Influence of Toileting Behaviour on Anterior Vaginal Wall Prolapse Natural Course

Abstract Background: Many risk factors have been proposed for POP, and the cause seems most plausible to be multifactorial. This study aimed to investigate the effect of toileting behaviors on the anterior vaginal wall prolapse (AVWP) natural course.Methods: The data of 75 women who had been operated for symptomatic AVWP were recorded. The patients with grade ³II AVWP were included in this study, and they were divided into two groups according to voiding and defecation position. The volunteers who were voiding in the sitting position defined as Group 1, and Group 2 included the volunteers who were voiding in squatting position. The Colo-Rectal-Anal Impact Questionnaire (CRAIQ), Pelvic Floor Impact Questionnaire (PFIQ), Pelvic Organ Prolapse Impact Questionnaire (POPIQ), Urinary Impact Questionnaire (UIQ) and visual analog pain scores were used for evaluation of patients’ symptoms. Results: 44 patients enrolled in group 1 (sitting position) and 31 patients enrolled in group 2 (squatting position). BMI, number of parity, menopause duration, topical estrogen using, comorbidities, presence of constipation and urinary incontinence, and ped count for incontinence were similar in both groups. The time from initial symptoms to surgery was demonstrated shorter in group 2, 12 (3-73) and 24 (2-182) months, respectively (p=0.001). The PFIQ and POPIQ scores and the POP-related VAS score were statistically higher in patients who were voiding and defecating in squatting positions. Conclusion: Questioning the toileting position of patients with AVWP may be effective on the treatment option of the patient and may be beneficial on symptom control.

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A Novel Technique for Anterior Vaginal Wall Prolapse Repair: Anterior Vaginal Wall Darn

The Scientific World JOURNAL ◽

10.1155/2013/198542 ◽

2013 ◽

Vol 2013 ◽

pp. 1-5

Author(s):

Osman Köse ◽

Hasan S. Sağlam ◽

Şükrü Kumsar ◽

Salih Budak ◽

Öztuğ Adsan

Keyword(s):

Stress Test ◽

Pelvic Organ ◽

Vaginal Wall ◽

Anterior Vaginal Wall ◽

New Technique ◽

Anterior Vaginal Wall Prolapse ◽

Cough Stress Test ◽

Arcus Tendineus ◽

Mucosal Erosion ◽

A New Technique

Aim. The aim of this study is to introduce a new technique,anterior vaginal wall darn(AVWD), which has not been used before to repair the anterior vaginal wall prolapse, a common problem among women.Materials and Methods. Forty-five women suffering from anterior vaginal wall prolapse were operated on with a new technique. The anterior vaginal wall was detached by sharp and blunt dissection via an incision beginning from the 1 cm proximal aspect of the external meatus extending to the vaginal apex, and the space between the tissues that attach the lateral walls of the vagina to the arcus tendineus fascia pelvis (ATFP) was then darned. Preoperation and early postoperation evaluations of the patients were conducted and summarized.Results. Data were collected six months after operation. Cough stress test (CST), Pelvic Organ Prolapse Quantification (POP-Q) evaluation, Incontinence Impact Questionnaire (IIQ-7), and Urogenital Distress Inventory (UDI-6) scores indicated recovery. According to the early postoperation results, all patients were satisfied with the operation. No vaginal mucosal erosion or any other complications were detected.Conclusion. In this initial series, our short-term results suggested that patients with grade II-III anterior vaginal wall prolapsus might be treated successfully with the AVWD method.

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Relationship between the Pelvic Organ Prolapse Quantification system (POP-Q), the Pelvic Floor Impact Questionnaire (PFIQ-7), and the Pelvic Floor Distress Inventory (PFDI-20) before and after anterior vaginal wall prolapse surgery

International Urogynecology Journal ◽

10.1007/s00192-014-2434-6 ◽

2014 ◽

Vol 26 (2) ◽

pp. 195-200 ◽

Cited By ~ 12

Author(s):

P. Teleman ◽

E. Laurikainen ◽

I. Kinne ◽

R. Pogosean ◽

U. Jakobsson ◽

...

