scholarly journals Bladder rupture due to urogenital tract trauma caused by ox horn injury in a patient with pelvic organ prolapse: a case report

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Zelalem Mengistu ◽  
Mezigebu Molla
Keyword(s):  
Pelvic Organ Prolapse ◽  
Wound Care ◽  
Pelvic Organ ◽  
Late Presentation ◽  
Northwest Ethiopia ◽  
Urogenital Tract ◽  
Bladder Rupture ◽  
Sacrospinous Fixation ◽  
Case Presentation ◽  
Increased Risk

Abstract Introduction Genitourinary tract trauma caused by ox horn injury in the presence of pelvic organ prolapse (POP) is an extremely rare phenomenon and associated with devastating morbidity. Case presentation A 50-year-old multiparous postmenopausal woman from rural northwest Ethiopia presented with the primary complaint of urinary incontinence 6 days after she suffered ox horn injury to her prolapsed genitalia. She had stage 3 pelvic organ prolapse with the leading point being the cervix. The anterior vaginal and posterior bladder walls were disrupted with visible draining of the left ureter. The wound was dirty and edematous with whitish discharge. She was admitted to the urogynecology ward and provided with wound care until the infection subsided. Apical prolapse suspension was performed using right sacrospinous fixation, and bladder repair was carried out 6 weeks following the prolapse suspension. She recovered well and was continent when discharged. Conclusion Ox horn injury involving the female lower urogenital tract in the presence of POP is extremely rare. Late presentation after sustaining injury is associated with increased risk of morbidity and long hospital stay, and treatment requires multistage surgery.

Pelvic organ prolapse in Northwest Ethiopia: a population-based study

2019 ◽  
Vol 31 (9) ◽  
pp. 1873-1881 ◽  
Author(s):  
Tadesse Belayneh ◽  
Abebaw Gebeyehu ◽  
Mulat Adefris ◽  
Guri Rortveit ◽  
Tadesse Awoke
Keyword(s):  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Population Based ◽  
Northwest Ethiopia ◽  
Population Based Study

scholarly journals Uterovaginal prolapse following suspected sexual abuse to a child: a case report

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Odion-Obomhense Kesiena Helen ◽  
Ntaji Maureen Iru ◽  
Ekpebe Patrick Akpofure ◽  
Afeyodion Akhator
Keyword(s):  
Sexual Abuse ◽  
Case Report ◽  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Uterovaginal Prolapse ◽  
Traumatic Rupture ◽  
Connective Tissues ◽  
Case Presentation ◽  
History Of

Abstract Background Uterovaginal prolapse occurs when damaged connective tissues allow the uterus to drop into the vagina. Rare in children, uterovaginal prolapse can occur as a result of violent sexual assault. This case is being reported because there has been no previous report of acquired pelvic organ prolapse following trauma suspected to be sexual abuse in a child in our setting. Case presentation Two-year-old female presented to our hospital with a 3-day history of abnormal protrusion from the vagina and a 2-day history of bleeding per vagina. Traumatic rupture of the hymen was observed. The urethra was not edematous or hyperemic. The reduction was done successfully under sedation and maintained using a crepe bandage. There was no recurrence after 3-month follow-up. Conclusions Uterovaginal prolapse presenting among children below 5 years is rare. If bleeding per vagina is reported in a child, the clinician should be aware of the possibility of uterovaginal prolapse.

scholarly journals Incidence of PostOperative Urinary Retention after Pelvic Organ Prolapse Reconstruction

2017 ◽  
pp. 147-152
Author(s):  
Elisia Elisia ◽  
Tyas Priyatini
Keyword(s):  
Pelvic Organ Prolapse ◽  
Urinary Retention ◽  
Urinary Catheter ◽  
Pelvic Organ ◽  
Bladder Function ◽  
Bladder Injury ◽  
Sacrospinous Fixation ◽  
Residual Urine ◽  
Associate Hospital ◽  
History Of

Abstract Objective: To determine the incidence of post-operative urinary retention after pelvic organ prolapse reconstruction and associated factors. Method: This was a prospective cohort study conducted in Dr. Cipto Mangunkusumo and another associate hospital. We recruited women planned for pelvic organ prolapse reconstruction from April 2013 to April 2015. Inclusion and exclusion criteria were women with pelvic organ prolapse (2nd, 3rd and 4th degree) without prior urinary retention, drugs affecting bladder function, and history of bladder injury. After surgery, urinary catheter was applied for 24 hours. Six hours apart from urinary catheter released, residual urine was measured. Urinary retention was defined as residual urine more than 100 ml. Result: Of 200 subjects, 59 of them (29.5%) classified as having urinary retention. No association found between age, body mass index (BMI), degree of prolapse, degree of cystocele and urinary tract infection toward urinary retention. Total vagina hysterectomy + anterior colporaphy + colpoperineoraphy + sacrospinous fixation and reconstruction duration more than 130 minutes were associated with urinary retention (relative risk (RR) 3.66; 95% CI 2.91-4.60; p

scholarly journals Migration of Neglected Vaginal Pessaries: A Case Report

2020 ◽  
Vol 9 (3) ◽  
pp. 225-227
Author(s):  
Hyun A Bae ◽  
Jeong In Choi ◽  
Soo-Ho Chung ◽  
Jae Hong Sang
Keyword(s):  
Case Report ◽  
Pelvic Organ Prolapse ◽  
Patient Education ◽  
Pelvic Organ ◽  
Estrogen Treatment ◽  
Case Presentation ◽  
Vaginal Orifice ◽  
Vaginal Pessary ◽  
Rectovaginal Fistulas ◽  
And Migration

