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Pelvic floor dysfunction can result after treatment for gynecological cancers. [12] Damage to the pelvic floor not only contributes to urinary incontinence but can lead to pelvic organ prolapse. Pelvic organ prolapse occurs in women when pelvic organs (e.g. the vagina, bladder, rectum, or uterus) protrude into or outside of the vagina.
Cystourethrocele (both bladder and urethra) Posterior vaginal wall prolapse. Enterocele (small intestine into vagina) Rectocele (rectum into vagina) Sigmoidocele; Apical vaginal prolapse. Uterine prolapse (uterus into vagina) [4] Vaginal vault prolapse (descent of the roof of vagina) – after surgical removal of the uterus hysterectomy [5]
After putting the prolapsed organs back to its original position and reinforcing the vaginal wall, the incision is closed with sutures. [5] Transvaginal mesh surgery is expected to show improved pelvic support after the first few weeks, particularly for non-absorbable meshes which have a higher biocompatibility and permanent outcome. [9]
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The cystocele, also known as a prolapsed bladder, is a medical condition in which a woman's bladder bulges into her vagina. [ 1 ] [ 5 ] Some may have no symptoms. [ 6 ] Others may have trouble starting urination, urinary incontinence , or frequent urination . [ 1 ]
The kidney position is much like the lateral position except the patient's abdomen is placed over a lift in the operating table that bends the body to allow access to the retroperitoneal space. A kidney rest is placed under the patient at the location of the lift. [2] Sims' position The Sims' position is a variation of the left lateral position.
A pelvic examination is the physical examination of the external and internal female pelvic organs. [1] It is frequently used in gynecology for the evaluation of symptoms affecting the female reproductive and urinary tract, such as pain, bleeding, discharge, urinary incontinence, or trauma (e.g. sexual assault).
After pelvic exenteration, many patients will have perineal hernia, often without symptoms, but only 3–10% will have perineal hernia requiring surgical repair. [4] Many problems can occur with the stoma. [1] Bowel obstruction may occur, or the anastomosis created by the surgery may leak. [1] The stoma may retract, or may prolapse. [1]