7,239 results match your criteria Uterine Prolapse

How and on whom to perform uterine-preserving surgery for uterine prolapse.

Obstet Gynecol Sci 2022 Jun 27. Epub 2022 Jun 27.

Department of Obstetrics and Gynecology, Seoul National University Hospital, Seoul, Korea.

The demand for uterine preservation in pelvic reconstructive surgery for uterovaginal prolapse is steadily increasing, and several procedures have been introduced, such as sacrospinous hysteropexy, uterosacral hysteropexy, sacrohysteropexy, and hysteropectopexy. However, the benefits and risks of uterine-preserving surgeries are not well understood. This review discusses the current evidence surrounding uterine-preserving surgery for uterovaginal prolapse repair. Read More

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Alignment of the Cervix with the Vagina in Uterine Retroversion: A Possible Risk Factor in Uterine Prolapse.

Diagnostics (Basel) 2022 Jun 9;12(6). Epub 2022 Jun 9.

Southern Illinois University School of Medicine, Springfield, IL 62702, USA.

Multiple observational studies have found an association of uterine prolapse with uterine retroversion. Mechanisms proposed to explain this apparent association assume that the cervix of a retroverted uterus will usually insert at the apex of the vagina, with resultant alignment of the cervix with the vagina. The angle of the axis of the cervix with the axis of the vagina was measured by two readers on 323 sagittal pelvic MRI scans and sagittal reconstructions of pelvic CT scans performed for clinical purposes. Read More

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Water carrying in hills of Nepal-associations with women's musculoskeletal disorders, uterine prolapse, and spontaneous abortions.

PLoS One 2022 23;17(6):e0269926. Epub 2022 Jun 23.

Department of Sanitation, Swiss Federal Institute of Aquatic Science and Technology (Eawag), Water and Solid Waste for Development (Sandec), Dübendorf, Switzerland.

More than a third of women in Nepal have to carry water from source to home to satisfy their families' daily needs. A cross-sectional study was carried out in a hilly area in Nepal to assess water-carrying practices and their association with women's health. Quantitative interviews were conducted with 1001 women of reproductive age and were complemented with health surveys carried out by health professionals and structured observations of water carrying. Read More

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Prevalence of adenomyosis in women undergoing hysterectomy for abnormal uterine bleeding, pelvic pain or uterine prolapse - A retrospective cohort study.

Ann Med Surg (Lond) 2022 Jun 23;78:103809. Epub 2022 May 23.

Clinic of Gynecology, Obstetrics and Gynecological Oncology, University Hospital for Gynecology, Pius-Hospital Oldenburg, Medical Campus University of Oldenburg, Germany.

Background: Adenomyosis can cause symptoms like dysmenorrhea, dyspareunia, pelvic pain and bleeding disorders and is related to subfertility and obstetrical complications. The disease is probably underestimated and underdiagnosed because of difficulties in reliable clinical examination and imaging results. The age-related prevalence of adenomyosis still remains unclear. Read More

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Anatomic identification of laparoscopic uterosacral ligament suspension: A step-by-step procedure.

Int Urogynecol J 2022 Jun 20. Epub 2022 Jun 20.

Department of Gynecology, Women's Hospital, School of Medicine, Zhejiang University, 1st Xueshi Road, Hangzhou, Zhejiang, People's Republic of China, 310006.

Introduction And Hyposthesis: The uterosacral ligament (USL) is the main structure of physiological apical support, and USL suspension is one of the most commonly used methods for native tissue apical suspension. Structures surrounding the USL are complex, and the USL itself is difficult to identify, especially the sacral portion of the USL. Laparoscopy improves visualization, but exposure of the USL is still unsatisfactory. Read More

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Robotic sacrohysteropexy: an instructional video for uterovaginal prolapse repair in patients with desired uterine preservation.

Int Urogynecol J 2022 Jun 17. Epub 2022 Jun 17.

Department of Ob/Gyn and Women's Health, Division of Female Pelvic Medicine and Reconstructive Surgery, University of Louisville, Louisville, KY, USA.

