uterine prolapse

Summary

Summary: Downward displacement of the UTERUS. It is classified in various degrees: in the first degree the UTERINE CERVIX is within the vaginal orifice; in the second degree the cervix is outside the orifice; in the third degree the entire uterus is outside the orifice.

Top Publications

  1. Slieker ten Hove M, Pool Goudzwaard A, Eijkemans M, Steegers Theunissen R, Burger C, Vierhout M. The prevalence of pelvic organ prolapse symptoms and signs and their relation with bladder and bowel disorders in a general female population. Int Urogynecol J Pelvic Floor Dysfunct. 2009;20:1037-45 pubmed publisher
    ..005). Strategies should be developed to alleviate obstructive bowel disorders associated with POP. ..
  2. Glavind K, Mørup L, Madsen H, Glavind J. A prospective, randomised, controlled trial comparing 3 hour and 24 hour postoperative removal of bladder catheter and vaginal pack following vaginal prolapse surgery. Acta Obstet Gynecol Scand. 2007;86:1122-5 pubmed
  3. Huebner M, Krzonkalla M, Tunn R. Abdominal sacrocolpopexy--standardized surgical technique, perioperative management and outcome in women with posthysterectomy vaginal vault prolapse. Gynakol Geburtshilfliche Rundsch. 2009;49:308-14 pubmed publisher
    ..To provide a detailed description of abdominal sacrocolpopexy and to present a retrospective evaluation of the outcomes...
  4. Matsubara S, Ohki Y. Can a ring pessary have a lasting effect to reverse uterine prolapse even after its removal?. J Obstet Gynaecol Res. 2010;36:459-61 pubmed publisher
    A vaginal ring pessary for uterine prolapse has been considered only to reposition the uterus during fitting and is thus palliative. A ring pessary was fitted in a 71-year-old woman with uterine prolapse to reposition the uterus...
  5. Takacs P, Nassiri M, Candiotti K, Yang J, Yavagal S, Medina C. Differential expression of fibulins in the uterosacral ligaments of women with uterine prolapse. Arch Gynecol Obstet. 2010;282:389-94 pubmed publisher
    To compare fibulin-3 (FIB-3) and fibulin-5 (FIB-5) expressions in uterosacral ligaments (USL) of women with and without uterine prolapse.
  6. Feldner P, Castro R, Cipolotti L, Delroy C, Sartori M, Girão M. Anterior vaginal wall prolapse: a randomized controlled trial of SIS graft versus traditional colporrhaphy. Int Urogynecol J. 2010;21:1057-63 pubmed publisher
    ..This study seeks to compare the small intestine submucosa (SIS) graft with traditional colporrhaphy (TC) for surgical treatment of anterior vaginal prolapse...
  7. Haylen B, De Ridder D, Freeman R, Swift S, Berghmans B, Lee J, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J. 2010;21:5-26 pubmed publisher
    ..Next to existing terminology of the lower urinary tract, due to its increasing complexity, the terminology for pelvic floor dysfunction in women may be better updated by a female-specific approach and clinically based consensus report...
  8. Liang C, Huang H, Tseng L, Chang S, Lo T, Lee C. Expression of matrix metalloproteinase-2 and tissue inhibitors of metalloproteinase-1 (TIMP-1, TIMP-2 and TIMP-3) in women with uterine prolapse but without urinary incontinence. Eur J Obstet Gynecol Reprod Biol. 2010;153:94-8 pubmed publisher
    ..metalloproteinase-2 (MMP-2) and its inhibitors, tissue inhibitor of metalloproteinase-1, -2 and -3 (TIMP-1, TIMP-2 and TIMP-3), in the pelvic support and nonsupport tissue of women with uterine prolapse but without urinary incontinence.
