• Pelvic organ prolapse refers to the symptomatic descent of at least two parts of the vaginal wall-the anterior/posterior walls and the apex. (medscape.com)
  • Anterior wall Upper 2/3 cystocele Lower 1/3 urethrocele Posterior wall Upper 1/3 enterocele Middle 1/3 rectocele Lower 1/3 deficient perineum Uterine prolapse Grade 0 Normal position Grade 1 descent into vagina not reaching introitus Grade 2 descent up to the introitus Grade 3 descent outside the introitus Grade 4 Procidentia Vaginal prolapses are treated according to the severity of symptoms. (wikipedia.org)
  • Transvaginal repair seems to be more effective than transanal repair in posterior wall prolapse, but adverse effects cannot be excluded. (wikipedia.org)
  • The pelvic structures that may be involved include the uterus ( uterine prolapse ) or vaginal apex (apical vaginal prolapse), anterior vagina (cystocele), or posterior vagina ( rectocele ). (medscape.com)
  • In such cases of pelvic relaxation, multiple defects are associated in the anterior, lateral, posterior, and apical compartments. (medscape.com)
  • Posterior vaginal prolapse (rectocele) - occurs when the wall separating the rectum from the vagina weakens, which causes the rectum to bulge into the vagina. (outsourcestrategies.com)
  • Subject has been diagnosed with one or more clinically significant anterior, apical, or posterior genital prolapse disorder(s)(symptomatic POP-Q stage II or higher) requiring surgical repair. (clincosm.com)
  • Prolapse of these components of the wall can trigger subsequent prolapse of the cervix and/or uterus-or the vaginal cuff following hysterectomy . (medscape.com)
  • The first successful vaginal hysterectomy for the cure of uterine prolapse was self-performed by a peasant woman named Faith Raworth, as described by Willouby in 1670. (medscape.com)
  • Vault prolapse occurs in about 15% of women who have had a hysterectomy for uterine prolapse, and in about 1% of women who have had a hysterectomy for other reasons. (riachisurgery.com)
  • Evidence does not support the use of transvaginal surgical mesh compared with native tissue repair for anterior compartment prolapse owing to increased morbidity. (wikipedia.org)
  • The recommended management strategy for severe symptomatic pelvic organ prolapse for patients who failed or refused a trial of pessary management is surgery. (medscape.com)
  • A graft is used to support the vaginal wall and suspend the apical vault to the sacral promontory. (medscape.com)
  • Compared to native tissue repair, transvaginal permanent mesh likely reduces both the perception of vaginal prolapse sensation, and the risk of recurrent prolapse and of having repeat surgery for prolapse. (wikipedia.org)
  • In 98 CE, Soranus of Rome first described the removal of the prolapsed uterus when it became black. (medscape.com)
  • however, most prolapses are not clinically bothersome without specific pelvic symptoms, and they may not require an intervention. (medscape.com)
  • Genital prolapse occurs in about 316 million women worldwide as of 2010 (9.3% of all females). (wikipedia.org)
  • Vaginal prolapse is a condition which occurs when the network of muscles that support the organs in a woman's pelvis gets weakened or fall out of their normal positions. (outsourcestrategies.com)
  • Pelvic organ prolapse occurs when the pelvic floor muscles become weak or damaged and can no longer support the pelvic organs. (riachisurgery.com)
  • A number of different factors contribute to the weakening of pelvic muscles over time, but the two most significant factors are thought to be pregnancy and ageing.Pregnancy & childbirth Pregnancy is believed to be the main cause of pelvic organ prolapse - whether the prolapse occurs immediately after pregnancy or 30 years later. (riachisurgery.com)
  • Pelvic organ prolapse is the abnormal descent or herniation of the pelvic organs from their normal attachment sites or their normal position in the pelvis. (medscape.com)
  • [ 5 ] A thorough evaluation and definition of all support defects is of critical importance because most women with pelvic organ prolapse have multiple defects. (medscape.com)
  • Symptoms of pelvic organ prolapse have been defined in a joint report from the International Urogynecological Association and International Continence Society as "a departure from normal sensation, structure, or function, experienced by the woman in reference to the position of her pelvic organs. (medscape.com)
  • Although signs of pelvic organ prolapse are frequently observed, the condition seldom causes symptoms. (medscape.com)
  • Generally, women do not experience any specific symptoms from vaginal prolapse. (outsourcestrategies.com)
  • However, in extreme cases, they may experience symptoms that may depend on the type of vaginal prolapse that has occurred. (outsourcestrategies.com)
  • In most cases, the more advanced the prolapse, the more severe will be the associated symptoms. (outsourcestrategies.com)
  • Read on to learn about the different types of prolapse that can occur, and find information about causes, diagnosis, treatment options and prevention as well as what you can do to help ease your symptoms. (riachisurgery.com)
  • In a 1999 study of Swedish women aged 20-59 years, Samuelsson and colleagues found that, although signs of pelvic organ prolapse are frequently observed, the condition seldom causes symptoms. (medscape.com)
  • Other risk factors of vaginal prolapse include advanced age, abnormalities of the connective tissue, obesity, smoking, dysfunction of the nerves and tissues, and strenuous physical activity. (outsourcestrategies.com)
  • Certain rare abnormalities in connective tissue (collagen), such as Marfan disease, have also been linked to genitourinary prolapse. (medscape.com)
  • Other medical conditions that may result in prolapse are those associated with increases in intra-abdominal pressure (eg, obesity, chronic pulmonary disease, smoking, constipation). (medscape.com)
  • The use of Elevate (American Systems trade mark) meshes for the treatment of pelvic prolapse. (clincosm.com)
  • The image below illustrates the Pelvic Organ Prolapse Quantification staging system. (medscape.com)
  • Prolapse staging according to the Pelvic Organ Prolapse Quantification staging system. (medscape.com)
  • Various parts of this support system may eventually weaken or break, causing a common condition called vaginal prolapse. (outsourcestrategies.com)
  • This wasn't technically accurate, and a new, more precise classification system has recently been developed.The new grading system uses a series of measurements and is fairly complicated, but generally categorizes the severity of prolapse into stages I, II, III or IV. (riachisurgery.com)
  • While prolapse is not considered a life threatening condition it may cause a great deal of discomfort and distress. (riachisurgery.com)
  • It is the second most common type of prolapse and is classified into three grades depending on how far the womb has fallen. (riachisurgery.com)