Introduction: Vaginal pessaries are commonly used to manage pelvic organ prolapse. Pessaries are usually tolerated although some severe complications can occur in cases of negligence, including vesicovaginal and rectovaginal fistulas. Case Presentation: This is a report of two cases of a neglected vaginal pessary and migration into the rectovaginal space to form a vaginal orifice. Based on examinations, no vaginal pessaries in both cases migrated into the rectum. These pessaries were removed by cutting and rotating movements. Finally, the two patients were discharged after surgery without any complications. Conclusions: Neglected pessaries can lead to serious complications. Thus, patient education, local estrogen treatment, and careful follow-ups are important to prevent such complications.

scholarly journals Reasons for delay in decision making and reaching health facility among obstetric fistula and pelvic organ prolapse patients in Gondar University Hospital, Northwest Ethiopia

2018 ◽  
Vol 13 (2) ◽  
Author(s):  
Mulat Adefris ◽  
Solomon Mekonnen ◽  
Kiros Terefe ◽  
Abebaw Addis ◽  
Azmeraw Adigo ◽  
...  
Keyword(s):  
Pelvic Organ Prolapse ◽  
Obstetric Fistula ◽  
Social Stigma ◽  
Pelvic Organ ◽  
Northwest Ethiopia ◽  
University Hospital ◽  
Time Of Arrival ◽  
Financial Problem ◽  
Cross Sectional ◽  
Gondar University Hospital

Aims: To assess reasons for the delay in getting treatment of women with obstetric fistula and pelvic organ prolapse at Gondar University Hospital. Methods: A hospital based cross-sectional study was conducted among 384 women. Delay was evaluated by calculating symptom onset and time of arrival to get treatment at University of Gondar Hospital. Regression analysis was conducted to elicit predictors of delay for treatment. Results:  Of the total 384 participants 73(19.1%) were fistula cases and 311 (80.9%) were pelvic organ prolapse. The proportion of women who delayed for treatment of pelvic organ prolapse was 82.9%, and that of obstetric fistula was 60.9%. Women who had fear of disclosure due to social stigma (AOR=2; 1.03, 3.9), and financial problem (AOR=1.97; 1.01, 3.86) were associated with delay to seek treatment for pelvic organ prolapse. While increasing age (AOR =1.12; 1.01, 1.24)and divorce (AOR = 16.9; 1.75, 165.5) were associated with delay to seek treatment among obstetric fistula cases, Conclusions: A high proportion of women with pelvic organ prolapse and Obstetric fistula were delayed to seek treatment. Fear of disclosure due to social stigma and financial problem were the major factors that contributed for delay to seek treatment for pelvic organ prolapse. While increasing age and divorce were the predictors for delay to seek treatment for obstetrics fistula patients.

scholarly journals Transvaginal Bilateral Sacrospinous Fixation after Second Recurrence of Vaginal Vault Prolapse: Efficacy and Impact on Quality of Life and Sexuality

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Salvatore Giovanni Vitale ◽  
Antonio Simone Laganà ◽  
Marco Noventa ◽  
Pierluigi Giampaolino ◽  
Brunella Zizolfi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
Vaginal Vault Prolapse ◽  
Vaginal Vault ◽  
Vault Prolapse ◽  
Sacrospinous Fixation ◽  
Sf 36

Objective. Our aim was to study the efficacy of transvaginal bilateral sacrospinous fixation (TBSF) and its impact on quality of life (QoL) and sexual functions in women affected by second recurrences of vaginal vault prolapse (VVP). Materials and Methods. We performed a prospective observational study on 20 sexually active patients affected by second recurrence of VVP, previously treated with monolateral sacrospinous fixation. TBSF was performed in all the patients. They had been evaluated before the surgery and at 12-month follow-up through pelvic organ prolapse quantification (POP-Q) system, Short Form-36 (SF-36), and Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire (PISQ-12). Results. At 12-month follow-up, 18 out of 20 (90%) patients were cured of their recurrent VVP. No major intra- and postoperative complications occurred. We found a significant improvement in 4/5 POP-Q landmarks (excluding total vaginal length), SF-36, and PISQ-12 scores. Conclusion. According to our data analysis, TBSF appears to be safe, effective, and able to improve both QoL and sexual functions in patients affected by second recurrence of VVP after previous monolateral sacrospinous fixation.

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