  9. de Boer T, Milani A, Kluivers K, Withagen M, Vierhout M. The effectiveness of surgical correction of uterine prolapse: cervical amputation with uterosacral ligament plication (modified Manchester) versus vaginal hysterectomy with high uterosacral ligament plication. Int Urogynecol J Pelvic Floor Dysfunct. 2009;20:1313-9 pubmed publisher

More Information

Publications86

  1. Dietz V, van der Vaart C, van der Graaf Y, Heintz P, Schraffordt Koops S. One-year follow-up after sacrospinous hysteropexy and vaginal hysterectomy for uterine descent: a randomized study. Int Urogynecol J. 2010;21:209-16 pubmed publisher
    ..In a retrospective study, the sacrospinous hysteropexy was associated with a shorter recovery time compared to a vaginal hysterectomy with no differences in anatomical outcomes. No randomized trials are performed...
  2. Roovers J, van der Bom J, van der Vaart C, van Leeuwen J, Scholten P, Heintz A. A randomized comparison of post-operative pain, quality of life, and physical performance during the first 6 weeks after abdominal or vaginal surgical correction of descensus uteri. Neurourol Urodyn. 2005;24:334-40 pubmed
    ..The vaginal operation to correct a descensus uteri is associated with less pain, better quality of life and better mobility during the first 6 weeks of the recovery period as compared to the abdominal approach. ..
  3. Ridgeway B, Chen C, Paraiso M. The use of synthetic mesh in pelvic reconstructive surgery. Clin Obstet Gynecol. 2008;51:136-52 pubmed publisher
    ..Procedural kits for vaginal placement of synthetic materials are becoming popular, though long-term outcome and safety data are lacking. ..
  4. Allahdin S, Herd D, Reid B. Twenty-five sacrospinous ligament fixation procedures in a district general hospital: our experience. J Obstet Gynaecol. 2005;25:361-3 pubmed
    ..We concluded that the sacrospinous ligament fixation is safe and effective with good medium-term results and few postoperative complications. It should be regarded as a good primary procedure in a District General Hospital. ..
  5. Carey M, Slack M, Higgs P, Wynn Williams M, Cornish A. Vaginal surgery for pelvic organ prolapse using mesh and a vaginal support device. BJOG. 2008;115:391-7 pubmed publisher
    ..0001). Vaginal surgery using mesh and a VSD is an effective procedure for pelvic organ prolapse. However, further studies are required to establish the role of the surgery described in this study. ..
  6. Digesu G, Chaliha C, Salvatore S, Hutchings A, Khullar V. The relationship of vaginal prolapse severity to symptoms and quality of life. BJOG. 2005;112:971-6 pubmed
    ..There was a stronger relationship between posterior prolapse and bowel symptoms than anterior prolapse and urinary symptoms. Sexual dysfunction was related to cervical descent. ..
  7. Hibner M, Cornella J, Magrina J, Heppell J. Ischiorectal abscess after sacrospinous ligament suspension. Am J Obstet Gynecol. 2005;193:1740-2 pubmed
    ..The abscess was diagnosed 9 months after the patient had a sacrospinous ligament suspension. She was treated successfully with perianal incision, drainage, and intravenous antibiotics...
  8. Huang K, Kung F, Liang H, Chen C, Chang S, Hwang L. Concomitant pelvic organ prolapse surgery with TVT procedure. Int Urogynecol J Pelvic Floor Dysfunct. 2006;17:60-5 pubmed
    ..Of the 75 patients, 35 patients with grade III uterine prolapse underwent VTH and APC, 30 patients with grade IV uterine prolapse underwent VTH, SSS, and APC, and the other ..
  9. Mouritsen L. Classification and evaluation of prolapse. Best Pract Res Clin Obstet Gynaecol. 2005;19:895-911 pubmed
    ..We should work on a common classification system and agreement in which symptoms should be recorded as related to prolapse and expected to improve by prolapse surgery...
