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The cystocele in this region of the vagina is thought to be due to a cardinal ligament defect. [16] [25] Medial cystocele forms in the mid-vagina and is related to a defect in the suspension provided by to a sagittal suspension system defect in the uterosacral ligaments and pubocervical fascia. The pubocervical fascia may thin or tear and ...
When operating a pelvic organ prolapse, introducing a mid-urethral sling during or after surgery seems to reduce stress urinary incontinence. [13] Transvaginal repair seems to be more effective than transanal repair in posterior wall prolapse, but adverse effects cannot be excluded. [14] According to the FDA, serious complications are "not rare ...
Mesh erosion describes the exposure, extrusion or protrusion of the mesh exteriorly at the surgery scar. [3] Generally, it is the most common postoperative complication and 10.3% of the patients experience mesh erosion within 12 months for pelvic organ prolapse (POP) repair.
These are used for more advanced pelvic organ prolapse including cystocele or rectocele as well as a second or third-degree uterine prolapse. [12] Due to its shape and size, it is one of the hardest ones to insert and remove. [14] Cube pessaries are space-occupying pessaries in the shape of a cube that are available in 7 sizes. The pessary is ...
Pelvic organ prolapse is often treated with one or more surgeries to repair the vagina. Sometimes a vaginoplasty is needed following the treatment or removal of malignant growths or abscesses to restore a normal vaginal structure and function. Surgery to the vagina is done to correct congenital defects to the vagina, urethra and rectum.
It is the surgical intervention for both cystocele (protrusion of the urinary bladder into the vagina) and rectocele (protrusion of the rectum into the vagina). [citation needed] The repair may be to either or both of the anterior (front) or posterior (rear) vaginal walls, thus the origin of some of its alternative names. [1] [2] [3]
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Surgery to correct the rectocele may involve the reattachment of the muscles that previously supported the pelvic floor. [1] Another procedure is posterior colporrhaphy, which involves suturing of vaginal tissue. Surgery may also involve insertion of a supporting mesh (that is, a patch). [8]