Protrusion of all or part of vulva. It is common in polyparous
Rising level of estrogen during last trimester of gestation.
Because it causes relaxation of pelvic ligament and birth canal.
Vaginal injury during previous parturition
Diet rich in estrogen
Obesity with deposition of fat in perivaginal area
Extensive intake of low quality roughages
Sever cold weather
Poor confirmation including excessively large and flaccid vulva
is classified on the basis of progression, severity, and prognosis.
First degree prolapse
Second degree prolapse
Third degree prolapse
Fourth degree prolapse
First Degree Prolapse:
Vaginal tissue protrudes from the vulva when animal is lying down.
It usually occurs during the late gestation. This usually goes
unnoticed. Vagina becomes irritated by the exposure to sun, wind,
dust, fecal contamination and cold weather. If there is no
parturition, the continued vaginal irritation leads to the next
Second Degree Prolapse:
second degree prolapse vagina is continually prolapsed. Cervix is
unexposed and retained a good cervical seal. If neglected, the
bladder may be reverted with prolapse and interfere with urination.
Third Degree Prolapse:
Cervix and entire vagina are prolapsed. This is due to the lack of
support of perivaginal tissue. This condition is common in cows with
chronic cervical enlargement.
Fourth Degree Prolapse:
prolapse is of prolong duration and there is deep necrosis and
adhesions between perivaginal tissue and adjacent organs.
Replacement of Prolapse
Give epidural anesthesia
Clean the vagina
Wash with warm normal saline
Suture if any injury or laceration
Catheterization of bladder if filled
Apply non irritant antiseptic cream
Replace the vagina