Which of the following factors is most impoant in the subsequent development of genital prolapse?
Most impoant cause of prolapse in India is Child bih related trauma/ Bad conduct of Labour Atonicity Menopause Congenital weakness Multiparity Bih injuries Prolonged labour Perineal tear Pudendal nerve injury Operative delivery Multiparity Big baby Raised intra-abdominal pressure Chronic bronchitis
Poor tissue quality
Chronic straining at bowel movements
Menopause
Childbih trauma
Genital Prolapse - various presentation of prolapse and management of urinary stress incontinence (I am hanging by my nails !)