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...

OBJECTIVE At present little information is available to help define whether a certain degree of pelvic organ prolapse is clinically relevant. We performed a retrospective study to define cut-offs for significant pelvic organ descent on the basis of prolapse symptoms. METHODS At a tertiary urogynecological center, 735 women with symptoms of lower urinary tract dysfunction and prolapse were see...

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...

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 ...

Pelvic organ prolapse, or genital prolapse, is the descent of one or more of the pelvic structures (bladder, uterus, vagina) from the normal anatomic location toward or through the vaginal opening. Women of all ages may be affected, although pelvic organ prolapse is more common in older women. The cause is a loss of pelvic support from multiple factors, including direct injury to the levator an...

OBJECTIVES To assess the relationship between stage of pelvic organ prolapse and self-expressed patient goals at initial urogynecologic evaluation. STUDY DESIGN From February to December of 2010, women presenting for evaluation of pelvic floor disorders were asked to identify up to 5 goals for treatment. Charts were reviewed for demographics. Patients were grouped according to stage of prolap...