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Pelvic organ prolapse (POP) is characterized by descent of pelvic organs from their normal positions into the vagina. In women, the condition usually occurs when the pelvic floor collapses after gynecological cancer treatment, childbirth or heavy lifting. [ 2 ]
The absence of vaginal rugae seen in the normal vagina of a healthy woman may be an indication of a prolapsed bladder (cystocele) or rectocele. [13] [12] An enterocele, or bulging of the bowel into the vagina can also cause vaginal rugae to disappear. [16] The absence of vaginal rugae may also be an indicator of pelvic organ prolapse.
Colposacropexy is often used for treating vaginal vault prolapse. A Cochrane Collaboration review [ needs update ] found that limited data are available on optimal surgical approaches, including the use of transvaginal surgical mesh devices, in the form of a patch or sling , similar to its implementation for abdominal hernia .
Treatments for mild uterine prolapse include “observation, pelvic floor physical therapy” or using a pessary, a flexible device that goes into the vagina to push up the uterus, explains Eilber.
Uterine prolapse is a form of pelvic organ prolapse in which the uterus and a portion of the upper vagina protrude into the vaginal canal and, in severe cases, through the opening of the vagina. [4] It is most often caused by injury or damage to structures that hold the uterus in place within the pelvic cavity. [ 2 ]
vaginal vault prolapse [7] vaginal suspension and fixation [3] [6] operations on recto-uterine pouch [3] [6] repair of cystocele [3] [6] and rectocele [3] retropubic paravaginal repair [8] the repair of a cystocele using a graft or prosthesis [3] [6] the repair of a cystocele and a rectocele in the same procedure using a graft or prosthetic ...
Anatomical and congenital variations of vaginal support structures can predispose a woman to further dysfunction and prolapse later in life. [1] The urethra is part of the anterior wall of the vagina and damage to the support structures there can lead to incontinence and urinary retention .
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