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When operating a pelvic organ prolapse, introducing a mid-urethral sling during or after surgery seems to reduce stress urinary incontinence. [13] Transvaginal repair seems to be more effective than transanal repair in posterior wall prolapse, but adverse effects cannot be excluded. [14] According to the FDA, serious complications are "not rare ...
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]
repair of a urethra that is short [5] vaginal construction [3] [6] vaginal reconstruction [3] [6] 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]
A weakened pelvic floor muscle fails to adequately close the urethra and hence can cause stress urinary incontinence. This condition may be diagnosed by primary care providers or urologists. Treatment may include pelvic floor muscle exercises, surgery (e.g. urethral sling), or minimally invasive procedures (e.g. urethral bulking injections). [1 ...
Antihistamines and anticholinergics may have additive effects that lead to urinary hesitancy and retention, ultimately leading to pelvic floor dysfunction. Urinary incontinence can also affect athletes, especially those in sports that require high impact such as jumping. [13] Gymnasts, for example, report a high prevalence of urinary incontinence.
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]
Surgery to correct the rectocele may involve the reattachment of the muscles that previously supported the pelvic floor. [1] Another procedure is posterior colporrhaphy, which involves suturing of vaginal tissue. Surgery may also involve insertion of a supporting mesh (that is, a patch). [8]
Transvaginal mesh, also known as midurethral or bladder neck sling for SUI repair, can be used to support the urethra or the neck of the bladder in two surgical approaches, namely the retropubic and transobturator. In the retropubic approach, two incisions above the pubic bone and one incision in the vagina are performed. [14]