OBJECTIVE The objective of this study was to profile patients who undergo defecography, by age and gender, as well as to describe the main imaging and diagnostic findings in this population. MATERIALS AND METHODS This was a retrospective, descriptive study of 39 patients, conducted between January 2012 and February 2014. The patients were evaluated in terms of age, gender, and diagnosis. They...

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...

Concomitant uterovaginal and rectal prolapse is an uncommon occurrence. Where laparoscopic equipment and skills are lacking, sacrohysteropexy with synthetic mesh and rectopexy can be accomplished by laparotomy, especially in women who desire to retain their uterus for either biological or psychological reasons. A 40-year-old primipara with a history of concomitant mass protruding from both her ...

It is now generally accepted that in all cases of prolapse of the uterus (by which term we include cystocele, rectocele, and varying degrees of descent of the uterus, as well as simple hypertrophy of the cervix), operation is the method of choice. It is, however, sometimes difficult to persuade patients that this is the case and we are often asked whether operation will really cure the conditio...

A 73-year-old female was referred to the department of geriatric medicine with malaise, lethargy, and swollen feet secondary to chronic renal failure (creatinine 700 umol/l). She had no bothersome urinary symptoms. However, on pelvic examination, stage III uterine prolapse (procidentia) was noted. She admitted having had it for many years. It was not noted on earlier clinical assessments. Bilat...

BACKGROUND The last decade has seen significant progress in understanding of the pathophysiology, anatomy and management modalities of pelvic organ prolapse. A review of the way we manage this entity in a low resource setting has become necessary. AIM The aim of the study is to determine the incidence, risk factors and management modalities of pelvic organ prolapse. MATERIALS AND METHODS A ...

Pelvic Organ Prolapse (POP) is defined as the prolapse of the pelvic organs toward or through the vaginal opening as a result of the weakening of the combination of nerves, muscles and fascia, which normally protect and support the physical position of pelvic organs. In this case report, the 30-year old patient who applied with the pelvic prolapse through the vaginal opening was treated with Sa...

OBJECTIVES The aim of this study was to analyze short-term outcomes of pelvic prolapse surgery using Prolift transvaginal mesh in a teaching hospital. MATERIALS AND METHODS Thirty-four patients who received prolapse surgery with Prolift were followed up for 7-26 months. Assessment included pre- and postoperative Pelvic Organ Prolapse Quantification (POP-Q) stage, and Urogenital Distress Inven...

OBJECTIVES With significant vaginal prolapse, it is often difficult to differentiate among cystocele, enterocele, and high rectocele by physical examination alone. Our group has previously demonstrated the utility of magnetic resonance imaging (MRI) for evaluating pelvic prolapse. We describe a simple objective grading system for quantifying pelvic floor relaxation and prolapse. METHODS One h...