Introduction: Minimally invasive sacrohysteropexy is a feasible and safe option for the treatment of uterovaginal prolapse in patients with prior sacrorectopexy. This video demonstrates an approach to robotic sacrohysteropexy while also adapting for a patient's prior sacrorectopexy. Sacrohysteropexy has been shown to be a viable option in women undergoing pelvic reconstructive surgery for the repair of uterovaginal prolapse. Read More

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Massive prolapsed cervical lumps in cervical cancer treated with three-dimensional implant brachytherapy: a case report.

Transl Cancer Res 2022 May;11(5):1440-1444

Department of Radiation Oncology, Jiangsu Cancer Hospital, The Affiliated Cancer Hospital of Nanjing Medical University, Jiangsu Institute of Cancer Research, Nanjing, China.

Background: Cervical cancer is one of the most common gynecological malignancies in developing countries. But the cervical cancer patients with tumor prolapse are very rare. The treatment principle of cervical cancer has been written into the guide, while the management of cervical lumps prolapse associated with cervical cancer is not standardized. Read More

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Uterus and Vaginal Prolapse in a Neonate.

Indian Pediatr 2022 Jun;59(6):507

Department of Pediatrics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi Meghe, Wardha, Maharashtra.

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Surgical excision of vaginal cysts presenting as pelvic organ prolapse: a case series.

Pan Afr Med J 2022 6;42:10. Epub 2022 May 6.

1 Department of Obstetrics and Gynecology, Aristotle University of Thessaloniki, Papageorgiou General Hospital, Thessaloniki, Greece.

Vaginal cysts are rare, benign, predominantly cystic lesions of the anterior vaginal wall, with a prevalence of 1 in 200 women. Large vaginal cysts can occasionally present as symptomatic genital prolapse; these cases may be challenging to diagnose due to their rare clinical appearance. In symptomatic large vaginal cysts, surgical excision via vaginal approach is the recommended management with good anatomical results and patient satisfaction. Read More

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Impact of treatment modality on pelvic floor dysfunction among uterine cancer survivors.

Int J Gynecol Cancer 2022 Jun 9. Epub 2022 Jun 9.

Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.

Objective: Pelvic floor dysfunction is a common adverse effect of uterine cancer treatment. In this study we compared patient-reported outcomes regarding pelvic floor dysfunction among uterine cancer survivors after hysterectomy and bilateral salpingo-oophorectomy, surgery and brachytherapy, or surgery and external beam radiotherapy with or without brachytherapy versus women who had a hysterectomy for benign indications.

Methods: We used the validated 20-item Pelvic Floor Distress Inventory to assess lower urinary distress, colorectal distress, and pelvic organ prolapse dysfunction in each treatment group. Read More

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Transvaginal Mesh Compared With Native Tissue Repair for Pelvic Organ Prolapse.

Obstet Gynecol 2022 Jun 2;139(6):975-985. Epub 2022 May 2.

Department of Obstetrics & Gynecology, Scripps Clinic, San Diego, California; Division of Women's Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, University of Alabama at Birmingham School of Medicine, Birmingham, Alabama; the Institute for Female Pelvic Medicine & Reconstructive Surgery, North Wales, Pennsylvania; the Department of Obstetrics and Gynecology, University of Chicago Pritzker School of Medicine, Chicago, and the Division of Urogynecology, Department of Obstetrics and Gynecology, NorthShore University HealthSystem, Winnetka, Illinois; the American Association of Female Pelvic Medicine Specialists, Inc., Westlake Village, California; the, Department of Family Medicine, University of Southern California, Westlake Village, California; the Division of Female Pelvic Medicine & Reconstructive Surgery, Department of Obstetrics and Gynecology, Cooper University Health Care, Cooper Medical School of Rowan University, Camden, New Jersey; the Department of Urology, Columbia University Irving Medical Center, New York, New York; the Department of Urology, West Chester Hospital, West Chester Township, and the Division of Urology, Department of Surgery, University of Cincinnati College of Medicine Cincinnati, Ohio; and Division of Urogynecology and Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics & Gynecology, School of Medicine, University of California, Irvine, Orange, California.

