Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0033377 (prolapse)
 11,717 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

In an epidemiological health survey, 515 45-year-old women were interviewed about urological problems, particularly incontinence. A pelvic examination was also conducted on 509 of the women. Twenty-two per cent or 114 women stated that they experienced incontinence, which took the form of stress incontinence in 75%, urge incontinence in 11% and a mixture of the two in 14%. Only 14 women, 3% of all the women interviewed, desired medical treatment for incontinence. In the incontinent women, the pelvic examination significantly more often revealed a cystocele, uterine prolapse or impaired function of the levator muscles. No correlation was found between an enlarged uterus and incontinence. In 211 women with one or more of these findings at the gynaecological examination, the frequency of incontinence was 35%; in 298 women with no pathological findings, the frequency was 15%. The frequency of urinary incontinence was not increased in women with higher parity or in postmenopausal women.
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PMID:Urinary incontinence in 45-year-old women. An epidemiological survey. 378 95

A case of marked bilateral hydroureteronephrosis due to extreme prolapse of the bladder is reported. This latter condition led also to obstructive urinary tract symptoms and residual urine. After repair of the cystocele in an unusual way by fixation of the vaginal vault to the sacral promontory, the caliber of the upper urinary tracts became almost normal and postvoiding residual urine disappeared.
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PMID:Hydronephrosis caused by cystocele. Treatment by colpopexy to sacral promontory. 623 79

Nine women suffering from vaginal vault prolapse had an abdominal sacropexy between 1972 and 1983. Marlex mesh was used to anchor the vaginal vault to the promontory of the sacrum and was completely buried retroperitoneally. The women had all had previous attempts at surgical correction. There were no intra- or post-operative complications. No recurrences of vault prolapse occurred during a mean follow-up period of 3.9 years. One woman developed a moderate cystocoele 4 years after sacropexy.
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PMID:Operative management of vaginal vault prolapse following hysterectomy. 638 May 69

Between 1969 and 1980 11 operations according to Williams-Richardson, 23 abdominal sacropexies according to Wagner-Kuestner and 4 operations according to Amreich-II were performed for the treatment of enteroceles and prolapse of the vaginal vault. The combination of these operative methods with colpoperineorraphies and Marshall-Marchetti-Krantz operations and lyodura ribbon operations according to Zoedler for the urethro-vesical angle is described. Continence an elevation of the vaginal fornix was obtained by the operation according to Williams-Richardson and by the fixation of the vagina to the sacrospinal ligament. With the Williams-Richardson operation 1 enterocele occurred which was corrected with the vaginal fixation to the sacro-spinal ligament. Following fixation to the promontary 2 enteroceles, 4 cystocele, and one rectocele occurred in 4 patients. Three of these had urinary incontinence. The complications are described. The vaginal fixation to the sacro-spinal ligament according to Amreich II at times combined with the lyodura sling operation of Zoedler is today the preferred operative method.
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PMID:[The operative treatment of enterocele and prolapse of the vaginal vault (author's transl)]. 691 91

From a series of 212 cases of urinary stress incontinence in women, the author analyses the results of 41 operations by retro-pubic vaginal fixation and 110 operations by aponeurotic support of the bladder neck. From this second group of 110 operations, 100 cases were reviewed with 93 successes, 3 improvements and 4 failures. The results obtained after one year were definitive. The author stresses the importance of the pre-operative assessment of the clinical signs and symptoms. Out of 90 cases of pure stress incontinence, with no other associated disturbance of micturition, there was a 95,5% success rate. 16,6% of cases had post-operative retention which was easily treated by simple measures. However, out of the 10 cases of mixed stress incontinence, with associated symptoms of urinary urgency, the results were favorable in only 70%. The author believes that urodynamic studies have a certain role in the investigation of the cause for a failed operation. They may even be useful in the investigation of the urodynamics of the vesicosphincteric apparatus of the woman with stress incontinence associated with other disturbances of micturition. However, clinically pure urinary stress incontinence does not require urodynamic investigation and can be corrected by lifting up the anterior vaginal wall (Bonney's manoeuvre). According to the author, the aponeurotic sling is the best way of treating these patients. The results are better when there is not a simultaneous cure of cystocele. Retro-pubic vaginal fixation is only used in cases of minor, discrete stress incontinence in elderly women and to complete surgery for prolapse.
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PMID:[Urinary incontinence in women, without urodynamic studies]. 716 49

