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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.
Uterine prolapse is a form of pelvic organ prolapse in which the uterus and a portion of the upper vagina protrude into the vaginal canal and, in severe cases, through the opening of the vagina. [4] It is most often caused by injury or damage to structures that hold the uterus in place within the pelvic cavity. [ 2 ]
Sacrohysteropexy is a surgical procedure to correct uterine prolapse. It involves a resuspension of the prolapsed uterus using a strip of synthetic mesh to lift the uterus and hold it in place. It allows for normal sexual function and preserves childbearing function. [1]
A trial compared the two approaches and found that, compared with clinic-based care, self-management was associated with a similar quality of life, fewer complications, and was more cost-effective. [ 11 ] [ 12 ] Pessaries should be offered as a non-surgical alternative for women considering surgery.
Pessaries are most commonly used for pelvic organ prolapse and considered a good treatment option for women who need or desire non-surgical management or future pregnancy. [12] It is used to treat prolapse of uterine , vaginal wall ( vaginal vault ), bladder ( cystocele ), rectum ( rectocele ), or small bowel ( enterocele ).
vaginal vault prolapse [7] vaginal suspension and fixation [3] [6] operations on recto-uterine pouch [3] [6] repair of cystocele [3] [6] and rectocele [3] retropubic paravaginal repair [8] the repair of a cystocele using a graft or prosthesis [3] [6] the repair of a cystocele and a rectocele in the same procedure using a graft or prosthetic ...
•Uterine curette •Sharp curette •Shaman's curette: Retractors •Doyen's retractor •Landon's retractor •Anterior vaginal wall retractor •Balfour self-retaining retractor •Deaver's retractor: Electronic fetal monitor with abdominal transducers: Implants •Copper-T uterine •Hormonal implants e.g. Norplant
The rugae can disappear with anterior vaginal wall prolapse which can occur when supports to the portion located between the vagina and bladder are damaged and the bladder bulges into the vaginal lumen. Vaginal self-examination includes visualizing the presence of vaginal rugae. [8] Anatomists identified rugae of the vagina as early as 1824. [9]
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