URGENT! prolapsed uterus or bladder?

allnurses Guide · May 2, 2009

I have to be honest if I was unsure about what was prolapsed or how to reduce it I would get the doc to review and show me what he wanted me to do. Only then and only if I was comfortable with the procedure would I attempt it

rnto? · May 2, 2009

No doc is here, I am the charge, ha ha!

loriangel14, RN · May 2, 2009

I have once in the past pushed a prolapsed uterus back in but it wasn't very far out. The RN in charge( I am an RPN) instructed me to do it and didn't seen too concerned. Coincidentally I put a prolapsed rectum back in place today for the first time. I was told it was okay for us to do this. I will be interested to hear others experience with this.

allnurses Guide · May 2, 2009

ahh one of the reasons I love working in a hospital.

Not sure how it works in the US, can't you get the doc to do a home visit to assess the patient?

If not, and it's not something you've done before then personally I wouldn't be comfortable doing it

April, RN, BSN, RN · May 2, 2009

Can you see anything that might be a cervix?

Batman24 · May 2, 2009

I wouldn't do it without someone knowing what they are doing there to instruct and show you what to do. Have the doctor come in especially as you don't even know what is out. Don't be bullied into this one.

rnto? · May 3, 2009

Thanks for the quick responses! I love allnurses.com. Well, I actually didn't have to push anything anywhere because once we put her in bed and in reverse trendelenberg, it, er, went back up. Then a night turn girl came in and was like, "Oh yah, I've pushed hundreds back in". Well, whatever. I had no idea. I still don't know if it's bladder or uterus-I definitely did NOT see a cervix-it looked like a small baby's head crowning, minus the hair. how do you tell the difference?

emnicams · May 3, 2009

I've seen a prolapsed uterus once. It honestly looked like a glans member sticking out. It had the "hole" on the tip (the cervical opening, I guess).

Ginger's Mom, MSN, RN · May 3, 2009

ahh one of the reasons I love working in a hospital.
Not sure how it works in the US, can't you get the doc to do a home visit to assess the patient?
If not, and it's not something you've done before then personally I wouldn't be comfortable doing it

If you can't get the doc in you send the patient to the emergency room. I have never seen a prolapsed bladder and would think that would be a source for infection.

Magsulfate, BSN, RN · May 3, 2009

the uterus might be prolapsed and come out of the lady parts,, but if the bladder is prolapsed, it will be the inside of the lady parts wall that is poking out of the lady parts. Either way, just get some gloves on and push it back up in there! LOL

iamablonde, BSN, RN · May 3, 2009

Well..... When I am old and in a home..... I Hope to GOD someone will push mine back in for me so I don't to be hangin out all over the place! hahahahha