Grade IV Utero Vaginal Prolapse (Procidentia): A Case Report

Introduction: The uterus is normally held in place inside the pelvis with various muscles, tissue, and ligaments. But because of pregnancy, childbirth or difficult labor and delivery, in some women the muscles become weaken. And also, as the woman ages and also with a natural loss of the hormone oestrogen, the uterus can drop into the vaginal canal, this cause the condition which is known as prolapsed uterus. There are different degrees, in which the fourth degree the entire uterus is outside the vagina and this condition is also called procidentia, which is caused by weakness in all of the supporting muscles [1].

Case Presentation: A female patient of 70 years was admitted to Gynae Ward, AVBRH on 2nd June 2021 with a known case of Grade IV Utero Vaginal Prolapse (procidentia) for further management and known case of hypertension and type II diabetes melitus for 22 years. Patient came with a complain of something coming out of vagina for 5 years, increased frequency of micturition for 5 years and also complain of white discharge for 1.5 months.