Pelvic organ prolapse is a major health issue. Eleven per cent of women require surgical treatment for prolapse or urinary incontinence by the age of 80 years. Possible modes of operative treatment include vaginal or abdominal approach. The aim here was to study outcomes of sacrospinous ligament fixation (SSLF) with pelvic floor reconstruction for vaginal vault prolapse and uterine procidentia,...

Ideally each correction of pelvic floor dysfunction may be performed through laparoscopy, even if, in the clinical practice, laparoscopy is an elective route only for few procedures. Laparoscopy has been largely used for urinary incontinence treatment. After initial experiences performed with simplified techniques, due to high failure rate, it has been abandoned. On the contrary, new evidenceba...

OBJECTIVE To compare ''vaginal hysterectomy alone'' with ''vaginal hysterectomy with prophylactic unilateral sacrospinous ligament fixation'' in terms of intraoperative complications and 1-year anatomic outcomes and symptoms in patients aged over 50 years who presented with stage 3 or 4 pelvic organ prolapse (POP). MATERIALS AND METHODS Thirty-five patients underwent vaginal hysterectomy alon...

Background. The rate of prolapse recurrence after vaginal hysterectomy ranges from 6% to 12%. Vaginal vault fixation procedures like the iliococcygeus and cul-de-sac obliteration (McCall culdoplasty) have been used address loss apical support in patients with advanced-stage prevent this recurrence. Objectives. This study aims assess risk factors for as well urinary, bowel, sexual symptoms wome...

The advent of laparoscopic surgery and with it Laparoscopic Ventral Mesh Rectopexy (LVMR) has revolutionised the management of internal/external rectal and vaginal vault prolapse. These procedures have traditionally been performed with synthetic meshes. Biologics have gained a prominent role over the last decade in LVMR as well as perineal procedures for rectocoele and cystocoele repair. We exa...

Background: Pelvic organ prolapse is a descent of the pelvic organs into vagina, frequently associated with local symptoms. floor support essential to maintain normal anatomy. Recent studies genital suggests that it more important improve patient satisfaction and reduce complication than achieve anatomical success. The purpose audit management in this retrospective study know understand decisio...

Spontaneous transvaginal bowel evisceration is a rare surgical emergency with only a few cases reported and particularly postmenopausal, posthysterectomy, multiparous elderly women are considered to be at higher risk for development of bowel evisceration. It is difficult to manage such a patient for any surgeon and poses significant challenges especially intraoperatively. Here, we report a case...