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Though rare, estimates of the prevalence of vaginal cuff dehiscence after hysterectomy are estimated and reported to be between 0.14 and 4.1% per the American College of Obstetricians and Gynecologists (ACOG). [7] If the vaginal cuff is compromised, vaginal evisceration can occur with the small intestine protruding out through the vagina. [3]
After hysterectomy for benign indications the majority of patients report improvement in sexual life and pelvic pain. A smaller share of patients report worsening of sexual life and other problems. The picture is significantly different for hysterectomy performed for malignant reasons; the procedure is often more radical with substantial side ...
The vaginal vault may prolapse after a hysterectomy, as there is no uterus supporting the interior end of the vagina.. Colposacropexy is often used for treating vaginal vault prolapse.
A hysterectomy or other pelvic surgery can be a cause, [4] as can chronic constipation and straining to pass bowel movements. It is more common in older women than in younger ones; estrogen which helps to keep the pelvic tissues elastic decreases after menopause. [medical citation needed]
Anatomy photo:43:02-0300 at the SUNY Downstate Medical Center - "The Female Pelvis: Distribution of the Peritoneum in the Female Pelvis" Anatomy image:9610 at the SUNY Downstate Medical Center; Anatomy image:9737 at the SUNY Downstate Medical Center; Douglas'+Pouch at the U.S. National Library of Medicine Medical Subject Headings (MeSH)
The vagina is attached to the pelvic walls by endopelvic fascia. The peritoneum is the external layer of skin that covers the fascia. This tissue provides additional support to the pelvic floor. The endopelvic fascia is one continuous sheet of tissue and varies in thickness. It permits some shifting of the pelvic structures.
A uterus is a muscular organ in the female pelvis that holds and nourishes the fetus during pregnancy. "In most women, the uterus is positioned forward," Greves says. Meaning, it's tilted a little ...
When operating a pelvic organ prolapse, introducing a mid-urethral sling during or after surgery seems to reduce stress urinary incontinence. [13] Transvaginal repair seems to be more effective than transanal repair in posterior wall prolapse, but adverse effects cannot be excluded. [14] According to the FDA, serious complications are "not rare ...