be used to manage uterine prolapse. A pessary can be inserted into the vagina to support the pelvic organs. Dr. Stone's office carries a variety of different shapes and sizes of pessaries and a fitting can be scheduled at your convenience.
What are the surgical treatments for Uterine Prolapse?
There are several surgical options to repair uterine prolapse. The first decision that needs to be made is whether or not to keep the uterus. The most well-studied procedures involve hysterectomy, however, more and more women feel strongly about keeping the uterus, and if that is the case a hysteropexy can be performed.
The second decision is how should the top of the vagina, or in the case of keeping the uterus, how should the uterus and cervix be supported. There are two main options which include a vaginal vault suspension (using your own ligaments) and a sacrocolpopexy (using laparoscopically placed mesh).
Major Insurance Providers Accepted
We accept most insurance policies for your convenience. Please contact your insurance carrier to verify your individual benefits and any copays or coinsurance that are part of your plan. Patients are responsible for notifying our office if a specific plan requires precertification, preauthorization, or a referral (especially HMOs). Please call the phone number on the back of your insurance card to verify your provider network participation as insurance carriers change policies often.
Phoenix, Arizona 85016-1302
Office Hours: Monday-Friday from 8 AM – 5 PM
Main: (602) 788-1521
Fax: (602) 688-5420
Conveniently located just off Highway 51 on Maryland Avenue just East of 16TH Street between East Bethany Home Road and East Glendale Avenue.