Vaginaefixatio sacrospinalis vaginalis is an operative procedure whereby the vaginal stump is affixed to the sacrospinal ligament of one side of the vaginal route. Intercourse is not inhibited by this operative method. This technique was performed on 81 patients, starting in 1959, with a follow-up period of up to 10 years. In 78 cases the indication for operation was a true vaginal vault prolapse following hysterectomy; in three cases it was a prolapse of the uterus and the vagina because of complete incompetence of the visceral fascia of the pelvis. The vaginal vault prolapse was alleviated by the colpopexy technique in all patients. However, coexisting cystocele, rectocele, and enterocele and related incontinence remained in a few instances.
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PMID:Long-term results following fixation of the vagina on the sacrospinal ligament by the vaginal route (vaginaefixatio sacrospinalis vaginalis). 731 7

In the last 110 cases of genital prolapse examined, IVU formed part of the prior urological investigation. 14 cases of ureteropelvic distension were thus discovered (13.6% of cases). In ten cases the prolapse was sufficiently largee as to exterioris the uterus or bring it to of the vulva. In 13 cases out of 15 a larg cystocoele was visible at the vulva with a full bladder. The precise urological consequences of these prolapses was greater than had been expected: 13 cases of incomplete vesical retention, 4 of unilateral ureteropelvic distension and 10 bilateral, including 3 only symmetrical. Bilateral high distension was in general associated with a large cystocoele. Severe renal insufficiency was seen in only one case, and 5 moderate elevations in blood urea, in 5 cases. The mechanism of such ureteropelvicalyceal distension is not clear, but the prolapse is directly responsible, since mechanical (insertion of a pessary) or surgical reduction of the prolapse restores the upper excretory tract to normal. Renal function recovered all the more rapidly when the prolapse had been present for a shorter time.
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PMID:[Genital prolapse and ureteropelvic distension]. 745 43

The surgical procedure of choice to correct stress urinary incontinence using a vaginal approach depends not only on the anatomic origin of the incontinence (hypermobility or intrinsic sphincter dysfunction) but also on the degree of coexistent anterior vaginal wall prolapse. The grade of coexistent cystocele and the finding of a central or lateral defect are important observations that help the surgeon plan the optimum surgical approach. Grade 4 cystocele with central and lateral defects represents the most severe form of anterior vaginal wall prolapse. In this case, the surgical goals are to correct both central and lateral defects, as well as hypermobility related to the mid-urethra and bladder neck.
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PMID:Vaginal reconstructive surgery for female incontinence and anterior vaginal-wall prolapse. 764 62

Sacrospinous colpopexy is a useful procedure in the cure of pulsion enterocele, high rectocele, and posthysterectomy vault prolapse. It allows the surgeon to correct coincident cystocele and rectocele and permits restoration of a relatively normal and comfortable vaginal depth and axis. It is a quick procedure, avoids intraabdominal trauma, has a high success rate and a low complication rate (1) and is useful in the management of patients who wish to maintain coital function. This paper retrospectively reviews the techniques, results and complications of 107 sacrospinous colpopexies performed in 104 patients over an 8-year interval.
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PMID:Sacrospinous colpopexy. 777 10

Thirty women experiencing posthysterectomy prolapse of the vaginal vault were treated with abdominal sacral colpopexy between 1984 and 1991. Lyodura (lyophilized cerebral dura mater allograft transplant) was used as the suspensory material in 81 percent and Gore-Tex (reinforced polytetrafluoroethylene) in 16 percent of the operations. There were no perioperative or postoperative complications. At the follow-up examination (mean, three years), good vaginal vault support was observed in 85 percent of the patients. Significant cystocele were seen in 18 percent, and vault prolapse, enterocele, rectocele and chronic perineal laceration each in 15 percent of the patients. At follow-up study, 22 percent of the patients experienced dyspareunia and 41 percent had decreased sexual interest and coital events. Development of stress urinary incontinence in 18 percent of patients was noted. Concomitant Burch colposuspension will cure and prevent stress incontinence and anterior vaginal relaxation. Abdominal sacral colpopexy appears to be a safe and effective method in the treatment of posthysterectomy prolapse of the vaginal vault. In our experience, it seems that coexistent cystocele and rectocele should be corrected in the connection with sacral colpopexy.
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PMID:Outcome of thirty patients who underwent repair of posthysterectomy prolapse of the vaginal vault with abdominal sacral colpopexy. 814 22


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