Pelvic organ prolapse

2020 ◽  
pp. 57-82
Author(s):  
Helen Jefferis ◽  
Natalia Price
Keyword(s):  
Pelvic Organ Prolapse ◽  
Patient Management ◽  
Pelvic Organ ◽  
Anatomical Position ◽  
Pelvic Organs ◽  
Different Types

Pelvic organ prolapse (POP) is where the pelvic organs (uterus/vaginal apex/bladder/bowel) herniate into or beyond the vagina from their normal anatomical position. This chapter provides both the classification and grading of pelvic organ prolapse, alongside assessment and examination of the patient. Management is split into conservative, pessaries, and surgery. Different types of surgery and their techniques are described, with indications and variants for various prolapses.

scholarly journals An unusual case of massive vaginal eversion complicated by obstructive uropathy

2018 ◽  
Vol 7 (6) ◽  
pp. 2493
Author(s):  
Urmi Sanyal ◽  
Hiremath P. B. ◽  
Shilpa Ghosh ◽  
Indu N. R. ◽  
Ramya M. R. ◽  
...  
Keyword(s):  
Postmenopausal Woman ◽  
Pelvic Organ Prolapse ◽  
Renal Insufficiency ◽  
Chronic Renal Insufficiency ◽  
Unusual Case ◽  
Obstructive Uropathy ◽  
Pelvic Organ ◽  
Outflow Obstruction ◽  
Anatomical Position ◽  
Pelvic Organs

Pelvic organ prolapse is the descent of the pelvic organs (uterus or bladder or rectum) from their normal anatomical position, in varying combination, into or beyond the vagina as a result of failure of the ligamentous and fascial supports. Sometimes the resulting vaginal eversion or protrusion is so massive it may cause outflow obstruction of one or both ureters. Here authors present a case of a 62 year postmenopausal woman having massive vaginal eversion leading to obstructive uropathy and chronic renal insufficiency. The prolapse was corrected by Sacrohysteropexy.

scholarly journals Treatment of pelvic organ prolapse

2012 ◽  
Vol 26 (1) ◽  
pp. 3
Author(s):  
Munir'deen A. Ijaiya ◽  
Hadijat O. Raji
Keyword(s):  
Quality Of Life ◽  
Pelvic Organ Prolapse ◽  
De Novo ◽  
Treatment Options ◽  
Reproductive Function ◽  
Pelvic Organ ◽  
Pelvic Organs ◽  
Choice Of Treatment ◽  
Principles Of Treatment

Prolapse of the pelvic organs is a common condition encountered in gynecological practice that adversely affects the quality of life of affected women. It affects millions of women worldwide. The principles of treatment of pelvic organ prolapse include restoring anatomy and vaginal function, correcting associated urinary and or fecal incontinence, and preventing de novo prolapse and incontinence. There are various treatment options for pelvic organ prolapse. These vary from conservative treatments/ mechanical interventions to surgery. The choice of treatment depends on severity of symptoms, patient’s age, parity, and whether there is the need to conserve the uterus for reproductive function. In conclusion, thorough evaluation of symptoms and degree of prolapse is essential in order to provide the best possible treatment and ultimately improve quality of life.

The Impact of Boundary Conditions on Surface Curvature Measurements of Polypropylene Mesh in Response to Uniaxial Loading

2013 ◽  
Author(s):  
William R. Barone ◽  
Rouzbeh Amini ◽  
Spandan Maiti ◽  
Pamela Moalli ◽  
Steven Abramowitch
Keyword(s):  
Pelvic Organ Prolapse ◽  
Polypropylene Mesh ◽  
Pelvic Organ ◽  
Mesh Erosion ◽  
Vaginal Tissue ◽  
Pelvic Organs ◽  
Accordion Effect ◽  
Curvature Measurements ◽  
Vaginal Canal ◽  
The Impact

Pelvic organ prolapse (POP) is defined as the descent of the pelvic organs into the vaginal canal. POP is a widespread condition among women, with a 7% lifetime risk for a single operation1. For surgical treatment, polypropylene mesh is often implanted to restore support to the pelvic organs. However, up to 20% of those who undergo surgery with mesh will require repeat operations for recurrent symptoms or complications2. One of the most common complications is mesh erosion3. Erosion is characterized by degeneration of the native vaginal tissue in contact with the mesh, resulting in the mesh migrating through the vagina. Though the cause of mesh erosion is undefined, surgeons have described this complication by the appearance of mesh “contraction”, “buckling”, “wrinkling”, and/or “bunching”. Some have even described this as an “accordion effect”.