  10. Hefni M, El Toukhy T. Long-term outcome of vaginal sacrospinous colpopexy for marked uterovaginal and vault prolapse. Eur J Obstet Gynecol Reprod Biol. 2006;127:257-63 pubmed
    ..Out of 14 women who complained of fecal incontinence, 10 (71%) reported cure and 3 (21%) improved after surgery. Vaginal sacrospinous colpopexy is associated with a high long-term success rate in correcting upper genital prolapse. ..
  11. Lopes Costa P, dos Santos A, Pereira Filho J, da Silva B. Myiasis in the uterine cavity of an elderly woman with a complete uterine prolapse. Trans R Soc Trop Med Hyg. 2008;102:1058-60 pubmed publisher
    ..This case describes an extremely rare situation, and emphasizes the need for good hygiene and surgical correction in patients with a genital prolapse...
  12. Drutz H, Alarab M. Pelvic organ prolapse: demographics and future growth prospects. Int Urogynecol J Pelvic Floor Dysfunct. 2006;17 Suppl 1:S6-9 pubmed
    ..The role of adjuvant materials in performing reconstructive pelvic surgery may improve success rates, but evidence based medicine and randomized controlled trials are currently lacking. ..
  13. Gutman R, Ford D, Quiroz L, Shippey S, Handa V. Is there a pelvic organ prolapse threshold that predicts pelvic floor symptoms?. Am J Obstet Gynecol. 2008;199:683.e1-7 pubmed publisher
    ..Vaginal descensus 0.5 cm distal to the hymen accurately predicts bulging/protrusion symptoms; however, we could not identify a threshold of prolapse severity that predicted other pelvic floor symptoms. ..
  14. Simsiman A, Luber K, Menefee S. Vaginal paravaginal repair with porcine dermal reinforcement: correction of advanced anterior vaginal prolapse. Am J Obstet Gynecol. 2006;195:1832-6 pubmed
    ..Overall cure rate was 78% (68 of 89). Data were analyzed using the Wilcoxon rank test. The reinforced vaginal paravaginal repair procedure is safe and effective for correction of advanced anterior vaginal prolapse. ..
  15. Ayhan A, Esin S, Guven S, Salman C, Ozyuncu O. The Manchester operation for uterine prolapse. Int J Gynaecol Obstet. 2006;92:228-33 pubmed
    ..96; 85.8% of the patients were premenopausal; 176 patients (86.28%) had grade 3 and 28 (13.72%) had grade 2 uterine prolapse; 95.1% of the patients had associated cystoceles and 51.3% had associated rectoceles; and 81...
  16. Visco A, Brubaker L, Nygaard I, Richter H, CUNDIFF G, Fine P, et al. The role of preoperative urodynamic testing in stress-continent women undergoing sacrocolpopexy: the Colpopexy and Urinary Reduction Efforts (CARE) randomized surgical trial. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19:607-14 pubmed publisher
    ..Future research is warranted in this patient population to evaluate other treatment options to refine predictions and further reduce the risk of postoperative stress incontinence. ..
  17. Kleeman S, Vassallo B, Segal J, Hungler M, Karram M. The ability of history and a negative cough stress test to detect occult stress incontinence in patients undergoing surgical repair of advanced pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct. 2006;17:27-9 pubmed
    ..Further work-up would not be cost effective. ..
  18. Dietz H, Steensma A. Posterior compartment prolapse on two-dimensional and three-dimensional pelvic floor ultrasound: the distinction between true rectocele, perineal hypermobility and enterocele. Ultrasound Obstet Gynecol. 2005;26:73-7 pubmed
    ..Approximately one-third of clinical rectoceles do not show a sonographic defect, and the presence of a defect is associated with age, not parity. ..
  19. Dällenbach P, Kaelin Gambirasio I, Dubuisson J, Boulvain M. Risk factors for pelvic organ prolapse repair after hysterectomy. Obstet Gynecol. 2007;110:625-32 pubmed
    ..4-1.1). Preoperative pelvic organ prolapse and other factors related to pelvic floor weakness were significantly associated with subsequent pelvic floor repair after hysterectomy. Vaginal hysterectomy was not a risk factor. II. ..
