Affect of lumbar spine developmental anomalies and lumbar osteochondrosis on the condition of the pelvic bottom and genital prolapse in females

A clinical and instrumental study in 103 women with the descent of the uterus and vaginal walls was undertaken in order to examine the relationship of osteochondrosis, developmental anomalies of the lumbar spine and genital prolapse. Spondylography of the lumbar spine was taken in 83 (80,5 %) and CT in 90 (87,3 %) of them. Thermal and pain syndrome sensitivity was examined in 31 women that suffered prolapse of internal genital organs, and 26 had electromyography of the lower limb muscles. It was found out that 96.8% of females with genital prolapse had disorders in thermal and pain syndrome sensitivity. The highest degree of the disorders was noted in the dermatomes LIV, LV, SI, that corresponds to the most common location of the lumbar spine and cauda equina disorders. EMG showed irregular functional status of the muscles due to compression of the cauda equina. Correlation was revealed between the degree of thermal and pain sensitivity disorders and severity of gynecological status. Prolapse and descent of the internal genital organs could be the result of the disorders in the nerve regulation of the pelvic bottom muscles. Osteochondrosis or congenital anomalies in the lumbar spine might be the cause of genital prolapse in women.