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It may occur after cystectomy or hysterectomy. [2] In these cases, the anterior wall of the vagina is weakened or missing due to loss of support from the bladder. [2] On defecography, enterocele is defined as the presence of small bowel between the rectum and the vagina. [3]
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]
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]
POPs can happen when conditions such as pregnancy, childbirth, and menopause weaken the support structures that normally hold your pelvic organs (uterus, bladder, and rectum) in place.
Pelvic floor dysfunction can result after treatment for gynecological cancers. [9] 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.
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 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]
A hysterectomy can feel overwhelming for many women. Sure, it’s one of the most common procedures among women every year. But knowing that it’s widely performed doesn’t make the anticipation ...