Objective: To compare the safety and effectiveness of transvaginal mesh repair and native tissue repair, in response to a U.S. Food and Drug Administration (FDA) 522 study order to assess co-primary endpoints of superiority and noninferiority. Read More

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The Vaginal Mesh Prolapse Debate: Is the Glass Half Empty, Half Full, or…?

Obstet Gynecol 2022 Jun 2;139(6):973-974. Epub 2022 May 2.

John O. L. DeLancey is the Norman F. Miller Professor of Gynecology at the University of Michigan, Ann Arbor, Michigan; email:

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Urethral prolapse mimicking a uterine prolapse in an eight-year-old girl: A case report.

Int J Surg Case Rep 2022 May 6;94:107169. Epub 2022 May 6.

Université catholique du Graben, Faculty of Medicine, Department of Surgery, Democratic Republic of the Congo.

Introduction And Importance: A urethral prolapse is a rare condition occurring most likely in prepubertal girls and post-menopausal women. The cause of this condition is not well known but an under-laying low level of estrogen is thought to have a role.

Case Presentation: This is an 8-year-old girl diagnosed with urethral prolapse, who was successfully managed by excision of the prolapsed urethral mucosa circumferentially. Read More

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Surgical Indication and Approach are Associated with Transfusion in Hysterectomy for Benign Disease.

JSLS 2022 Apr-Jun;26(2)

Department of Obstetrics and Gynecology, University of Ottawa, Ottawa, Canada.

Objective: To identify pre-operative and intraoperative factors associated with the risk of red blood cell transfusion among women undergoing hysterectomy.

Methods: A retrospective cohort study of hysterectomy for benign indications between January 1, 2011 - December 31, 2017. Patients receiving blood transfusion within 30 days of surgery were compared to patients who did not receive any transfusion. Read More

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Transient Uterine Prolapse: A Rare Complication of Endoscopic Polypectomy.

Clin Gastroenterol Hepatol 2022 May 30. Epub 2022 May 30.

Department of Gerontology, Tibetan Chengdu Branch Hospital of West China Hospital, Sichuan University, Chengdu, Sichuan, China; Department of Gerontology, Hospital of Chengdu Office of People's Government of Tibetan Autonomous Region, Chengdu, China.

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Management of pelvic organ prolapse during pregnancy: Case report.

Case Rep Womens Health 2022 Jul 14;35:e00421. Epub 2022 May 14.

Obstetrics and Gynecology, Hospital Universitario de La Samaritana, Bogotá, Colombia.

During pregnancy, pelvic organ prolapse is uncommon and is associated with adverse outcomes such as vaginal infection, cervical ulceration, and preterm delivery. Treatment includes conservative and surgical management during pregnancy. A 32-year-old woman presented with a history of vaginal delivery eight months earlier reported the sensation of a vaginal mass lasting seven months. Read More

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Relationships between pelvic nerves and levator ani muscle for posterior sacrocolpopexy: an anatomic study.

Surg Radiol Anat 2022 May 23. Epub 2022 May 23.

Assistance Publique des Hôpitaux de Paris (AP-HP), Department of Gynecological and Breast Surgery and Oncology, Pitié-Salpêtrière University Hospital, 75013, Paris, France.

Background: The placement of posterior mesh during pelvic organ prolapse laparoscopic surgery has been incriminated as responsible for postoperative adverse outcomes such as digestive symptoms, chronic pelvic pain, and sexual dysfunction. These complications may be related to neural injuries that occur during the fixation of the posterior mesh on the levator ani muscle.

Objectives: The aim of our study was to describe the course of the autonomic nerves of the pararectal space and their anatomical relationship with the posterior mesh fixation zone on the levator ani muscle. Read More

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Extremely Elongated Cervix in an Adolescent Girl: Literature Review and Report of a Rare Case.

Cureus 2022 Apr 15;14(4):e24168. Epub 2022 Apr 15.

General, Colorectal, and Minimal Access Surgery, All India Institute of Medical Sciences Gorakhpur, Gorakhpur, IND.

Pelvic Organ Prolapse (POP) is defined as the descent of one or more of the pelvic organs from their normal position. This is commonly associated with multiparity, postmenopausal status, and obesity. Most of the cases present as uterine descent with or without cystocele, rectocele, or enterocele. Read More

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Uterine torsion as an elusive obstetrical emergency in pregnancy: is there an association between gravid uterus torsion and Ehlers-Danlos syndrome?: a case report.