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

2018 ◽  
Vol 2 (1) ◽  
pp. 37-43
Author(s):  
Ermawati Ermawati ◽  
Hafni Bachtiar
Keyword(s):  
Body Mass Index ◽  
Pelvic Organ Prolapse ◽  
Body Mass ◽  
Significant Relationship ◽  
Pelvic Organ ◽  
The Body ◽  
Case Group ◽  
Pelvic Organ Prolapse Quantification ◽  
Birth Process ◽  
Pelvic Organs

Pelvic organ prolapse is a condition that affects the quality of women life. Pelvic organ prolapse can be caused by injury until the birth process, the aging process, the composition of the tissue in a woman, a chronic cough, or often do heavy work. Early detection of prolapse associated with Prognosis of anatomy and functional pelvic organs recovery. So we need training and learning more about Pelvic Organ Prolapse Quantification (POPQ) are clearly. The study was conducted by the method of case control study in the department of OB polyclinic of Dr. M. Djamil Padang Hospital from September 2013 until the total sample of 98 patients with 49 control groups and 49 in the case group. Analyzes were connected to assess the association of age, parity, occupation and body mass index with the incidence of pelvic organs prolapse based on POPQ. Score data are presented in tabular form. Data were tested by t-test and chi square test. If p <0.05 indicates significant results. There is a significant relationship between age and the incidence of pelvic organ prolapse (p <0.05) and OR 27,871. there is a significant correlation between parity and the incidence of pelvic organ prolapse (p<0.05) and OR 52,970. From the statistical analysis of the work, it cannot be tested statistically. From the body mass index, there is no significant relationship to the occurrence of pelvic organ prolapse (P> 0.05) and OR 1:00.Keywords: age, parity, occupation, body mass index, pelvic organs prolapse

scholarly journals Abdominal sacrohysteropexy versus vaginal hysterectomy for pelvic organ prolapse in young women

2020 ◽  
Vol 9 (4) ◽  
pp. 1434
Author(s):  
Anuja V. Bhalerao ◽  
Vaidehi Ajay Duddalwar
Keyword(s):  
Pelvic Organ Prolapse ◽  
Vaginal Hysterectomy ◽  
Pelvic Organ ◽  
Definitive Treatment ◽  
Surgical Time ◽  
Pelvic Organs ◽  
Validated Questionnaire ◽  
Ovarian Conservation ◽  
Symptomatic Outcome ◽  
Anatomical Outcome

Background: Pelvic organ prolapse (POP) is the descent of the pelvic organs beyond their anatomical confines. The definitive treatment of symptomatic prolapse is surgery but its management in young is unique due to various considerations. Aim of this study was to evaluate anatomical and functional outcome after abdominal sacrohysteropexy and vaginal hysterectomy for pelvic organ prolapse in young women.Methods: A total 27 women less than 35 years of age with pelvic organ prolapse underwent either abdominal sacrohysteropexy or vaginal hysterectomy with repair. In all women, pre-op and post-op POP-Q was done for evaluation of anatomical defect and a validated questionnaire was given for subjective outcome.Results: Anatomical outcome was significant in both groups as per POP-Q grading but the symptomatic outcome was better for sacrohysteropexy with regard to surgical time, bleeding, ovarian conservation, urinary symptoms, sexual function.Conclusions: Sacrohysteropexy is a better option.

scholarly journals Prolaps Organ Panggul

Medicinus ◽  
2019 ◽  
Vol 7 (1) ◽  
pp. 27
Author(s):  
Jacobus Wibisono ◽  
Gezta Hermawan
Keyword(s):  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Pelvic Organ Prolapse Quantification ◽  
Birth Canal ◽  
Pelvic Organs ◽  
Pelvic Area

<p>Pelvic organ prolapse is a condition of descent or herniation of woman’s pelvic organs through the birth canal or onto birth canal space. As someone gets older, the incidence of pelvic organ prolapse increases, due to weakening of ligaments and muscles as suspensor for the pelvic organs. Prolapse may or may not show symptoms. Symptoms that occur are associated due to pressure of the pelvic area, difficulty urinating and defecation. The staging of pelvic organ prolapse utilized the Baden-Walker System and Pelvic Organ Prolapse Quantification (POP-Q). Management for pelvic organ prolapse can be done conservatively and operatively, and the decision of which approach should be taken based on the patient’s condition and choice.</p>

