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Its purpose is to reduce the cystourethrocele and to reposition the uterus within the pelvis. The major steps of the intervention are listed below: Preliminary dilatation and curettage; Amputation of cervix; strengthening the cervix by suturing cut end of Mackenrodt ligament in front of cervix; Anterior colporrhaphy; Posterior colpoperineorrhaphy
In women, the condition usually occurs when the pelvic floor collapses after gynecological cancer treatment, childbirth or heavy lifting. [2] Injury incurred to fascia membranes and other connective structures can result in cystocele, rectocele or both. Treatment can involve dietary and lifestyle changes, physical therapy, or surgery. [3]
The combining forms reflect the rectum (recto-, -rectal) and uterus (utero-, -uterine). In Obstetrics and gynaecology, it is commonly referred to as the pouch of Douglas or the posterior cul-de-sac. [7] The Douglas fold (rectouterine plica), Douglas line, and Douglas septum are likewise named after the same James Douglas.
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The most common causes for adnexal masses in premenopausal women include follicular cysts and corpus luteum cysts. Abscesses can form as a complication of pelvic inflammatory disease . In postmenopausal women, adnexal masses may be caused by cancer , fibroids , fibromas , or diverticular abscesses.
Endometrioma (also called chocolate cyst) is the presence of tissue similar to, but distinct from, the endometrium in and sometimes on the ovary. It is the most common form of endometriosis . [ 1 ] Endometrioma is found in 17–44% patients with endometriosis.
Adenomyosis is a medical condition characterized by the growth of cells that proliferate on the inside of the uterus (endometrium) atypically located among the cells of the uterine wall , [2] as a result, thickening of the uterus occurs. As well as being misplaced in patients with this condition, endometrial tissue is completely functional.
Another review on the surgical management of cystocele describes a more successful treatment that more strongly attaches the ligaments and fascia to the vagina to lift and stabilize it. [35] Post surgical complications can develop. The complications following surgical treatment of cystocele are: