Pelvic organ prolapse is a common condition, affecting up to a third of women throughout their lifetime. Genetic factors are believed to account for about 30% of the incidence, and are the least understood component of the disorder. Familial cases, particularly those in which prolapse manifests in young women, are especially valuable in the effort to find the genes involved. We recently reporte...

BACKGROUND To evaluate prolapse-related symptoms, quality of life and sexuality of patients with validated questionnaires before and after surgery for genital prolapse and assess relevance of such an evaluation to select women for surgery. METHODS From November 2009 to April 2010, 16 patients operated on for genital prolapse of grade greater than or equal to 2 (POP-Q classification) were eval...

Green J, et al. BMJ Case Rep 2017. doi:10.1136/bcr-2017-222182 Description We present the case of a 74-year-old postmenopausal woman presenting with a 5-day history of dysuria, pain, urinary frequency and urethral bleeding. Her previous medical history included hypertension. Obstetric history included one forceps delivery and one normal vaginal delivery. On examination, an irreducible urethral ...

Between 1947 and 1971, the synthetic estrogen diethylstilbestrol (DES) was prescribed to pregnant women to prevent spontaneous abortions. Many studies have demonstrated adverse consequences of prenatal DES exposure. This report describes a DES daughter treated for uterine cancer who presented with a foreshortened vagina of 4 cm and stage III pelvic organ prolapse. She underwent successful vagin...

BACKGROUND Laparoscopic ventral mesh rectopexy using a composite mesh is a technique gaining more recognition for management of pelvic floor disorders such as full thickness rectal prolapse, obstructive defecation symptoms and vaginal vault prolapse. A recent Cochrane review concluded that laparoscopic rectopexy results in fewer postoperative complications and an earlier discharge1 over open me...

Study population The study population comprised women with urodynamic stress incontinence. Women were excluded if they had detrusor overactivity, vaginal prolapse requiring treatment, or had prior surgery for prolapse or incontinence. They were also excluded if they had a major degree of voiding dysfunction (defined at cystometry as a voiding pressure greater than 50 cm H2O, maximum flow less t...

Pregnancy and birth after a Pelvic Organ Prolapse (POP) surgery is a rare condition and less is known about the method for delivery. A 31-year-old women with gravida 3 para 3 underwent abdominal sacrohysteropexy and transobturatuar tape (TOT) procedures for stage III prolapse who delivered via vaginal birth and showed no relapse. Sacrohysteropexy is a good option for women with POP who desire f...

BACKGROUND Laparoscopic ventral mesh rectopexy using a composite mesh is a technique gaining more recognition for management of pelvic floor disorders such as full thickness rectal prolapse, obstructive defecation symptoms and vaginal vault prolapse. A recent Cochrane review concluded that laparoscopic rectopexy results in fewer postoperative complications and an earlier discharge1 over open me...

OBJECTIVE To compare ''vaginal hysterectomy alone'' with ''vaginal hysterectomy with prophylactic unilateral sacrospinous ligament fixation'' in terms of intraoperative complications and 1-year anatomic outcomes and symptoms in patients aged over 50 years who presented with stage 3 or 4 pelvic organ prolapse (POP). MATERIALS AND METHODS Thirty-five patients underwent vaginal hysterectomy alon...

Pelvic organ prolapse is a common medical problem in parous women that becomes particularly acute with advancing age. As life expectancy increases, this condition is acquiring greater significance: 20% of women on gynaecology waiting lists in the UK are awaiting prolapse surgery, which demonstrates the enormity of this virtual pandemic. Prolapse usually refers to a combination of deficiencies o...