OBJECTIVE The purpose of this study was to measure the rate of reoperation for surgically treated pelvic organ prolapse. STUDY DESIGN An 11-year retrospective audit was conducted of women who had undergone surgery for pelvic organ prolapse between 1995 and 2005 in a large teaching hospital in the UK. Main outcome measure Variables examined included the type of primary procedure for pelvic org...

INTRODUCTION We aimed to evaluate the local incidences of hydronephrosis and renal impairment in the presence of severe uterovaginal or vault prolapse, and determine whether treatment by surgery or ring pessary resulted in the resolution of hydronephrosis in these patients. METHODS This was a retrospective case study of 121 patients who presented with severe uterovaginal or vault prolapse. Al...

BACKGROUND A relationship between intestinal motility and ileostomy prolapse has been suggested but not demonstrated objectively. AIMS This study evaluated the association between ileostomy prolapse and intestinal dysmotility in children. METHODS IRB-approved retrospective review of 163 patients with ileostomies (1998-2014) at a single institution. Patients were categorized as having clinic...

OBJECTIVE Use axial magnetic resonance imaging to test the null hypothesis that no difference exists in apparent vaginal thickness between women with and those without prolapse. METHODS Magnetic resonance imaging studies of 24 patients with prolapse at least 2 cm beyond the introitus were selected from an ongoing study comparing women with prolapse with normal control subjects. The magnetic r...

AIM The goal of this study was to identify risk factors associated with umbilical cord prolapse and to document the perinatal outcome of cases of cord prolapse. MATERIALS AND METHODS During the period of the study (from July 1, 2001 and June 30, 2007), forty-six cases of umbilical cord prolapse were identified from the labor ward record and analyzed retrospectively. Associations between cord ...

Sir, One should differentiate angiographic prolapse from midsystolic click, the auscultatory hallmark of the mitral valve prolapse-click syndrome. In my articles quoted by the authors, I have refuted the causal association between coronary artery disease and the midsystolic click rather than between coronary artery disease and angiographic mitral valve prolapse. In coronary artery disease, angi...

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...

I read with interest the recent article on cardiac disorders in young women with anorexia nervosa by Vázquez et al.1 I was surprised, however, that the authors made no mention of mitral valve prolapse. The association of mitral valve prolapse with anorexia nervosa has been known for a long time.2-9 Taking into account the pathophysiology of mitral valve prolapse makes it easy to understand this...

OBJECTIVE To study whether avulsion and ballooning are independent risk factors for symptoms and/or signs of pelvic organ prolapse. DESIGN Retrospective analysis of data obtained in clinical practice. SETTING Tertiary urogynecology unit. POPULATION Seven hundred and sixty-one consecutive women with symptoms of pelvic floor dysfunction. METHODS Evaluation included history, vaginal examin...

The cross-sectional echocardiographic features of mitral valve prolapse were defined in 26 children (ages 2-18 years) using a real-time, multiple-crystal ultrasound scanner. In each patient the physical findings of the mitral valve click-murmur syndrome were present and mitral valve prolapse had been diagnosed previously by conventional single crystal echocardiography. Mitral prolapse occurred ...