Unexpected Pathology During Pelvic Organ Prolapse Repair in an Urban Population.

Importance: This study quantifies the occult pathology risk among our urogynecologic patient population and highlights the importance of preoperative counseling, particularly in patients who have been underrepresented in prior studies.

Objective: The aim of the study was to estimate unexpected gynecologic pathology incidence among a low-risk, racially, and ethnically representative patient population undergoing surgery for symptomatic pelvic organ (POP) prolapse.

Study Design: This was a retrospective study of patients undergoing hysterectomy for POP at an urban academic medical center.

Vesicovaginal fistula formation after cervical cerclage mimicking premature rupture of membranes.

Background: Women with a history of pregnancy loss in the second trimester are often diagnosed with cervical insufficiency and are treated with cervical cerclage. We present an unusual complication of this procedure that mimicked preterm rupture of membranes.

Case: A 38-year-old woman with a history of cervical conization, loss of a triplet pregnancy at 22 weeks, and one early spontaneous abortion underwent cervical cerclage placement during her third pregnancy.