INTRODUCTION The vaginal vault prolapse after hysterectomy is a complex disorder, which can be associated with the prolapse of anterior or posterior vaginal wall or cystorectocele. The exact incidence is unknown, and is within the range from 1 - 43% of operated patients. In order to achieve the complete surgical reconstruction of the pelvic floor disorder, a surgeon must have good knowledge of ...

Vaginal pessaries still have role in the management of uterovaginal prolapse especially in elderly women, unfit for surgery and as a temporary relief for women waiting for surgery. Forgotten vaginal pessaries may cause serious complications. We here by present a case wtih metallic vaginal ring pessary for 16 years without significant symptoms.

Non-Hodgkin’s lymphoma (NHL) involving lower female genital tract is a rare event. Described presenting clinical symptoms in a literature in these patients are vaginal discharge and bleeding. Here with the report, a case of primary cervico-vaginal lymphoma in an old lady presenting with utero-vaginal (UV) prolapse. On clinical examination, there was second degree UV prolapse. Pelvic ultrasound ...

OBJECTIVE To compare vaginal repair augmented by mesh with traditional colporrhaphy for the treatment of pelvic organ prolapse. DESIGN Prospective randomised controlled trial. SETTING Tertiary teaching hospital. POPULATION One hundred and thirty-nine women with stage >or=2 prolapse according to the pelvic organ prolapse quantification (POP-Q) system requiring both anterior and posterior c...

OBJECTIVE To assess perioperative and short-term outcomes after tension-free vaginal mesh repair of pelvic organ prolapse in local Chinese women. DESIGN Case series. SETTING The urogynaecology unit of a university teaching hospital in Hong Kong. PATIENTS All women with stage III or more pelvic organ prolapse who underwent tension-free vaginal mesh repair with or without vaginal hysterecto...

Pelvic organ prolapse is a common problem in women that increases with age and adversely affects quality of life and sexual function. If conservative treatments fail, surgery becomes the main option for symptom abatement. For uterovaginal prolapse, treatment with or without hysterectomy can be offered, and operations must include a specific apical support procedure to be effective. Operations f...

Objective: The objective of this study is to assess the clinical suitability of a new approach for 3-D imaging and quantification of vaginal tissue elasticity under normal and prolapse conditions. Background: Changes in the elasticity of vaginal walls, connective support tissues and muscles are thought to be significant factors in the development of pelvic organ prolapse. To date, there is no s...

Total prolapse of the uterus is a common pathology in older women who have given birth. To date, there no single ‘gold standard’ surgical management with total uterine prolapse. Using example this case report, we would like to demonstrate that operation choice should be considered – vaginal extirpation without appendages. This due lower frequency intraoperative complications and peculiarities c...

PURPOSE To evaluate the medium-term efficacy and safety of transobturator four-arm polypropylene mesh in the treatment of high-stage anterior vaginal wall prolapse and concomitant stress urinary incontinence (SUI). MATERIALS AND METHODS Between September 2010 and August 2013, a prospective single-center trial was performed to evaluate women with stage≥3 anterior vaginal wall prolapse with or ...

OBJECTIVE To compare the effects of vaginal hysterectomy (combined with anterior and/or posterior colporraphy) and abdominal sacro-colpopexy (with preservation of the uterus) on urogenital function. DESIGN Randomised trial. SETTING Three teaching hospitals in The Netherlands. POPULATION Eighty-two patients undergoing surgical correction of uterine prolapse stages II-IV. METHODS Particip...