I am very confused

Body: 

I need help. My 80 yr old mother is getting an ultra sound to prep her for possible surgery, she was seen by a urologist and said she has bladder prolapse, we got a second opinion through a gynourologist and she ordered an ultrasound indicating the diagnosis as uterine prolapse and to check the endometrial stripe????
Also, I know three elderly woman that have a completely bent curvature in their spine and do not have any problems with prolapse, can someone please explain to me why? My Mom is not as bad as they are in curvature and yet she has bladder prolapse.

Hi Cmmd

Prolapse is not really a medical condition. It is a *symptom* of a range of things going wrong.
1 faulty posture
2 damage or stretching of endopelvic fascia, and/or damage to pelvic floor musculature from pregnancy or badly managed labour and birth or birth trauma or obstetric damage done by an obstetrician in extracting a baby.
4 a result of chronic constipation
5 Other pelvic trauma
6 Genetically weak connective tissue
7 prior pelvic surgery
8 postmenopause changes to connective tissue
9 a demanding physical job with poor OH&S standards, usually low wage earners who have little bargaining power
10 a need to prove oneself as 'strong as an any man'
11 lack of mechanical aids for heavy lifting
12 inappropriate packaging of heavy objects, etc

It is hard when your Mum appears to have drawn the short straw. Despite being ostensibly the same as another person, there is a lot that can happen to a woman's body between cradle and prolapse.

Here is a page about endometrial stripe. http://www.ehow.com/about_5094762_definition-endometrial-stripe.html.

- me women have lifted properly all their lives, or had someone to do their heavy lifting.
- Some women have asymptomatic prolapse all their lives, that only manifests when a straw breaks the camel's back, or never manifests.
- Some women drink only very small quantities so that their bladder stays small. They may get kidney damage.
- Some women will not admit that they have prolapse; everything below the waist is ignored.
- Some older people grew up during the Great Depression or World War II, and never express their discomfort or pain, having a very high pain threshold and expectations about what they simply accept as normal. Pain is very subjective.
- Some women have had hysterectomy and are sewn up so tightly that nothing can escape
- Some are very lucky.

Does that start to explain why POP is just another way that bodies sometimes go wrong and sometimes do not?

Louise

Keep in mind cmmd, that these organs are all connected, and it is rare for there to be only one prolapsed organ all by itself. Furthermore, even one single doctor is going to see different things on different days, making a "diagnosis" questionable at best. Now, you have introduced another doctor into the mix. And all these doctors are surgeons. They are going to recommend surgery, of course! Please be careful. Even at 80, your mom should not be treated as someone who has no options left except damaging surgery. Take it slow. - Surviving

I am very grateful for your explanation, I will look into all the advice you have given me.

Thank you, I will.