Pelvic Organ Prolapse Current State of Knowledge About This Common Condition

2006 ◽  
Vol 2 (3) ◽  
pp. 170-177 ◽  
Author(s):  
Janis Luft
Keyword(s):  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Common Condition ◽  
Current State

Pelvic organ prolapse

2017 ◽  
Author(s):  
Eduardo Cortes ◽  
Mohammed Belal ◽  
Arun Sahai ◽  
Roland Morley
Keyword(s):  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Classification Systems ◽  
Bladder Function ◽  
Common Condition ◽  
Pelvic Anatomy ◽  
Pelvic Organs ◽  
Apical Compartment ◽  
Careful Assessment ◽  
Anterior Posterior

Pelvic organ prolapse (POP) is a common condition in women. It is defined as a downward descent of pelvic organs through or at the introitus. Symptoms relate to the prolapse itself and its potential effects on the bowel and urinary systems. Careful assessment is required and all compartments of the vagina need to be examined to assess for multicompartment POP. Several classification systems exist but the Baden Walker and POP-Q systems are commonly employed today. Several patient and surgical factors will influence the management. Conservative management involves pelvic floor exercises and the use of pessaries. Goals of surgery are to reconstruct and restore the pelvic anatomy, maintain, or restore normal bowel and bladder function, and maintain vaginal capacity for sexual intercourse, if desired. Surgery can be transvaginal or abdominal. This chapter will outline the anatomy, aetiology, presentation, and management of anterior, posterior, and apical compartment prolapse.

Urosepsis and hydronephrosis secondary to vaginal vault prolapse: A case report

2021 ◽  
pp. 205141582110027
Author(s):  
Athul John ◽  
Yang Li ◽  
Andrew Shepherd ◽  
Mark Lloyd ◽  
Li Lian Kuan
Keyword(s):  
Case Report ◽  
Pelvic Organ Prolapse ◽  
Older Women ◽  
Early Recognition ◽  
Pelvic Organ ◽  
Vaginal Vault Prolapse ◽  
Vaginal Vault ◽  
Common Condition ◽  
Vault Prolapse ◽  
Level Of Evidence

Pelvic organ prolapse (POP) is a common condition affecting older women. POP can cause hydronephrosis in some patients. Although rare, especially in the subset of patients with vaginal vault prolapse, unrecognized obstructive hydronephrosis can result in renal impairment and urosepsis. We present a case of a 69-year-old female with obstructive urosepsis on a background of vaginal vault prolapse. The case highlights the importance of early recognition and intervention of obstructive urosepsis in patients with severe POP disease. Level of evidence: Not applicable for this multicentre audit.

scholarly journals Pelvic organ prolapse: A primer for urologists

2017 ◽  
Vol 11 (6S2) ◽  
pp. 125 ◽  
Author(s):  
Michel Bureau ◽  
Kevin V. Carlson
Keyword(s):  
Pelvic Organ Prolapse ◽  
Treatment Options ◽  
Pelvic Organ ◽  
Vaginal Wall ◽  
Adult Women ◽  
Pelvic Examination ◽  
Training Curriculum ◽  
Common Condition ◽  
Appropriate Use ◽  
The Core

Pelvic organ prolapse (POP) results from weakness or injury of the pelvic floor supports with resulting descent of one or more vaginal compartments (anterior, apical and/or posterior). Women typically become symptomatic from the bulging vaginal wall or related organ dysfunction once this descent reaches the introitus. POP is a common condition, affecting more than half of adult women. Many women presenting to an urologist for stress urinary incontinence or overactive bladder will have associated POP; therefore, it is important for urologists who treat these conditions to be familiar with its diagnosis and management. While POP is part of the core urology training curriculum in some jurisdictions, it is not in Canada.1 This article reviews the diagnosis of POP, including pertinent symptoms to query in the history, important facets of a systematic pelvic examination, and the appropriate use of ancillary tests. Treatment options are also discussed, including conservative measures, pessaries, and various reconstructive and obliterative techniques.

Characterizing the Ex-Vivo Properties of Prolapse Meshes

2011 ◽  
Author(s):  
Andrew J. Feola ◽  
William R. Barone ◽  
Jon Shepherd ◽  
Pam Moalli ◽  
Steven Abramowitch
Keyword(s):  
Pelvic Organ Prolapse ◽  
Structural Properties ◽  
Ex Vivo ◽  
Pelvic Organ ◽  
Common Condition ◽  
Pelvic Organs ◽  
Before And After ◽  
Surgical Failure

Pelvic organ prolapse is a common condition that affects roughly 30–40% of women in their lifetime (1). Although not all women become symptomatic, 225,000 to 280,000 require surgery for prolapse each year (1). Prolapse occurs when the vagina can no longer support the pelvic organs. Thus, many urogynecological procedures use synthetic meshes to restore the supportive capacity of the vagina. However, a significant underreported proportion of women undergoing mesh procedures require a procedure to remove surgically placed mesh due to pain, exposure, erosion, and dyspareunia (2). It is suspected that these complications are related to mesh structural properties. However, since there are a wide variety of mesh products in use with little known about their properties before and after implantation, identifying the role of mesh in surgical failure has been difficult.

