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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
Pelvic floor muscle, being the major muscle supporting the pelvic organs such as the bladder and uterus, is especially vulnerable during vaginal delivery. [7] During childbirth, women are more likely to develop vaginal introital laxity, eventually leading to the weakening of pelvic floor muscles and may develop urinary symptoms such as OAB.
Pelvic floor dysfunction is defined as a herniation of the pelvic organs through the pelvic organ walls and pelvic floor. The condition is widespread, affecting up to 50 percent of women at some point in their lifetime. [10] About 11 percent of women will undergo surgery for urinary incontinence or pelvic organ prolapse by age 80. [11]
gynaecological symptoms, e.g. cystocele (prolapse of the bladder into the vagina) and rectocele (prolapse of the rectum into the vagina) [1] lower urinary tract symptoms, e.g. dysuria (painful urination), dyspareunia (pain during sexual intercourse), urinary incontinence and urgency [1]
The equivalent structure in males is the rectovesical pouch, which is the pocket formed by the reflections of the peritoneum from the rectum to the male bladder. In terms of pelvic organ prolapse, a cul-de-sac hernia is located in the posterior compartment of the pelvis. [5]
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]
Uterine prolapse (or pelvic organ prolapse) occurs when the female pelvic organs fall from their normal position, into or through the vagina. Occurring in women of all ages, it is more common as women age, particularly in those who have delivered large babies or had exceedingly long pushing phases of labor.
Another way of categorizing surgery for prolapse of pelvic organs is suspensive or resective (involving removal of sections of the bowel wall). Ventral rectopexy alone is a syspensive type surgery, a category which also includes colposacropexy. [10] Resection rectopexy additionally involves removal of a section of the sigmoid colon ...