Hystérocèle géante

The genitourinary prolapse is a common disorder in women. It may affects three pelvic organs. The hysterocele or hysteroptosis is defined as the descent of the uterus into vagina and, in severe cases, it protrudes out of the vulva. It is more often secondary to a lack of support and suspension of the pelvic organs. We report the case of a 58-year-old woman, with no particular past medical history, who reached menopause six years before and had had two vaginal deliveries. She presented with dysuria, pollakiuria, recurrent urinary tract infections and recurrent episodes of acute retention of urine, with a sensation of pelvic heaviness and vaginal ball externalizing due to effort and at the end of the day. The clinical examination highlighted a huge stage IV hysterocele according to Baden Walker classification, with complete cervix externalization, without urinary incontinence, cystocele or associated rectocele. The patient underwent vaginal hysterectomy with good functional outcome, and disappearance of associated urinary disorders.