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The incidence of cystocele is around 9 per 100 women-years. The highest incidence of symptoms occurs between ages of 70 and 79 years. Based on population growth statistics, the number of women with prolapse will increase by a minimum of 46% by the year 2050 in the US. Surgery to correct prolapse after hysterectomy is 3.6 per 1,000 women-years. [13]
[25] [26] The European Association of Urology provides limited recommendation on AUS use in women, stating that although cure is possible the risk of complication is high. [22] Nonetheless, AUS has been used as a last resort for treating urinary incontinence in women due to congenital causes and secondary to neurological diseases. [25]
About 30% of women over age 45 in developed nations are affected by urinary incontinence. [46] The rate of obstetrical fistulae is much lower in places that discourage early marriage, encourage and provide general education for women, and grant women access to family planning and skilled medical teams to assist during childbirth.
Bivalved self retaining speculum. Its advantage over Sim's speculum is that no assistance is required to hold it in place. Hence, minor procedures like papsmear, IUCD insertions can be performed independently. Its disadvantage is the limited visualization of vagina walls. Sim's double-bladed posterior vaginal speculum: Scalpel: Vulsellum
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The treatment protocol requires once-a-week treatments for 12 weeks, 30 minutes per session. Many patients begin to see improvements by the 6th treatment. Patients who respond to treatment may require occasional treatments (about once every three weeks or as needed [11]) to sustain improvements. PTNS is a low-risk procedure.