Keyword(s):

Pelvic Organ Prolapse ◽

Pelvic Floor ◽

Pelvic Organ ◽

Vaginal Wall ◽

Anterior Vaginal Wall ◽

Prolapse Surgery ◽

Pelvic Organ Prolapse Quantification ◽

Anterior Vaginal Wall Prolapse ◽

Before And After

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Hubungan Antara Perubahan TitiK B Anterior (BA) dengan Berat Badan Lahir Bayi pada Persalinan Normal

JOURNAL OBGIN EMAS ◽

10.25077/aoj.4.1.7-12.2020 ◽

2020 ◽

Vol 4 (1) ◽

pp. 7-12

Author(s):

Beny Gunawan ◽

Ermawati Ermawati

Keyword(s):

Birth Weight ◽

Statistical Tests ◽

Pelvic Organ ◽

Vaginal Wall ◽

Anterior Vaginal Wall ◽

Anterior Vaginal Wall Prolapse ◽

Cross Sectional ◽

The Relationship ◽

Labor Method

Background : Pelvic organ prolapse (POP), also known as urogenital prolapse, is a decrease in pelvic organs which causes protrusion of the vagina, uterus or both. Determination of POP is seen from anterior vaginal wall prolapse (cystocele), uteri (urethrocele) and posterior vaginal wall (rectocele). In identifying the incidence of POP can be seen by knowing anatomic abnormalities, especially cytoceles, based on the degree measured by the Prevalence Organ Prolapse Quantification (POPQ) system. In the cystocele the POPQ assessment is focused on the anterior B point (Ba), which is the point that is in the anterior vaginal wall, between the Aa point and the anterior fornix.Objectives : determine the relationship between changes in anterior point B with the birth weight of infants in normal labor. Method: This study was conducted with a cross sectional comparative study method in the obgin polyclinic Prof. dr. Hanafiah Batusangkar from September to December 2017. The number of samples was 74 people with 37 people in the group with an anterior point B change> 3 cm and 37 people in the group with an anterior point B change <3 cm. Data analysis using SPSS version 22, theresults of statistical tests were significant if p <0.05.Results: There was a relationship between age (p = 0.041) and parity (p = 0.047) with changes in anterior B point (BA) in normal labor and women who gave birth to birth weight. 3500 gram babies had 2.7 times the chance to experience changes in anterior B points (BA) of> 3 cm.Conclusion: this study is that there is a relationship between birth weight of babies with anterior point B changes. Keywords: Pelvic Organ Prolap, Prevalence Organ Prolapse Quantification (POPQ), Anterior Point B

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Native-Tissue Anterior Colporrhaphy Versus Transvaginal Mesh for Anterior Pelvic Organ Prolapse

50 Studies Every Obstetrician-Gynecologist Should Know ◽

10.1093/med/9780190947088.003.0035 ◽

2021 ◽

pp. 191-196

Author(s):

Nick Rockefeller ◽

Peter Jeppson

Keyword(s):

Pelvic Organ Prolapse ◽

Clinical Case ◽

Pelvic Organ ◽

Vaginal Wall ◽

Anterior Vaginal Wall ◽

Anterior Colporrhaphy ◽

Transvaginal Mesh ◽

Anterior Vaginal Wall Prolapse ◽

Native Tissue ◽

Landmark Study

This article provides a summary of a landmark study in the management of pelvic organ prolapse. This study sought to evaluate if patients with anterior vaginal wall prolapse should be managed with a traditional native tissue colporrhaphy or with transvaginal mesh. This article briefly reviews other relevant studies related to vaginal prolapse and concludes with a relevant clinical case.

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Study of correlation between symptoms and signs in women with anterior vaginal wall prolapse

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20172953 ◽

2017 ◽

Vol 6 (7) ◽

pp. 3155

Author(s):

Smita Anand Bijwe ◽

Pooja Rajbhara

Keyword(s):

Pelvic Organ Prolapse ◽

Strong Association ◽

Descriptive Study ◽

Pelvic Organ ◽

Vaginal Wall ◽

Anterior Vaginal Wall ◽

Outpatient Clinics ◽

Urinary Function ◽

Anterior Vaginal Wall Prolapse ◽

Symptoms And Signs

Background: Pelvic organ prolapse is a common, distressing and disabling condition affecting up to 30% of the women, 20- 60 years of age, attending Gynaecology outpatient clinics. Objective of present work was to know the effect of Pelvic Organ Prolapse (POP) on micturition symptoms.Methods: Descriptive study including 64 women presenting with POP symptoms. Subjects were evaluated using POP-Quantification system, Urinary Distress Inventory.Results: Women were asked to rate the extent to which they were bothered by their urinary function on a scale of 1 to 10, with 1 being not at all and 10 being extremely. Ten women (16%) reported 1 to 4, 23 (37%) reported 5 to 7, and 29 (47%) reported and gt;8.Conclusions: Strong association does exist between POP and micturition symptoms which are obstructive in nature and those causing urge incontinence.

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