AnatomyDiseasesChemicals and DrugsAnalytical, Diagnostic and Therapeutic Techniques and EquipmentPsychiatry and PsychologyPhenomena and ProcessesNamed GroupsHealth CareGeographicals
Pelvic Organ ProlapseUterine ProlapseProlapsePelvic FloorCystoceleRectoceleGynecologic Surgical ProceduresRectal ProlapseVisceral ProlapsePessariesSurgical MeshPelvic Floor DisordersMitral Valve ProlapseVaginaUrinary Incontinence, StressHysterectomy, VaginalUrinary IncontinenceLigamentsFecal IncontinenceSuburethral SlingsGynecological ExaminationUrologic Surgical ProceduresPerineumPelvisElastic TissueVaginal FistulaShameColpotomySacrumDyspareuniaLongitudinal LigamentsVaginal DiseasesUrinary Bladder, OveractiveDelivery, ObstetricUrodynamicsGuatemalaUrethraParityAnal CanalAortic Valve ProlapseValsalva ManeuverHysterectomyWomenNursing AssessmentUtahSexualityAmino Acid OxidoreductasesExtracellular Matrix Proteins
VaginalApicalUterusUrinary incontinencePessaryCervixPatientsSymptomsComplaintsSurgicalBowelFloor musclePresentRisk factorsWomenQuality of lPosterior vaginal wall prolapseVault prolapseQuantificationFecalIncidencePathologyPatientsInfectionExaminationTreatmentClinicalInterventionPainNatural historyPhysical therapySystemSizeDevelopmentMade
Vaginal16
  • Vaginal vault prolapse refers to significant descent of the vaginal apex following a hysterectomy. (medscape.com)
  • The terms anterior vaginal wall prolapse, vaginal vault prolapse, and posterior vaginal wall prolapse are preferred for this reason. (medscape.com)
  • This article will discuss the presentation, diagnosis, and treatment of POP, with a focus on massive vaginal eversion and enterocele (also known as advanced posthysterectomy pelvic organ prolapse). (medscape.com)
  • The physical examination should focus on the stage of prolapse based on the POP-Q examination along with any obvious pathology, such as abdominal masses or ascites, vaginal wall breakdown, fistulas, or infection. (medscape.com)
  • Imaging may be used to determine which organs are behind the vaginal wall prolapse or to examine for intra-abdominal pathology but should not routinely be employed. (medscape.com)
  • Massive vaginal vault prolapse is a devastating condition, with discomfort and genitourinary and defecatory abnormalities as the primary consequences. (medscape.com)
  • Vaginal vault prolapse refers to significant descent of the vaginal apex following a hysterectomy (see the image below), whereas uterovaginal prolapse denotes apical prolapse of the cervix, uterus, and proximal vagina. (medscape.com)
  • Massive vaginal eversion in a patient with post hysterectomy vaginal vault prolapse. (medscape.com)
  • These apical failures are often accompanied by anterior and/or posterior vaginal compartment prolapse with or without enterocele. (medscape.com)
  • The terms anterior vaginal wall prolapse, vaginal vault (or apical) prolapse, and posterior vaginal wall prolapse are preferred for this reason, as they are descriptive of what is being observed. (medscape.com)
  • Vaginal delivery, hysterectomy, chronic straining, normal aging, and abnormalities of connective tissue or connective tissue repair predispose some women to disruption, stretching, or dysfunction of the levator ani complex and/or the connective tissue attachments of the vagina, resulting in prolapse. (mhmedical.com)
  • However, with the exception of vaginal bulging symptoms, none of these symptoms are specific to prolapse. (mhmedical.com)
  • Apical prolapse is the descent of uterus, cervix, or vaginal vault caused by a weakness of the top of the vagina. (mhmedical.com)
  • Prolapse development is multifactorial, with vaginal childbirth and increasing body mass index as the most consistent risk factors ( Table 14-1 ). (mhmedical.com)
  • MRKH syndrome type 1 results when only reproductive organs such as vagina are affected (vaginal agenesis) and type 2 results when abnormalities develop in other parts of the body such as abnormal kidney formation (unilateral renal agenesis). (wikipedia.org)
  • Symptomatic patients will present with pain at the uterus area due to infections or abnormal vaginal bleeding with cyclical pelvic pain. (wikipedia.org)
Apical1
  • symphysis angle (SA), upper conjugate, lower conjugate, pelvic depth, apical depth (AD), interspinous distance (ISD), bone femoral width and soft tissue width were measured by preoperative CT. (bvsalud.org)
