Which of the following are the features of backache due to genital prolapse?
1. The pain is experienced on getting up in the morning.
2. The patient complains of a diffuse pain over the sacrum.
3. There is no local tenderness.
4. The pain occurs more commonly among multiparous than nulliparous women.
Select the correct answer using the code given below :
Understanding Backache in Genital Prolapse
Backache is a common symptom associated with genital prolapse. Evaluating specific characteristics helps differentiate it from other causes of back pain.
Analysis of Genital Prolapse Backache Features
- Statement 1: The pain is experienced on getting up in the morning. This statement is generally incorrect. Back pain from genital prolapse tends to be worse at the end of the day or after prolonged standing and activity, often improving with rest. Morning pain is not a typical hallmark.
- Statement 2: The patient complains of a diffuse pain over the sacrum. This statement is correct. Patients often describe a dull, diffuse ache in the lower back, particularly over the sacral region, due to the strain on pelvic support structures and referred pain.
- Statement 3: There is no local tenderness. This statement is correct. While significant back pain may be present, direct tenderness over the sacrum or lumbar spine is usually absent, distinguishing it from spinal issues.
- Statement 4: The pain occurs more commonly among multiparous than nulliparous women. This statement is correct. Genital prolapse is significantly more common in women who have had multiple vaginal deliveries (multiparous) because childbirth can weaken the pelvic floor muscles and connective tissues responsible for organ support.
Identifying Correct Features
Based on the clinical presentation of backache related to genital prolapse, statements 2, 3, and 4 accurately describe its features.
Therefore, the combination of features 2, 3, and 4 is characteristic of backache due to genital prolapse.
Important Questions from Displacement of Uterus
- Which of the following symptoms can be associated with pelvic organ prolapse?
1. Difficulty in passing urine
2. Incomplete evacuation of urine
3. Urgency and frequency
Select the correct answer using the code given below: Which of the following is NOT an ideally suited condition for use of ring pessary in case of uterine prolapse?
- Procidentia as a degree of uterovaginal prolapse is characterised by descent of
- In POPQ classification for uterovaginal prolapse, the only measurement done after reducing the prolapse is
Which of the following are essential steps of Fothergill's operation?
1. Laparoscopic or vaginal ligation
2. Amputation of cervix
3. Plication of Mackenrodt's ligaments in front of cervix
4. Ant colporrhaphy
Select the correct answer using the code given below.
