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Transvaginal mesh, also known as vaginal mesh implant, is a net-like surgical tool that is used to treat pelvic organ prolapse (POP) and stress urinary incontinence (SUI) among female patients. The surgical mesh is placed transvaginally to reconstruct weakened pelvic muscle walls and to support the urethra or bladder. [1] [2]
Pessaries are most commonly used for pelvic organ prolapse and considered a good treatment option for women who need or desire non-surgical management or future pregnancy. [12] It is used to treat prolapse of uterine , vaginal wall ( vaginal vault ), bladder ( cystocele ), rectum ( rectocele ), or small bowel ( enterocele ).
A bellyband, wrap, or abdominal binder is a compression garment which resembles a tubetop but worn over the abdomen of expectant mothers. [2] Bellybands are also commonly worn post-childbirth to help provide abdominal and back support thereby making it easier to perform day to day tasks, and to help mothers with their posture.
Pelvic Organ Prolapse Quantification System (POP-Q) Stage Description 0: No prolapse anterior and posterior points are all −3 cm, and C or D is between −TVL and −(TVL−2) cm. 1: The criteria for stage 0 are not met, and the most distal prolapse is more than 1 cm above the level of the hymen (less than −1 cm). 2
The most common kind is ring shaped, and is typically recommended to correct vaginal prolapse. The pessary compresses the urethra against the symphysis pubis and elevates the bladder neck. For some women this may reduce stress leakage, however it is not clear how well these mechanical devices help women with stress urinary incontinence. [14]
A urethrocele is the prolapse of the female urethra into the vagina. Weakening of the tissues that hold the urethra in place may cause it to protrude into the vagina. [3] [4] Urethroceles often occur with cystoceles (involving the urinary bladder as well as the urethra). [5] In this case, the term used is cystourethrocele. [6] [7]