Uterus2
  • Pelvic organ prolapse (POP) is the downward descent of the female pelvic organs that results in a protrusion of the vagina and/or uterus. (mhmedical.com)
  • When the uterine contour is distorted by a müllerian anomaly or a strategically placed leiomyoma, or an inflammatory process has occurred in the past (eg, endometriosis or salpingitis with pelvic adhesions), the uterus may become fixed in retroversion/retroflexion and lose its normal mobility. (medscape.com)
Urinary incontinence2
Pessary1
Cervix1
  • An over extended septum can cause the cervix to be obstructed, allowing pathogens to infect the region resulting in pelvic pain due to inflammation of the cervix. (wikipedia.org)
Patients2
  • Patients presenting with symptoms suggesting prolapse should undergo a history and pelvic examination. (mhmedical.com)
  • Patients at a young age are at higher risk for prolapse recurrence following surgery and a lower overall risk from surgery compared with older women ( Table 14-2 ). (mhmedical.com)
Symptoms2
  • Questions about the quality and duration of prolapse and urinary, fecal, and sexual symptoms should be asked and validated questionnaires given. (medscape.com)
  • Women often present with multiple complaints including bladder, bowel, and pelvic symptoms. (mhmedical.com)
Complaints1
  • Using validates questionnaires, we could demonstrate a correlation between parity and age, an association between aging and higher rates of bowel and sexual dysfunction, an association between higher parity and pelvic organ prolapse complaints, and an association between previous cesarean deliveries only and higher rates of bowel disfunction. (asploro.com)
Surgical2
  • Female Pelvic Medicine and Reconstructive Surgery: Clinical Practice and Surgical Atlas Rogers RG, Sung VW, Iglesia CB, Thakar R. Rogers R.G., & Sung V.W., & Iglesia C.B., & Thakar R(Eds. (mhmedical.com)
  • Surgical therapy for prolapse can be broadly categorized into reconstructive and obliterative techniques. (mhmedical.com)
Bowel1
  • Metastatic theory or Halban's theory also explains the presence of endometriosis at distant and unusual sites like skin, umbilicus, bowel wall, pleura lungs, ureter, endocardium, pelvic lymph nodes, and retroperitoneum and extremely rare sites such as brain. (polradiol.com)
Floor muscle1
  • Although no effective strategy to prevent prolapse recurrence has been identified, weight loss, minimizing heavy lifting, treating constipation, modifying or reducing obstetrical risk factors, and maintaining or improving pelvic floor muscle strength through pelvic floor physical therapy can be considered. (mhmedical.com)
Present1
  • The theory is supported by the fact that implants are present in the dependent portion of the pelvic cavity. (polradiol.com)
Risk factors1
  • The development of acute kidney injury is multifactorial, and several risk factors have been identified. (medicalnewsbulletin.com)
Women2
  • Pelvic organ prolapse (POP) is a common healthcare problem that many women live with for years, causing discomfort and affecting quality of life. (medscape.com)
  • However, women with infertility and chronic pelvic pain have an even greater prevalence, accounting for 30-50% and 90% cases, respectively [ 4 , 5 ]. (polradiol.com)
Quality of l3
  • Pelvic organ prolapse is prevalent and associated with significant health-related quality of life and economic impact. (medscape.com)
  • Levy G, Zines Y, Paz-Levy D, Zaidin A, Shemer O, Beck A, Pansky M. Epidemiology Analysis of Pelvic Floor Medicine Center in Southern Israel Using PFDI-20 and PISQ-12 Quality of Life Questionnaires. (asploro.com)
  • In the process of opening a new Pelvic Floor Medicine Unit, we aimed to map the pelvic floor dysfunction and sexual issues using validated quality of life (QOL) questionnaires. (asploro.com)
Posterior vaginal wall prolapse3
Vault prolapse4
Quantification2
  • The gradation of severity of POP can be made using either the Baden-Walker Halfway Scoring System ( Table 3 ) [ 9 ] or the International Continence Society (ICS) approved pelvic organ prolapse quantification (POP-Q) system (Figure 1 & Table 4 ). (medscape.com)
  • POP stage examinations were performed before and at 3 months follow-up after the surgery with the patient in a lithotomy position, according to the International Urogynecological Association (IUGA)/International Continence Society (ICS) Pelvic Organ Prolapse Quantification (POP-Q) system [19]. (researchsquare.com)
