Pelvic organ prolapse (POP) is common in women and may impair quality of life. Although vaginal pessary can relieve the symptoms and improve quality of life, women may opt for surgical treatment. This paper reviews some common surgical options for POP and their outcome. Anterior colporrhaphy is commonly performed for anterior compartment prolapse but the reported recurrence rate was high. Reinf...

OBJECTIVE To review the results of vaginal hysterectomies in patients without uterine prolapse. DESIGN Retrospective chart review. SETTING University affiliated hospital, Hong Kong. PATIENTS All patients who had vaginal hysterectomies in the absence of uterine prolapse from 1999 to 2005 inclusive (first period) and 2006 to 2009 inclusive (second period). MAIN OUTCOME MEASURES The number...

OBJECTIVE The purpose of this study was to review retrospectively the functional and anatomic outcomes of women who underwent vaginal repair of enterocele and vault prolapse with the use of an intraperitoneal suspension of the vaginal vault to the uterosacral ligaments in conjunction with fascial reconstruction of the anterior and posterior vaginal wall. STUDY DESIGN Two hundred two women wit...

Hysterectomy is the surgical removal of the uterus. Is it the most commonly performed major gynecologic surgical procedure in the United States of America, where more than 400,000 hysterectomies are performed annually [1]. The most common benign indications for a hysterectomy are: fibroids 30%, dysfunctional uterine bleeding (20%), endometriosis and/or adenomyosis (20%), genital prolapse (15%),...

We present here a case of fore-lying of the umbilical cord. In this case, transvaginal sonography did not reveal the umbilical cord beyond the fetal head before maternal urination; however, 5 minute later, a fore-lying umbilical cord was revealed between the floating fetal head and the uterine cervix after urination. The present case indicates the importance of careful evaluation of preterm pre...

the upright posture. In the quadruped the pelvic organs are not supported wholly by means of the pelvic floor, and there is no danger of prolapse or malposition of the uterus if the four-footed female goes hunting immediately after giving birth to her young; but in woman uterine displacements are bound to occur, and do occur, if she assumes the upright position immediately or too soon after her...

A young female cat was presented with a protrusion of the uterus through the vulvar lips. The cat had a history of recent parturition, with delivery without incident of three kittens 48 h earlier. No fetus was found in the uterus. The protruding uterus was amputated and a staged ovariohysterectomy was performed. The day after surgery, the queen was healthy with no evidence of vulvar discharge. ...

Intra-abdominal retained surgical sponge is an uncommon surgical error. Herein, we report a 92-year-old woman who was brought to the emergency room for acute urinary retention. She had a history of vaginal hysterectomy for uterine prolapse 18 years previously, performed at our hospital. Retained surgical sponge in the pelvic cavity was suspected by abdominal computed tomography. The surgical ga...

Pelvic organ prolapse (POP) is a common condition in multiparous elderly women and can be associated with hydronephrosis, with or without renal impairment [1]. The renal dysfunction is globally related to the degree of pelvic prolapsed, and its consequences ranges from acute to chronic renal failure and may also lead to end stage renal failure [2]. In this report, we present the case of a negle...

The sacrospinous ligament has been used for over 50 years as a convenient structure for treating vaginal vault and more recently, uterine prolapse. The procedure has evolved over the years and its efficacy has been hotly debated with invariable comparisons made to abdominal sacral colpopexy. Mesh surgery has introduced a newer dimension to the debate. This review is an attempt to clarify the an...