In a review of the effect of gynecological operations on sexual function, difficulties resulting from operative technique and from psychological side effects were discussed. In repair of prolapse of the vagina, operative technique has been considered of crucial importance in influencing the sexual life of the patient. Preoperative clinical assessment rarely gives an accurate picture but can p...

BACKGROUND Vaginal hysterectomy is often used to correct uterovaginal prolapse, however, there is little information regarding outcomes after surgery in routine clinical practice. The objective of this study was to investigate complications, sexual activity, urinary symptoms, and satisfaction with health care after vaginal hysterectomy due to prolapse. METHODS We analyzed data from the Swedis...

•The VRAM flap is commonly used for perineal and vaginal reconstruction at the time of pelvic exenteration.•Prolapse of the VRAM flap may be under reported.•We have shown successful repair of VRAM flap prolapse via an obliterative technique and sacral suspension.

Vaginal prolapse due to pelvic floor dysfunction occurs frequently in postmenopausal women. The disease usually involves all compartments of the vagina, so that isolated defects are uncommon. In advanced disease, it can be difficult to identify which organs are prolapsed, owing to the large bulge in vaginal area. Accurate diagnosis of pelvic floor defects, actual prolapsed organs, and presence ...

Objective. To investigate the differences in efficacy, postoperative complications, and patient satisfaction between posterior intravaginal slingplasty (PIVS) and unilateral sacrospinous ligament fixation (SSLF) procedures. Study Design. A retrospective study of thirty-three women who underwent PIVS or SSLF treatment for vaginal vault prolapse in Oulu University Hospital. The patients were invi...

The present review focuses on the most recently published English language literature, and addresses results and complications associated with the laparoscopic approach to urinary incontinence, anterior vaginal wall prolapse, and lower urinary tract injury. Laparoscopic Burch procedures continue to show equal efficacy, but lower morbidity as compared with conventional open techniques. Lower uri...

Bp Ap tv l C D POP-Q (Pelvic Organ Prolapse Quantification System) Abstract The pathological cause of uterine prolapse is loss of integrity of the uterosacral and cardinal ligament complex and a weakening of the pelvic floor diaphragm. Uterine descent is a consequence rather than the cause of pelvic organ prolapse. However vaginal hysterectomy is an operation which is commonly performed to trea...

BACKGROUND Synthetic meshes have been used extensively to augment surgical management of pelvic organ prolapses. Posterior intravaginal sling (IVS) is a technique used for correcting vaginal vault/apical prolapse, posterior vaginal prolapse or rectocele. There are limited data on long-term safety of this procedure. In a subanalysis of the IVS tapes from the SUSPEND trial performed secondary to ...

BACKGROUND Enteric-type glandular lesions are extremely rare in the vagina. Their histological origin remains a matter of speculation at present. METHOD We review two rectal mucosal prolapse-like polyps and one intestinal-type adenosis in the vagina. RESULTS Case 1, a 64-year-old woman, presented with a vaginal polypoid lesion with a size of 4 × 3 × 3 cm. Case 2, an 8-year-old girl, had a 1...

OBJECTIVE To describe the new surgical technique and report the safety and feasibility of vaginally-assisted laparoscopic sacrohysteropexy (VALSH). MATERIALS AND METHODS Thirty-three women with stage 3 or more uterine prolapse underwent VALSH operation. Patients were followed up for 12 months for mesh-related complications and improvements of symptoms. The operation had three sections; 1st la...