Pelvic organ prolapse management

2020 ◽  
Vol 26 (2) ◽  
pp. 79-85
Author(s):  
K Fleischer ◽  
G Thiagamoorthy
Keyword(s):  
Pelvic Organ Prolapse ◽  
Effective Treatment ◽  
Treatment Options ◽  
Treatment Success ◽  
Pelvic Organ ◽  
Current Evidence ◽  
Pelvic Organs ◽  
Current State ◽  
Mesh Surgery ◽  
The Uk

Pelvic organ prolapse describes the loss of support and subsequent descent of pelvic organs into the vagina. It is common, affecting up to 50% of parous women, and can be accompanied by a number of burdening symptoms. Prolapse has been thrown into the spotlight secondary to mesh-related complications. There are a number of effective treatment options to consider when managing pelvic organ prolapse and most do not require mesh. Patients’ choice, comorbidities and likelihood of treatment success should be considered when making decisions about their care. Vaginal mesh surgery is currently on hold in the UK and even prior to this there has been a reduction both in the number of all prolapse surgeries and the number of women seeking surgery to manage their symptoms. This article reviews the current evidence for the management of pelvic organ prolapse, providing an update on the current state of mesh in prolapse surgery and summarises the key evidence points derived from the literature.

V478: POP-Q Based Staging and Outcomes of Robotic Abdominal Sacrocolpopexy for Advanced Pelvic Organ Prolapse

2007 ◽  
Vol 177 (4S) ◽  
pp. 160-160
Author(s):  
Sarah E. McAchran ◽  
John C. Kefer ◽  
Courtenay Moore ◽  
Jihad H. Kaouk ◽  
Firouz Daneshgari
Keyword(s):  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Advanced Pelvic Organ Prolapse ◽  
Abdominal Sacrocolpopexy

HUBUNGAN ANTARA USIA, PARITAS, PEKERJAAN DAN INDEK MASSA TUBUH DENGAN KEJADIAN PROLAP ORGAN PANGGUL BERDASARKAN SKOR PELVIC ORGAN PROLAPSE QUANTIFICATION

2019 ◽  
Vol 2 (1) ◽  
pp. 39-44
Author(s):  
Ermawati Ermawati ◽  
Hafni Bachtiar
Keyword(s):  
Pelvic Organ Prolapse ◽  
Case Control Study ◽  
Pelvic Organ ◽  
Case Control ◽  
T Test ◽  
Pelvic Organ Prolapse Quantification ◽  
Chi Square ◽  
Chi Square Test ◽  
Control Study

Prolap organ panggul merupakan kondisi yang mempengaruhi kualitas hidup wanita. Prolaps organ panggul ini dapat disebabkan oleh perlukaan sewaktu proses persalinan, proses penuaan, komposisi jaringan pada seorang wanita, batuk- batuk kronis, atau sering melakukan pekerjaan berat. Pengenalan dini prolaps terkait dengan prognosis pemulihan anatomik dan fungsional organ panggul. Hingga kini, penerapannya dalam dunia klinis belum banyak sehingga pelatihan dan pembelajaran lebih lanjut tentang pelvic organ prolapse quantification (POPQ) jelas diperlukan. Penelitian ini dilakukan dengan metode case control study di polikilinik Obgin RSUP. Dr. M. Djamil Padang mulai bulan September 2013 sampai jumlah sampel terpenuhi sebanyak 98 orang. Dengan 49 orang kelompok kontrol dan 49 orang kelompok kasus .Analisis dilakukan untuk menilai hubungan usia, paritas, pekerjaan dan indek massa tubuh dengan kejadian prolap organ panggul berdasarkan skor POPQ. Data disajikan dalam bentuk tabel. Data diuji dengan t test dan chi square test. Jika p<0,05 menunjukan hasil yang bermakna. Terdapat hubungan yang bermakna antara usia dengan kejadian prolap organ panggul dengan (p<0,05) dan OR 27,871.terdapat hubungan yang bermakna antara paritas dengan kejadian prolap organ panggul dengan (p<0,05) dan OR 52,970.Dari analisa statistik pekerjaan tidak bisa di uji secara statistik.indek massa tubuh tidak terdapat hubungan yang bermakna terhadap kejadian prolap organ panggul.(p>0,05)

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