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As of 2013, an estimated 75% of 700 million dogs worldwide were free to roam and reproduce, resulting in overpopulation, high mortality rates and poor health. [1] The main management approach is surgical sterilization, i.e. the removal of testes or ovaries, often performed through trap-neuter-return strategies. [2]
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 ]
The most important aspect of treatment of pyometra is quick action to provide supportive care. Female dogs are often septic and in shock (see septic shock). [1] Intravenous fluids and antibiotics should be given immediately. Once the female dog has been stabilized, then the treatment of choice is an emergency spay.
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] Uterine prolapse in a 71 year old woman, with the cervix visible in the vaginal orifice.
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]
Uterine balloon tamponade (UBT) is a non-surgical method of treating refractory postpartum hemorrhage. Once postpartum hemorrhage has been identified and medical management given (including agents such as uterotonics and tranexamic acid ), UBT may be employed to tamponade uterine bleeding without the need to pursue operative intervention.
Gold-plated stem pessary (intrauterine device) from 1920A pessary is a prosthetic device inserted into the vagina for structural and pharmaceutical purposes. It is most commonly used to treat stress urinary incontinence to stop urinary leakage and to treat pelvic organ prolapse to maintain the location of organs in the pelvic region. [1]
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.