  20. Roovers J, van der Bom J, van der Vaart C, Heintz A. Prediction of findings at defecography in patients with genital prolapse. BJOG. 2005;112:1547-53 pubmed
    ..Three teaching hospitals in The Netherlands. Eighty-two patients undergoing surgical correction of uterine prolapse Stages 2-4. A history and pelvic examination were obtained from all patients...
  21. Abdel Fattah M, Ramsay I. Retrospective multicentre study of the new minimally invasive mesh repair devices for pelvic organ prolapse. BJOG. 2008;115:22-30 pubmed
    ..To assess the complications and short-term outcomes of prolapse repair mesh devices used in the management of female pelvic organ prolapse (POP)...
  22. Delancey J, Morgan D, Fenner D, Kearney R, Guire K, Miller J, et al. Comparison of levator ani muscle defects and function in women with and without pelvic organ prolapse. Obstet Gynecol. 2007;109:295-302 pubmed
    ..7+/-1.4 cm compared with 3.1+/-1.0 cm, P<.001). Women with prolapse more often have defects in the levator ani and generate less vaginal closure force during a maximal contraction than controls. II. ..
  23. Dietz V, Huisman M, de Jong J, Heintz P, van der Vaart C. Functional outcome after sacrospinous hysteropexy for uterine descensus. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19:747-52 pubmed publisher
    ..Scores on all domains of urogenital symptoms and defecatory symptoms, except for the pain and fecal incontinence domain, improved significantly. Also, quality of life improved on all domains. No major complications were encountered. ..
  24. Dällenbach P, Kaelin Gambirasio I, Jacob S, Dubuisson J, Boulvain M. Incidence rate and risk factors for vaginal vault prolapse repair after hysterectomy. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19:1623-9 pubmed publisher
    ..9; 95% CI 0.5-1.8).Vaginal vault prolapse repair after hysterectomy is an infrequent event and is due to preexisting weakness of pelvic tissues. ..
  25. Dietz V, de Jong J, Huisman M, Schraffordt Koops S, Heintz P, van der Vaart H. The effectiveness of the sacrospinous hysteropexy for the primary treatment of uterovaginal prolapse. Int Urogynecol J Pelvic Floor Dysfunct. 2007;18:1271-6 pubmed
    ..The recurrence rate of descensus uteri that needed surgical treatment was 2.3%. The recurrence of cystoceles after surgery was 35%, but there were no differences in urogenital symptoms between women with or without a cystocele...
  26. David Montefiore E, Barranger E, Dubernard G, Nizard V, Antoine J, Darai E. Functional results and quality-of-life after bilateral sacrospinous ligament fixation for genital prolapse. Eur J Obstet Gynecol Reprod Biol. 2007;132:209-13 pubmed
    ..To evaluate intra- and post-operative complications, anatomical results, quality-of-life and sexuality after bilateral sacrospinous ligament fixation (SSLF)...
  27. Basu M, Duckett J. Barriers to seeking treatment for women with persistent or recurrent symptoms in urogynaecology. BJOG. 2009;116:726-30 pubmed publisher
    ..Dominant themes were beliefs about ageing, attitudes towards incontinence, health professionals and treatment and access to services. These factors may be important when counselling women postoperatively...
  28. Higgs P, Chua H, Smith A. Long term review of laparoscopic sacrocolpopexy. BJOG. 2005;112:1134-8 pubmed
    ..Assessment of long term outcome following laparoscopic sacrocolpopexy...
  29. North C, Ali Ross N, Smith A, Reid F. A prospective study of laparoscopic sacrocolpopexy for the management of pelvic organ prolapse. BJOG. 2009;116:1251-7 pubmed publisher
    ..Assessment of the 2-year outcome of laparoscopic sacrocolpopexy...
