Uterine Prolapse in Emergency Medicine Workup

Updated: Dec 29, 2015
  • Author: Raafat S Barsoom, MD; Chief Editor: Bruce M Lo, MD, MBA, CPE, RDMS, FACEP, FAAEM, FACHE  more...
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Workup

Laboratory Studies

From the perspective of an emergency physician, the workup of uterine prolapse consists of identifying the rare but serious complications related to uterine prolapse (infection, urinary obstruction, hemorrhage, strangulation).

Laboratory studies are unnecessary in uncomplicated cases.

When indicated, order CBC, basic metabolic panel, urinalysis, pregnancy testing, and cervical cultures to exclude other conditions in the differential diagnosis.

A Papanicolaou test (Pap smear cytology) or biopsy may be indicated in rare cases of suspected carcinoma, although this should be deferred to the primary care physician or gynecologist.

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Imaging Studies

A pelvic ultrasound examination may be useful to distinguish prolapse from other pathology when the history and physical examination suggest other processes in the differential diagnosis.

MRI has been used for staging of prolapse but generally is not indicated as an emergency test.

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