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.

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.

scholarly journals Pelvic organ prolapse surgery and overactive bladder symptoms—a population-based cohort (FINPOP)

2021 ◽  
Author(s):  
Päivi K. Karjalainen ◽  
Anna-Maija Tolppanen ◽  
Nina K. Mattsson ◽  
Olga A.E. Wihersaari ◽  
Jyrki T. Jalkanen ◽  
...  
Keyword(s):  
Pelvic Organ Prolapse ◽  
Overactive Bladder ◽  
Symptom Severity ◽  
Pelvic Organ ◽  
Population Based ◽  
Urinary Frequency ◽  
Posterior Compartment ◽  
Posterior Repair ◽  
Apical Compartment ◽  
Bothersome Symptom

Abstract Introduction and hypothesis It is unclear how compartment of pelvic organ prolapse (POP) impacts overactive bladder (OAB) symptom severity or improvement after POP surgery. We hypothesized that anterior and apical prolapse are more strongly associated with OAB symptoms than posterior compartment prolapse. Methods A total of 2933 POP surgeries from a prospective population-based cohort were divided into two groups: (1) anterior and/or apical compartment surgery (± posterior repair), N = 2091; (2) posterior repair only, N = 478. Urinary frequency and urgency urinary incontinence (UUI) were evaluated using PFDI-20 (bothersome symptom: score 3–4) at baseline, 6, and 24 months. Association between degree of POP in specific compartments and symptoms at baseline was estimated with generalized linear models and between compartment of surgery and symptom improvement with generalized estimating equations. Results At least one bothersome symptom was reported by 40% at baseline, 14% at 6, and 19% at 24 months. At baseline, urinary frequency was associated with degree of anterior and apical and UUI with anterior compartment prolapse. Women undergoing surgery for anterior/apical compartment started with worse symptoms and experienced greater improvement than women undergoing posterior compartment surgery. Bothersome frequency resolved in 82% after anterior/apical and in 63% after posterior compartment surgery. Bothersome UUI resolved in 75% after anterior/apical and in 61% after posterior compartment surgery. After surgery, symptom severity was comparable between groups. Bothersome de novo symptoms occurred in 1–3%. Conclusions OAB symptoms are more strongly related to anterior and apical than to posterior compartment prolapse, but improvement is seen after surgery for any vaginal compartment.

Detection of oncological diseases in patients with pelvic organ prolapse. Case report

GYNECOLOGY ◽  
2021 ◽  
Vol 23 (2) ◽  
pp. 193-197
Author(s):  
Dmitrii V. Baibuz ◽  
Oleg L. Molchanov ◽  
Zhanna V. Glushchenko ◽  
Yanina A. Lebedeva ◽  
Sergei V. Utkin ◽  
...  
Keyword(s):  
Pelvic Organ Prolapse ◽  
Preoperative Diagnosis ◽  
Abdominal Cavity ◽  
Pelvic Organ ◽  
Vaginal Wall ◽  
Benign Disease ◽  
Pelvic Tumor ◽  
Planning Treatment ◽  
Oncological Diseases ◽  
Anterior Posterior

Pelvic organ prolapse is a common benign disease among women that is characterized by an isolated or combined descent of the anterior, posterior vaginal wall, uterus, and vaginal dome after hysterectomy. Given the fact that most of the operations are performed among middle-aged and elderly patients, the probability of detecting previously undiagnosed tumor of the abdominal cavity and pelvic region increases, which may be due to the limited volume of basic preoperative diagnosis. The purpose of our report is to draw the attention of clinicians to the problem of insufficient examination of women when planning treatment of pelvic organ prolapse on the example of our experience in managing a patient with this pathology in combination with pelvic tumor.

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 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

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