  30. Jia X, Glazener C, Mowatt G, MacLennan G, Bain C, Fraser C, et al. Efficacy and safety of using mesh or grafts in surgery for anterior and/or posterior vaginal wall prolapse: systematic review and meta-analysis. BJOG. 2008;115:1350-61 pubmed publisher
    ..The efficacy and safety of mesh/graft in surgery for anterior or posterior pelvic organ prolapse is uncertain...
  31. Guariglia L, Carducci B, Botta A, Ferrazzani S, Caruso A. Uterine prolapse in pregnancy. Gynecol Obstet Invest. 2005;60:192-4 pubmed
    We present a case of a patient developing uterine prolapse during pregnancy. The cervix reached the introitus at 10 weeks gestation and subsequently protruted progressively as the pregnancy advanced...
  32. Phillips C, Anthony F, Benyon C, Monga A. Collagen metabolism in the uterosacral ligaments and vaginal skin of women with uterine prolapse. BJOG. 2006;113:39-46 pubmed
    To compare tissue markers of collagen metabolism in the uterosacral ligaments with those in vaginal tissue in women with uterine prolapse.
  33. Bø K. Can pelvic floor muscle training prevent and treat pelvic organ prolapse?. Acta Obstet Gynecol Scand. 2006;85:263-8 pubmed
    ..The aim of the present study is to review the literature on the effectiveness of pelvic floor muscle training (PFMT) to prevent and treat POP, and the possible theories and mechanisms on how PFMT could prevent or reverse prolapse...
  34. Maher C, Baessler K, Glazener C, Adams E, Hagen S. Surgical management of pelvic organ prolapse in women: a short version Cochrane review. Neurourol Urodyn. 2008;27:3-12 pubmed
    ..Pelvic organ prolapse may occur in up to 50% of parous women. A variety of urinary, bowel and sexual symptoms may be associated with prolapse...
  35. Dwyer P, Fatton B. Bilateral extraperitoneal uterosacral suspension: a new approach to correct posthysterectomy vaginal vault prolapse. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19:283-92 pubmed
    ..We believe this procedure to have less risk of ureteral injury than the intraperitoneal approach...
  36. Cutner A, Kearney R, Vashisht A. Laparoscopic uterine sling suspension: a new technique of uterine suspension in women desiring surgical management of uterine prolapse with uterine conservation. BJOG. 2007;114:1159-62 pubmed
    The surgical management of uterine prolapse in women who wish to retain their uterus remains a challenge. Several techniques have been reported using open abdominal, laparoscopic and vaginal approaches...
  37. Tegerstedt G, Maehle Schmidt M, Nyren O, Hammarström M. Prevalence of symptomatic pelvic organ prolapse in a Swedish population. Int Urogynecol J Pelvic Floor Dysfunct. 2005;16:497-503 pubmed
    ..The prevalence of frequent stress urinary incontinence was 8.9% and that of frequent urge incontinence 5.9%. Out of the 454 women with prolapse, 37.4% had either or both types of incontinence...
  38. Uccella S, Ghezzi F, Bergamini V, Serati M, Cromi A, Franchi M, et al. Laparoscopic uterosacral ligaments plication for the treatment of uterine prolapse. Arch Gynecol Obstet. 2007;276:225-9 pubmed
    To present preliminary results of a simple, minimally interventional, uterus-sparing procedure for uterine prolapse repair.
  39. Dietz H. Why pelvic floor surgeons should utilize ultrasound imaging. Ultrasound Obstet Gynecol. 2006;28:629-34 pubmed
  40. Doshani A, Teo R, Mayne C, Tincello D. Uterine prolapse. BMJ. 2007;335:819-23 pubmed
  41. Tegerstedt G, Miedel A, Maehle Schmidt M, Nyren O, Hammarström M. Obstetric risk factors for symptomatic prolapse: a population-based approach. Am J Obstet Gynecol. 2006;194:75-81 pubmed
    ..The purpose of this study was to identify obstetric risk factors for symptomatic prolapse...
