Prolapse of Uterus

A 58-year-old multiparous woman (P5L5) presents to the gynaecology outpatient department with a 2-year history of a bulging sensation in the lower abdomen and vagina, particularly towards the end of the day. She reports difficulty in passing stool and urine, and notices a mass protruding from the vagina after prolonged standing or straining. On examination, a smooth, reddish mass is seen protruding through the introitus when she is asked to strain. The cervix is at the level of the introitus on straining. There is no ulceration or bleeding. What is the most likely diagnosis?

A 62-year-old woman (P6L6, last delivery 35 years ago) presents with a 3-year history of progressive vaginal bulging, urinary hesitancy, and incomplete emptying of bladder. She has never undergone any surgical intervention. On examination, there is a smooth, reddish mass protruding from the vagina even at rest. The cervix is visible 2 cm below the introitus. She has mild lower abdominal discomfort and reports that the mass worsens with prolonged standing and improves with lying down. What is the most appropriate first-line management for this patient?

Which of the following ligaments is primarily responsible for maintaining the normal anteverted position of the uterus and preventing uterine prolapse?

According to the Badharell's classification, which grade of uterine prolapse is characterized by the cervix remaining within the vaginal introitus but the uterine body prolapsing into the vaginal canal?

A 58-year-old multiparous woman (G5P5) presents to the gynaecology clinic with a 2-year history of a bulging sensation in the vagina, particularly towards the end of the day and after prolonged standing. She reports difficulty with defecation and a feeling of incomplete emptying of the bladder. On examination, a mass is visible at the introitus when she is asked to strain. Speculum examination reveals the cervix is at the level of the introitus. What is the most likely diagnosis?