OBJECTIVE To estimate the risk of prolapse associated with levator avulsion injury among a urogynaecological clinic population. DESIGN Retrospective observational study. SETTING Tertiary urogynaecological unit. SAMPLE A total of 934 women seen for interview, examination using the pelvic organ prolapse quantification (POP-Q) staging system and imaging of the levator ani muscle by four-dime...

760 www.thelancet.com Vol 383 March 1, 2014 Pelvic organ prolapse aff ects between 5% and 10% of women, and is strongly associated with increasing age, as shown by its prevalence of 40% in women older than 50 years. The disorder is one of the most common indications for gynaecological surgery in older women, and the estimated lifetime cumulative risk of surgery is 7–11%. In addition to the surg...

OBJECTIVE To determine the diabetes- and obesity-related risks for surgically managed stress urinary incontinence and pelvic organ prolapse. RESEARCH DESIGN AND METHODS This twin cohort study used the Swedish Twin Register to identify 8,443 female twin pairs born from 1926 through 1958. The association between diabetes and pelvic floor surgery was estimated while taking into account the corre...

OBJECTIVES To determine if distance traveled for care influenced patient choice for conservative vs. surgical treatment for pelvic organ prolapse (POP) and/or stress urinary incontinence (SUI). METHODS Retrospective chart review of all new patients seen in the Urogynecology clinic at the University of New Mexico Hospital (UNMH) from January 2007 through September 2011. Data collected included...

BACKGROUND Pelvic organ prolapse is a common health problem, affecting up to 40% of parous women over 50 years old, with significant negative influence on quality of life. Vaginal hysterectomy is currently the leading treatment method for patients with symptomatic uterine prolapse. Several studies have shown that sacrospinous fixation in case of uterine prolapse is a safe and effective alternat...

OBJECTIVE At present little information is available to help define whether a certain degree of pelvic organ prolapse is clinically relevant. We performed a retrospective study to define cut-offs for significant pelvic organ descent on the basis of prolapse symptoms. METHODS At a tertiary urogynecological center, 735 women with symptoms of lower urinary tract dysfunction and prolapse were see...

Background: Vaginal cancer presenting concurrently with stage 4 uterovaginal prolapse is a rare occurrence, representing less than 1% of all gynecologic malignancies. Case: We review the case of an 82-year-old woman who presented for care of prolapse. Examination demonstrated complete uterovaginal prolapse and a vaginal ulcer, later confirmed to be vaginal cancer. Conclusion: The management of ...

OBJECTIVE To determine the long-term objective and subjective outcomes of use of a porcine skin graft (Pelvicol) compared with conventional colporrhaphy in recurrent pelvic organ prolapse surgery and to analyze risk factors and safety. DESIGN Open randomized controlled multicenter study. SETTING Eight Swedish hospitals. POPULATION 135 consecutive women with recurrent cystocele and/or rect...