DOI: https://doi.org/10.14710/dmj.v15i4.55517

PROCIDENTIA UTERI AND RECTOCELE CONCOMITANT WITH ANEMIA OF HEMORRHOIDS GRADE IV: A CASE REPORT

*Gustie Nanda Riyan Pratama orcid  -  Department of Obstetrics and Gynecology, Maguan Husada General Hospital, Pracimantoro, Wonogiri, Jawa Tengah, Indonesia
Muhammad Guntur Adriadi Nugroho  -  Department of Obstetrics and Gynecology, Maguan Husada General Hospital, Wonogiri Indonesia, Indonesia
Kusmardanu Setyo Sejati  -  Department of Internal Medicine, Maguan Husada General Hospital, Wonogiri Indonesia, Indonesia
Aditia Ndaru Firmansyah  -  Department of General Surgeon, Maguan Husada General Hospital, Wonogiri Indonesia, Indonesia
Open Access Copyright 2026 Gustie Nanda Riyan Pratama, Muhammad Guntur Adriadi Nugroho, Kusmardanu Setyo Sejati, Aditia Ndaru Firmansyah
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

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Abstract

Background: Pelvic organ prolapse in older women remains a major reproductive health issue in gynecology. Decreased pelvic floor compartment strength, which can affect multiple structures, presents new challenges beyond the scope of gynecology. Understanding the pathophysiological cascade from one compartment to another is essential to help determine appropriate initial therapy for individuals suffering from pelvic organ prolapse. Case presentation: In this case report, a patient with severe uterine prolapse for one month developed rectal prolapse and severe hemorrhoids, leading to anemia. Definitive management should be postponed to allow initial management to improve the patient's general condition. Conclusion: Asymptomatic pelvic organ prolapse should not be ignored, as it can lead to the development of other diseases and reduce the individual's quality of life. Chronic increased intra-abdominal pressure can lead to pelvic organ prolapse in more than one compartment and ultimately impair venous return. Pessary ring placement is the first option if the prolapsed mass can fully retract into the vaginal introitus. However, regular monitoring is mandatory to avoid complications after pessary ring installation.

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Keywords: Multicompartment pelvic organ prolapse, procidentia, rectocele, hemorrhoids grade 4

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Section: Case Report
Language : EN
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