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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 ]
Pelvic Organ Prolapse Quantification System (POP-Q) Stage Description 0: No prolapse anterior and posterior points are all −3 cm, and C or D is between −TVL and −(TVL−2) cm. 1: The criteria for stage 0 are not met, and the most distal prolapse is more than 1 cm above the level of the hymen (less than −1 cm). 2
Transvaginal mesh, also known as vaginal mesh implant, is a net-like surgical tool that is used to treat pelvic organ prolapse (POP) and stress urinary incontinence (SUI) among female patients. The surgical mesh is placed transvaginally to reconstruct weakened pelvic muscle walls and to support the urethra or bladder. [1] [2]
Vaginal prolapse was seen in 1–2% of people assigned male at birth undergoing this procedure. [4] The ability of emptying the bladder was affected for some patients after this procedure: 13% reported improvement, 68% said that there was no change and 19% reported that voiding got worse.
However, increasingly some surgeons use robotic surgery to conduct the procedure. [5] Some surgeons claim that the use of robotic surgery makes ventral rectopexy less technically demanding, because it requires careful dissection and suture placement in a tight, narrow space. [1] This is especially true in patients with a narrow pelvis. [16]
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]
However, the association between this type of prolapse and vaginal introital laxity is still unclear due to the lack of related data. [2] POP includes (a) the falling out of vagina, bladder and other genito-pelvic structures, (b) vaginal tissue bulging into and through the introitus, or (c) the prolapse of rectal tissues into the vaginal area. [8]
A pessary is a plastic or silicone device that may be used for women with pelvic organ prolapse. Vaginal pessaries can immediately relieve prolapse and prolapse-related symptoms. [25] This treatment is useful for individuals who do not want to have surgery or are unable to have surgery due to the risk of the procedure.
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