Fecal1
  • Questions about the quality and duration of prolapse and urinary, fecal, and sexual symptoms should be asked and validated questionnaires given. (medscape.com)
Incidence2
  • [ 5 ] In a group of post-menopausal women who were followed up for 4 years the incidence of new prolapse was 26% at 1 year and 40% at 3 years. (medscape.com)
  • Previous studies have reported a 1-3% incidence of pain after the pelvic floor repair procedures with mesh kits [8,12]. (researchsquare.com)
Pathology1
  • Physiotherapists can either specifically treat the pathology of the pelvic floor muscles, or more generally treat myofascial pain if it is part of the pelvic pain syndrome. (uroweb.org)
Patients2
  • This is especially useful as symptoms of bladder, bowel and sexual dysfunction often co-exist in prolapse patients and have poor correlation to the site and size of prolapse. (medscape.com)
  • For patients with chronic pelvic pain and dysfunction of the pelvic floor muscles, it is very helpful to learn how to relax the muscles when the pain starts. (uroweb.org)
Infection1
  • relevant factors reported include patient's overall health and oestrogen status, mesh materials, surgeon's experience, infection, and pelvic floor muscle spasms [15-17]. (researchsquare.com)
Examination1
  • Position of the patient during examination, straining, traction on prolapse and fullness of bladder are other variables which can influence the assessment of prolapse. (medscape.com)
Treatment2
  • The purpose of this study was to investigate the relevant factors of pain after transvaginal mesh (TVM) surgery for the treatment of pelvic organ prolapse and to analyse the management and relief of the pain. (researchsquare.com)
  • In most studies that have been done looking at the effect of physiotherapy in pelvic pain, the treatment of the pelvic floor is only part of the pain management. (uroweb.org)
Clinical1
  • [ 10-12 ] However, in daily clinical practice, the Baden-Walker grading system of prolapse seems more convenient and popular among clinicians. (medscape.com)
Intervention1
  • It is anticipated that studies in these under-researched areas will provide much needed information that will substantially advance our understanding of the disease processes of pelvic floor disorders, and identify points at which intervention directed at modifiable risk factors can effectively prevent the development of pelvic floor disorders. (nih.gov)
Pain3
  • The philosophy for the management of chronic pelvic pain is based on a bio-psychosocial model. (uroweb.org)
  • Treating pelvic floor over-activity and myofascial trigger points should be considered in the management of chronic pelvic pain. (uroweb.org)
  • Studies on physical therapy for pelvic floor pain syndrome have been sparse. (uroweb.org)
Natural history2
  • Ageing and menopause are considered to be decompensating factors contributing to the development of POP but the natural history of prolapse is not clearly understood. (medscape.com)
  • In response to recommendations made at the 1998 NIH-sponsored Workshop on Pelvic Floor Disorders, emphasis will be placed on research that describes the natural history of pelvic floor disorders, associated risk factors, and effectiveness of risk factor modification for primary or secondary prevention of pelvic floor disorders. (nih.gov)
Physical therapy1
System1
  • [ 10 ] The POP-Q system uses nine points measured in the vagina, with the hymen as the reference point and the prolapse is assessed in centimeters relative to the hymen. (medscape.com)
Size1
  • The size of a prolapse can change throughout the day, with it being more pronounced at the end of the day, especially after prolonged standing. (medscape.com)
Development1
  • EPIDEMIOLOGIC RESEARCH ON FEMALE PELVIC FLOOR DISORDERS Release Date: May 25, 2000 RFA: HD-00-012 National Institute of Child Health and Human Development ( http://www.nichd.nih.gov ) Letter of Intent Receipt Date: August 25, 2000 Application Receipt Date: October 25, 2000 THIS RFA USES THE "MODULAR GRANT" AND "JUST-IN-TIME" CONCEPTS. (nih.gov)
Made1
  • 2] References to prolapse of the womb were first made in ancient Egypt, dating back to 1550 BC. (medscape.com)