Which of the following factors is most impoant in the subsequent development of genital prolapse?
Poor tissue quality
Chronic straining at bowel movements
Menopause
Childbih trauma
Most impoant cause of prolapse in India is Child bih related trauma/ Bad conduct of Labour Atonicity Menopause Congenital weakness Multiparity Bih injuries Prolonged labour Perineal tear Pudendal nerve injury Operative delivery Multiparity Big baby Raised intra-abdominal pressure Chronic bronchitis
Genital Prolapse - various presentation of prolapse and management of urinary stress incontinence (I am hanging by my nails !)