Posterior Vaginal Wall Prolapse: Suture-Based Repair.

Urol Clin North Am

Glickman Urological and Kidney Institute, Lerner College of Medicine, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA.

Published: February 2019

AI Article Synopsis

  • Pelvic organ prolapse is frequent in women who have given birth, but many do not experience noticeable symptoms.
  • Rectocele, a type of posterior compartment prolapse, can lead to issues like pain and constipation, making treatment necessary for those who show symptoms.
  • The article examines various surgical methods for treating symptomatic rectoceles and evaluates which techniques, such as suture-based and site-specific methods, are most effective.

Article Abstract

Pelvic organ prolapse is common in parous women, although few report symptoms. The incidence of posterior compartment prolapse, or rectocele, is less well-reported. Posterior vaginal wall prolapse is associated with pain, constipation, and splinting. Surgery is the mainstay of therapy for symptomatic rectoceles. Though several surgical techniques have been described, no clear indications for type of repair have emerged. This article reviews the management strategies and draws conclusions about suture-based and site-specific techniques.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ucl.2018.08.007DOI Listing

Publication Analysis

Top Keywords

posterior vaginal
8
vaginal wall
8
wall prolapse
8
prolapse
4
prolapse suture-based
4
suture-based repair
4
repair pelvic
4
pelvic organ
4
organ prolapse
4
prolapse common
4

Similar Publications

The adoption of robotic surgery has been widespread and increasing amongst gynecologic surgeons given the ability to decrease morbidity. It is important that plastic surgeons adjust their reconstructive algorithm to ascertain the benefits of robotic-assisted surgery. Herein we report our outcomes of robotic-assisted rectus abdominis muscle reconstruction of the posterior vaginal wall along with a current literature review on robotic-assisted reconstructive pelvic surgery.

View Article and Find Full Text PDF

Background: Local relapse has not been eradicated even in the era of total mesorectum excision. Although various approaches have been attempted, R0 resection remains the only potentially curative treatment. PATIENT AND METHODS: A 45-year-old woman with a history of laparoscopic abdominoperineal resection was diagnosed with pelvic recurrence 7 months ago.

View Article and Find Full Text PDF

Perineal deformation during forceps, vacuum and OdonAssist™ assisted vaginal deliveries: A simulation study based on advanced image processing.

Eur J Obstet Gynecol Reprod Biol

January 2025

Department of Obstetrics and Gynecology, Jean Minjoz Hospital, Besançon University Medical Center - Alexander Fleming Boulevard, 25000 Besançon, France; University of Franche-Comte-SINERGIE Laboratory, 25000 Besancon, France. Electronic address:

Objectives: The aim of this study was to analyse influence of the fetal head position and the type of instrument used (forceps, vacuum, OdonAssist™) on perineal deformation, during simulated vaginal deliveries monitored by stereophotogrammetry.

Methods: An exploratory study was conducted using mannequins simulating vaginal births. Fifty simulated deliveries were performed with different fetal head positions and instruments: Pajot's forceps, Kiwi-vacuum, and OdonAssist™.

View Article and Find Full Text PDF

A 40-year-old woman who had obstetric history of one vaginal delivery and two surgical abortions to terminate early pregnancy received regular prenatal care without any systemic maternal diseases. During the detailed second trimester ultrasound, a homogenous adhesion-induced pseudocystic lesion of 8.6 × 7.

View Article and Find Full Text PDF

Transvaginal evisceration is a rare, potentially life-threatening condition involving herniation of intra-abdominal contents, typically the small bowel, through a defect in the vaginal wall. Most commonly observed in postmenopausal women with a history of pelvic surgery or trauma, it necessitates prompt surgical intervention. We report a unique case of transvaginal evisceration in a 67-year-old postmenopausal female with rectovaginal prolapse following minor trauma.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!