The uterine and vaginal descent create multidisciplinary issue. Its consequences interfere in gynaecology, urology, geriatrics, general medicine and psychiatry. Collateral symptomatology,pathology of the anatomy, diagnostics, both conservative therapy and surgery are discussed. The author mentions the abdominal and vaginal approach, being most experienced with the latter. Prevention is seen shortening of the labour stress, reduction of chronic elevation of the intraab- dominal pressure and use of hormonal replacement therapy in the menopause.

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