OBJECTIVE To estimate the risk of prolapse associated with levator avulsion injury among a urogynaecological clinic population. DESIGN Retrospective observational study. SETTING Tertiary urogynaecological unit. SAMPLE A total of 934 women seen for interview, examination using the pelvic organ prolapse quantification (POP-Q) staging system and imaging of the levator ani muscle by four-dime...

BACKGROUND Pelvic organ prolapse is a multidimensional phenomenon. The manifestations of renal involvement following pelvic organ prolapse ranges from acute to chronic renal failure and may also lead to end stage renal failure. Prolonged duration and its severity in pelvic organ prolapse are responsible for renal impairment. OBJECTIVES This study will find out the incidence of renal impairmen...

Although laparoendoscopic single-site surgery (LESS) has spread across surgical disciplines, this has not been the case for the repair of uterovaginal prolapse. We describe the use of this technique for mesh sacrohysteropexy to correct a global prolapse classified as stage II on the pelvic organ prolapse quantification (POP-Q) system. The procedure involved intraoperative modification of a comm...

BACKGROUND Mitral valve prolapse (MVP) is usually benign, although serious complications may occur. It remains unclear whether the region of prolapsed mitral leaflets might affect prognosis. The aim of this study was to investigate lesional differences of clinical courses of MVP. METHODS AND RESULTS We retrospectively investigated 128 MVP patients who had been followed up for for a mean of 56...

The objective of this review is to discuss emerging concepts in pelvic organ prolapse, in particular, "What is cure?" In a post-trial data analysis of the CARE (Colpopexy and Urinary Reduction Efforts) trial, treatment success varied tremendously depending on the definition used (19.2%-97.2%). Definitions that included the absence of vaginal bulge symptoms had the strongest relationships with t...

Angiographic clinical correlations were made in 59 patients with prolapsed mitral leaflet syndrome. Eight had nonejection systolic clicks (group I), 20 had early, mid or late systolic murmurs with or without a systolic click (group II), and 31 had pansystolic murmurs (group III). Isolated prolapse of posterior leaflet (PL) scallops occurred in 42 and 17 had combined leaflet prolapse. The study ...

OBJECTIVE Genital prolapse is frequent in postmenopausal women; it describes the loss of support to the pelvic organs, resulting in a herniation of these into the vaginal channel. This problem affects 50% of parous women, and at least 50% of all women develop a mild form of genital prolapse after pregnancy. METHODS An extensive literature review from 1990 to 2008 was performed on prolapse eti...

Correspondence: Dr. Hediye Dagdeviren e-mail: hediyedagdeviren@ gmail.com Uterine prolapse complicating pregnancy is a rare event. We report a case of a 35-year-old woman with uterine prolapsus at 24 weeks of gestation. Our case was managed conservatively with a ring pessary. Postnatally the uterine prolapse recovered spontaneously. At 12 months postpartum follow-up there was no evidence of ute...