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@article{205642,
        author = {Dr. Poonam Vinayak Unde and Dr. Arpita Maulik Shah and Dr. Kalpana Bajrang Ayare},
        title = {Vaginal Hysterectomy With Perineorrhaphy In 45-Year-Old Female With Cervical Elongation: A Case Report},
        journal = {International Journal of Innovative Research in Technology},
        year = {2026},
        volume = {13},
        number = {1},
        pages = {7464-7467},
        issn = {2349-6002},
        url = {https://ijirt.org/article?manuscript=205642},
        abstract = {Cervical elongation refers to an abnormal increase in the length of the uterine cervix and is frequently encountered alongside different stages of pelvic organ prolapse. The condition is predominantly seen in multiparous and perimenopausal women, largely because of age-related and obstetric weakening of the pelvic support mechanisms. Women affected by cervical elongation commonly report symptoms such as a protruding vaginal mass, a sensation of pelvic heaviness, lower back discomfort, painful intercourse, and urinary complaints. Diagnosis is primarily based on a thorough pelvic examination, which reveals an elongated cervix that may occur with minimal or marked uterine descent. Prompt identification of this condition is important to reduce the risk of symptom progression and prevent further pelvic floor dysfunction. Treatment strategies should be individualized according to the extent of prolapse, the patient’s age, symptom severity, future fertility preferences, and overall health status. Non-surgical management options include pelvic floor muscle training and the use of vaginal pessaries. Surgical correction remains the definitive treatment for many women, particularly those who have completed childbearing, and may involve procedures such as the Manchester-Fothergill operation or vaginal hysterectomy. Early diagnosis coupled with appropriate intervention can markedly improve functional outcomes and overall quality of life. Increased clinical awareness is essential to ensure accurate evaluation and tailored management of perimenopausal women presenting with pelvic floor disorders.
A 45-year-old female patient came to our department with C/O - something coming out of vagina since 5 years
O/E – vitally stable All lab investigations done.
USG suggestive of - Valsalva maneuver - there is descend of uterus suggestive of prolapse.
Vaginal Hysterectomy with Perineorrhaphy is done after physician fitness. Improved quality of life and prevention of progression of pelvic organ prolapse achieved.},
        keywords = {Cervical elongation, Pelvic organ prolapse, Perineorrhaphy, Vaginal hysterectomy.},
        month = {June},
        }