J Med Case Rep 2022 May 17;16(1):210. Epub 2022 May 17.

Obstetrics and Gynecology Department, Baharloo Hospital, Tehran University of Medical Sciences, Tehran, Iran.

Background: Timely diagnosis of uterine torsion can lead to acceptable maternal and fetal outcomes. This article presents the case of a 42-year-old pregnant woman, diagnosed with a rare 270° uterine torsion, in whom proper management led to good maternal outcomes but, unfortunately, severe prematurity and metabolic acidosis led to neonatal death. Moreover, the mother was clinically suspected for Ehlers-Danlos syndrome. Read More

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Apical Support Procedures at the Time of Hysterectomy for Benign Indications: A Cost-Effectiveness Analysis.

Obstet Gynecol 2022 May 5;139(5):788-796. Epub 2022 Apr 5.

Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, Hartford Hospital, Hartford, Connecticut; and the Department of Obstetrics and Gynecology, Division of Urogynecology and Pelvic Reconstructive Surgery, Perelman School of Medicine, and The Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania.

Objective: To assess the cost effectiveness of performing routine concurrent apical support procedures at the time of hysterectomy for benign indications.

Methods: We developed a Markov decision model from the health care sector perspective to compare concurrent apical support (ie, McCall culdoplasty) at the time of hysterectomy for benign indications compared with hysterectomy alone. We modeled Markov transitions between asymptomatic, prolapse without treatment, and treated prolapse states for 3 years. Read More

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The feasibility of uterine-vaginal axis MRI-based as evaluation of surgical efficacy in women with pelvic organ prolapse.

Ann Transl Med 2022 Apr;10(8):447

Department of Urology, Yunnan Province Clinical Research Center for Chronic Kidney Disease, The First Affiliated Hospital of Kunming Medical University, Kunming, China.

Background: The aim of this study was to provide a potential surgical efficacy assessment in the treatment of pelvic organ prolapse (POP).

Methods: A retrospective cohort study was performed on magnetic resonance imaging (MRI) imaging data of 16 non-prolapsed (control group) and 30 preoperative and postoperative POP (case group) women from 2019 to 2021 at the First Affiliated Hospital of Kunming Medical University. MRI diagnoses and measures of the relevant anatomical points at rest were used to analyze the healthy control data and the data from POP women before and after surgery. Read More

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Long-Term Outcomes After Vaginal and Laparoscopic Mesh Hysteropexy for Uterovaginal Prolapse: A Parallel Cohort Study (eVAULT).

Female Pelvic Med Reconstr Surg 2022 Jun 17;28(6):e215-e221. Epub 2022 May 17.

From the Georgetown University School of Medicine/MedStar Health, Washington, DC.

Importance: Data on long-term mesh hysteropexy outcomes are limited. This study provides 7-year data from the original VAULT (Vaginal and Laparoscopic Mesh Hysteropexy for Uterovaginal Prolapse Trial) study.

Objective: The aim of this study was to compare long-term outcomes and success for laparoscopic sacral hysteropexy (LSHP) and vaginal mesh hysteropexy (VMHP). Read More

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A scoping review on women's sexual health in the postpartum period: opportunities for research and practice within low-and middle-income countries.

Reprod Health 2022 May 8;19(1):112. Epub 2022 May 8.

Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.

Background: Women's sexual health is generally defined and explored solely in relation to reproductive capacity, and often omits elements of sexual function and/or dysfunction. Concerted focus is given to women's health during pregnancy; however, women's sexual health is largely neglected after childbirth. This scoping review explored how the sexual health of postpartum women has been defined, measured, and researched in low- and middle-income countries (LMICs). Read More

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Non-Hunner's Interstitial Cystitis Is Different from Hunner's Interstitial Cystitis and May Be Curable by Uterosacral Ligament Repair.

Urol Int 2022 May 5:1-9. Epub 2022 May 5.

School of Engineering and Mathematical Sciences, University of Western Australia, Perth, Washington, Australia.