Pelvic organ prolapse

2020 ◽  
pp. 695-705
Author(s):  
Suneetha Rachaneni ◽  
Anupreet Dua ◽  
Robert Freeman
Keyword(s):  
Quality Of Life ◽  
Health Economic ◽  
Pelvic Organ Prolapse ◽  
Sexual Dysfunction ◽  
Life Expectancy ◽  
Pelvic Organ ◽  
Pelvic Organs ◽  
Full Bladder ◽  
Increasing Demand

Pelvic organ prolapse is a departure from normal sensation, structure, or function, experienced by the woman in reference to the position of her pelvic organs. Symptoms such as the feeling of a bulge, vaginal heaviness, or ‘something coming down’, are generally worse after long periods of standing or exercise and better when lying supine. Other symptoms include bladder, bowel, and sexual dysfunction. Prolapse may be more prominent with a full bladder and/or rectum and at times of abdominal straining, for example, defecation. Pelvic organ prolapse is not just a problem in older women and represents a health economic challenge for the future due to the costs of surgery, the longer life expectancy, and an increasing demand for a better quality of life.

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.

Pelvic organ prolapse

2016 ◽  
Vol 9 (12) ◽  
pp. 723-731
Author(s):  
Thomas G Gray ◽  
Sarah McVey ◽  
Jill Green ◽  
Anupama Saxena ◽  
Daksha Patel
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
Pelvic Organ Prolapse ◽  
Care Setting ◽  
Primary Care Setting ◽  
Pelvic Organ ◽  
Initial Management ◽  
Pelvic Organs ◽  
Vaginal Canal

Pelvic organ prolapse is the descent of one or more of the pelvic organs, (including the bladder, uterus and rectum) from their normal anatomical position into the vaginal canal in women. This is a result of failure of the fascial, muscular and ligamentous supports of the pelvic organs and is a common problem encountered in primary care. Pelvic organ prolapse can have a profound and significant impact on quality of life, and it is important for GPs to understand how to diagnose and manage women with this condition. The majority of women presenting with pelvic organ prolapse are suitable for initial management in a primary care setting.

scholarly journals Analysis of Risk Factors with the Degree of Pelvic Organs Prolapse at Dr. Mohammad Hoesin General Hospital Palembang

2021 ◽  
Vol 5 (4) ◽  
pp. 915-918
Author(s):  
Hadrians Kesuma Putra ◽  
Callista Zahra Aidi ◽  
M. Zulkarnain
Keyword(s):  
Risk Factors ◽  
Pelvic Organ Prolapse ◽  
General Hospital ◽  
Binary Logistic Regression ◽  
Pelvic Organ ◽  
Binary Logistic Regression Analysis ◽  
Chi Square ◽  
Cross Sectional ◽  
Pelvic Organs ◽  
Chi Square Test

Background. Pelvic organ prolapse (POP) is a condition in which one or more pelvic organs (consisting of the uterus, vaginal cuff, bladder, intestines, and rectum) or more are still in or out of the vagina. Risk factors that influence the incidence of POP consist of obstetric risk factors (number of parity and birth method) and non-obstetric risk factors (age, menopause, BMI, comorbid disease, and hypertension). The purpose of this study was to analyze the risk factors associated with the degree of POP. Methods. This study is an observational study with a cross-sectional approach to 111 patients examined at the Department of Obstetrics and Gynecology, Dr. Mohammad Hoesin general hospital Palembang on January 2017 to December 2019, who was diagnosed with pelvic organ prolapse. Results. The results showed the effect of variables with the degree of POP using the chi-square test, consisting of parity (p=0.007), birth method (p=<0.001), age (p=0.016), menopause (p=0.001), BMI (p =0.005), indicates that there is a significant effect on the degree of POP. Meanwhile, comorbid factors (p=0.481) and hypertension (p=0.415) did not show a significant relationship with the degree of POP. The results of the binary logistic regression analysis of all risk factors, the number of parity >4, overweight, and age 40 years, will have a 99.85% chance of experiencing grade 3 or 4 prolapse. Conclusion. Age is the most dominant risk factor affecting the degree of pelvic organ prolapse, with 19 times the chance of developing POP 3 or 4 degrees.

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