There are a few different types of pelvic organ prolapse (POP). They’re named after where they happen in your body and what organs are involved. A vaginal wall prolapse, more commonly referred to in the medical community as a pelvic organ prolapse, occurs when muscles and ligaments surrounding the walls of the vagina, called fascia, become weak.
When the fascia becomes weakened because of age, childbirth or a hysterectomy, part of or the. During surgery, the top of the vagina is attached to the lower abdominal (belly) wall , the lower back (lumbar) spine, or the ligaments of the pelvis.
Vaginal vault prolapse is usually repaired through the vagina or an abdominal incision and may involve use of either your tissue or artificial material. A posterior vaginal wall prolapse occurs when the thin wall of tissue that separates the rectum from the vagina weakens, allowing the vaginal wall to bulge. Posterior vaginal prolapse is also called a rectocele (REK-toe-seel). Childbirth and other processes that put pressure on pelvic tissues can lead to posterior vaginal prolapse.
In vaginal prolapse the vagina stretches or expands to protrude on other organs and structures. Cleveland Clinic urologists are developing new minimally invasive laparoscopic surgical techniques to repair this condition. Needless to say, having a vaginal prolapse can be a significant concern, both cosmetically and functionally.
This weakening allows the uterus, urethra, bladder, or rectum to droop down into the vagina. Vaginal prolapse happens when the muscles that support the organs in a woman’s pelvis weaken. When one of the pelvic organs falls into the vagina, it is known as a vaginal prolapse. This occurs due to an area of vaginal wall becoming weak and no longer being able to support the pelvic organs.
Which organ prolapses, or falls into the vagina, depends on what area of the vaginal wall is weak. Causes of vaginal prolapse include childbirth, menopause, and hysterectomy. Symptoms of a prolapsed vagina are painful intercourse, recurrent urinary tract infections, and a mass at the vaginal opening.
If you have associated stress incontinence an additional operation to correct this may be required. If you have had recurrent prolapse, and this is not your first repair operation, mesh may be used to help support the vaginal wall and keep the prolapsed organ(s) in place. The anterior vaginal wall resembles a trapezoidal plane due to ventral and more medial attachments near the pubic symphysis, and dorsal and more lateral attachments near the ischial spine.
This helps explain the many appearances of the cystocele. The type of cystocele is defined by the location of the break in the fascial attachments. Different types of prolapse involve different parts of the female genitals: Cystocele This is when the bladder and front wall of the vagina sag toward the vaginal. A prolapse can create an obstruction that makes it difficult to empty the bowel. For example if the back wall of the vagina is prolapsed (posterior vaginal wall prolapse or rectocoele) the prolapsed vaginal wall collapses in with the bowel movement and the stool can become trapped within the prolapse.
This can cause symptoms such as a sensation of a vaginal lump, constipation, difficulty emptying the bowel or bladder or problems with sexual intercourse.
A prolapsed vaginal wall or vault is the result of a variety of things. As women grow older the natural strength and elasticity of the internal vaginal connective tissue weakens. Anterior prolapse is also called a prolapsed bladder.
Straining the muscles that support your pelvic organs may lead to anterior prolapse. Eventually, prolapsed structures may even pass through the vaginal opening if their supporting tissues become weak enough. This course provides a Step by Step approach, lessons on Objectives, Preoperative information and Postoperative Complications, Procedural Anatomy and a Test.
Pelvic organ prolapse is bulging of one or more of the pelvic organs into the vagina. Surgery may also be an option for some women. This usually involves giving support to the prolapsed organ. What is vaginal prolapse ? Your complete Physiotherapy guide to understanding vaginal prolapse causes, symptoms, treatment for avoiding prolapse surgery. Rectocoele – bowel bulges int to the back wall of the vagina.
It is the most common reason for hysterectomy in women aged over 50. Uterine prolapse can occur in women of any age. Prolapsed vaginal wall s are.
But it often affects postmenopausal women who’ve had one or more vaginal deliveries.
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