OBJECTIVE To estimate differences in pelvic floor disorders by mode of delivery. METHODS We recruited 1,011 women for a longitudinal cohort study 5-10 years after first delivery. Using hospital records, we classified each birth as: cesarean without labor, cesarean during active labor, cesarean after complete cervical dilation, spontaneous vaginal birth, or operative vaginal birth. At enrollme...

The long term durability of conventional surgical repair of vaginal prolapse has been questioned in recent years. In a frequently quoted publication Olsen et al.1 estimated that the lifetime risk (up to age 80 years) of undergoing surgery for vaginal prolapse was 11%. Between 29% and 40% of prolapse surgery is for recurrence 1, 2 and in 60% of re-operations the prolapse is at the site of the or...

MUCP (Maximal urethral closure pressure) is known to be increased in patients with vaginal wall prolapse due to the mechanical obstruction of the urethra. However, urethral function following reduction has not yet been completely elucidated. Predicting postoperative urethral function may provide patients with important, additional information prior to surgery. Thus, this study was performed to ...

Pelvic organ prolapse (POP) and associated stress urinary incontinence (SUI) is a major health care problem. It is estimated that 50% of parous women lose pelvic support 1 and an American woman has a 11.1% lifetime risk of undergoing an operation for pelvic floor support.2 An ageing population is likely to increase the prevelance of POP and DeLancey describes this anticipated increasing health ...

OBJECTIVE To present 3-month outcomes of a double-blind, multicenter randomized controlled trial comparing traditional vaginal prolapse surgery without mesh with vaginal surgery with mesh. METHODS Women with pelvic organ prolapse quantification prolapse stages 2-4 were randomized to vaginal colpopexy repair with mesh or traditional vaginal colpopexy without mesh. The primary outcome measure w...

A five-year-old Holstein cow with a history of vaginal prolapse was admitted to the Large Animal Clinic, Faculty of Veterinary Medicine, University of Tabriz. According to the owner, she had a 5-month history of vaginal prolapse and frequent sanguineous discharge from the vagina. Appetite was normal and its last parturition was two months ago. Clinical examination revealed a tumor like mass tha...

OBJECTIVES To describe a new surgical procedure for pelvic organ prolapse using mesh and a vaginal support device (VSD) and to report the results of surgery. DESIGN A prospective observational study. SETTING Two tertiary referral Urogynaecology practices. POPULATION Ninety-five women with International Continence Society pelvic organ prolapse quantification stage 2 or more pelvic organ pr...

The majority of the anterior vaginal wall prolapse results from paravaginal defects 70% (lateral detachments from the ATFP) mostly unilateral, on the right side, and at the level of the ischial spines; rather than midline defect. This new understanding of site specific vaginal defects has lead to changes in surgical techniques, to include, abdominal, laparoscopic, and vaginal repairs. Abdominal...

PURPOSE The pelvic tissue of women with pelvic organ prolapse is stiffer than that of controls but there are scant data on the collagen composition that corresponds to these mechanical properties. We evaluated human vaginal wall stiffness using the novel scanning haptic microscope and correlated these measurements to collagen expression in women with and without pelvic organ prolapse. In this s...

INTRODUCTION Since many years, plastic and reconstructive surgery in pelvic organ prolapse (POP) has been performed by vaginal mesh surgery. Although warnings from the scientific societies and the FDA have been published, vaginal mesh surgery still remains a routine treatment of genital prolapse in the female. BACKGROUND Many third-degree referral centres in operative gynaecology found a high...