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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 ]
As a result, post-hysterectomy vaginal vault prolapse became more common and a growing concern for some surgeons, and new techniques to correct this complication were attempted. [15] In 1957, Arthure and Savage of London's Charing Cross Hospital, suspecting that uterine prolapse could not be cured with hysterectomy alone, published their ...
The incidence of cystocele is around 9 per 100 women-years. The highest incidence of symptoms occurs between ages of 70 and 79 years. Based on population growth statistics, the number of women with prolapse will increase by a minimum of 46% by the year 2050 in the US. Surgery to correct prolapse after hysterectomy is 3.6 per 1,000 women-years. [13]
Secondary cul-de-sac hernias are those which develop after gynecologic procedures, especially after vaginal hysterectomy. [ 8 ] Another classification of cul-de-sac hernias is internal, meaning those that are only visible on defecography, or external, which are associated with a clinically visible rectocele or rectal prolapse.
What Is a Hysterectomy? A hysterectomy is a fairly common surgical procedure wherein the uterus is removed. According to the Centers for Disease Prevention and Control (CDC), 14.6% of women aged ...
In gynecology, a rectocele (/ ˈ r ɛ k t ə s iː l / REK-tə-seel) or posterior vaginal wall prolapse results when the rectum bulges into the vagina. [1] Two common causes of this defect are childbirth and hysterectomy. [2] Rectocele also tends to occur with other forms of pelvic organ prolapse, such as enterocele, sigmoidocele and cystocele. [1]
It is not clear in such situations if the enterocele caused or aggravated the rectal prolapse, or if the pouch of Douglas is merely pulled down by the rectal prolapse. It is thought that enterocele may initiate or aggravate a rectal intussusception (internal rectal prolapse). The hernia may descend into and impinge upon the rectal wall. [5]
Procidentia is a severe prolapse, the falling down of an organ from its normal anatomical position, usually referring to uterine prolapse. [1] [2] See also.