Background: The posterior fornix syndrome (PFS) was first described in 1993 as a predictably occurring group of symptoms: chronic pelvic pain (CPP), urge, frequency, nocturia, emptying difficulties/urinary retention, caused by uterosacral ligament (USL) laxity, and cured by repair thereof.

Summary: Our hypothesis was that non-Hunner's interstitial cystitis (IC) and PFS are substantially equivalent conditions. The primary objective was to determine if there was a causal relationship between IC and pelvic organ prolapse (POP). Read More

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Spontaneous reduction of transvaginal small bowel evisceration after abdominal hysterectomy for cervical cancer: A case report.

Medicine (Baltimore) 2022 Apr 29;101(17):e29225. Epub 2022 Apr 29.

Department of Obstetrics and Gynecology, Pusan National University School of Medicine, Busan, Republic of Korea.

Rationale: Transvaginal evisceration of the small bowel is an extremely rare condition after hysterectomy, which requires urgent surgical intervention to prevent serious bowel morbidity and mortality.

Patient Concerns: A 65-year-old woman presented with sudden-onset severe abdominal pain and a mass protruding through the vagina. The past surgical history was significant, with an abdominal hysterectomy for cervical cancer performed 11 weeks prior to presentation. Read More

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Spontaneous transvaginal intestinal evisceration in case of long-standing uterine prolapse.

BMC Surg 2022 May 4;22(1):157. Epub 2022 May 4.

Department of General Surgery, Unit of Gastrointestinal, Hepato-Biliary and Pancreatic Surgery, University Hospital "Alexandrovska", Sofia, Medical University of Sofia, 1 G.Sofiiski Str., 1431, Sofia, Bulgaria.

Background: Transvaginal intestinal evisceration is an extremely rare surgical emergency with potentially fatal consequences. Only a few more than 100 cases with this pathology have been described in the literature. Aetiology is also unclear and multifactoral. Read More

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Childbirth resulting in traumatic stretching and prolapsing of the anterior lip of the cervix outside the vagina: A case report.

Case Rep Womens Health 2022 Apr 15;34:e00411. Epub 2022 Apr 15.

Department of Obstetrics and Gynecology, Leratong Hospital, Krugersdorp, Joint staff, School of clinical medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, Gauteng Province, South Africa.

Background: We report on childbirth trauma resulting in a rare stretching and prolapsing of the anterior lip of the cervix beyond the vaginal introitus, and describe the management

Case Presentation: A 17-year-old primigravida who had normal antenatal care delivered a live normal male baby weighing 3600 g at 39 weeks of gestation. The patient sustained a birth trauma resulting in the anterior lip of the cervix becoming stretched and prolapsing outside the vagina. There was an associated uterovaginal prolapse (Pelvic Organ Prolapse Quantification System grade 2). Read More

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Laparoscopic sacrohysteropexy versus vaginal sacrospinous hysteropexy as treatment for uterine descent: comparison of long-term outcomes.

Int Urogynecol J 2022 Apr 28. Epub 2022 Apr 28.

Department of Gynaecology and Obstetrics, Grow School for Oncology and Developmental Biology, Maastricht University Medical Centre+, P Debyelaan 25, 6229 HX, Maastricht, The Netherlands.

Introduction And Hypothesis: Pelvic organ prolapse (POP) is a frequent occurring health issue, especially concerning elderly women. The objective of this study is to examine the long-term outcomes of laparoscopic sacrohysteropexy (LSH) and vaginal sacrospinous hysteropexy (SSHP) for treatment of uterine prolapse.

Methods: A retrospective study of patients who underwent a LSH or SSHP. Read More

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Stasis ulcer and hydronephrosis after severe genital prolapse: a case report.

J Med Case Rep 2022 Apr 28;16(1):173. Epub 2022 Apr 28.

Ist. Patologia Ostetrica e Ginecologica, Department of General Surgery and Medical Surgical Specialities, University of Catania, Via Santa Sofia 78, 95100, Catania, Italy.

Introduction And Importance: The most common complication of pelvic organ prolapse is stress urinary incontinence, whereas hydronephrosis or stasis ulcers are quite rare and typical of severe stages. The best treatment for this unusual presentation is still controversial. Here we present our approach. Read More

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