  42. Kluivers K, Hendriks J, Shek C, Dietz H. Pelvic organ prolapse symptoms in relation to POPQ, ordinal stages and ultrasound prolapse assessment. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19:1299-302 pubmed publisher
    ..The ultrasound prolapse assessment does not perform better as compared with these two systems...
  43. Jeng C, Yang Y, Tzeng C, Shen J, Wang L. Sexual functioning after vaginal hysterectomy or transvaginal sacrospinous uterine suspension for uterine prolapse: a comparison. J Reprod Med. 2005;50:669-74 pubmed
    To examine changes in sexuality after total vaginal hysterectomy (TVH) or transvaginal sacrospinous uterine suspension (SSUS)for uterine prolapse.
  44. Fatton B, Amblard J, Debodinance P, Cosson M, Jacquetin B. Transvaginal repair of genital prolapse: preliminary results of a new tension-free vaginal mesh (Prolift technique)--a case series multicentric study. Int Urogynecol J Pelvic Floor Dysfunct. 2007;18:743-52 pubmed
    ..Anatomical and functional results must be assessed with a long-term follow-up to confirm the effectiveness and safety of the procedure...
  45. Bradley C, Nygaard I. Vaginal wall descensus and pelvic floor symptoms in older women. Obstet Gynecol. 2005;106:759-66 pubmed
    ..To understand the clinical significance of early pelvic organ prolapse in older women, we studied associations between vaginal descensus and pelvic floor symptoms...
  46. Fialkow M, Newton K, Lentz G, Weiss N. Lifetime risk of surgical management for pelvic organ prolapse or urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19:437-40 pubmed
    ..POP and UI appear to be common problems, undoubtedly affecting an even larger proportion of the women than suggested by this high cumulative incidence of surgery...
  47. Demirci F, Ozdemir I, Somunkiran A, Topuz S, Iyibozkurt C, Duras Doyran G, et al. Perioperative complications in abdominal sacrocolpopexy and vaginal sacrospinous ligament fixation procedures. Int Urogynecol J Pelvic Floor Dysfunct. 2007;18:257-61 pubmed
    ..In conclusion, abdominal sacrocolpopexy had a higher rate of perioperative complications and longer hospital stay and operating time...
  48. Richter H, Nygaard I, Burgio K, Handa V, Fitzgerald M, Wren P, et al. Lower urinary tract symptoms, quality of life and pelvic organ prolapse: irritative bladder and obstructive voiding symptoms in women planning to undergo abdominal sacrocolpopexy for advanced pelvic organ prolapse. J Urol. 2007;178:965-9; discussion 969 pubmed
    ..We compared lower urinary tract and voiding symptoms in women with and without symptoms of stress urinary incontinence who were planning to undergo abdominal sacrocolpopexy for pelvic organ prolapse...
  49. Shah A, Kohli N, Rajan S, Hoyte L. Racial characteristics of women undergoing surgery for pelvic organ prolapse in the United States. Am J Obstet Gynecol. 2007;197:70.e1-8 pubmed
    ..This study was undertaken to compare the prevalence, demographics, and complications of pelvic organ prolapse surgery across races in the United States...
  50. Tan J, Lukacz E, Menefee S, Powell C, Nager C. Predictive value of prolapse symptoms: a large database study. Int Urogynecol J Pelvic Floor Dysfunct. 2005;16:203-9; discussion 209 pubmed
    ..Digital assistance for fecal evacuation is no more common with massive posterior prolapse than with moderate posterior prolapse. Patient report of a bulge is a valuable screening tool for POP and should prompt a careful exam...
  51. Pakbaz M, Mogren I, Lofgren M. Outcomes of vaginal hysterectomy for uterovaginal prolapse: a population-based, retrospective, cross-sectional study of patient perceptions of results including sexual activity, urinary symptoms, and provided care. BMC Womens Health. 2009;9:9 pubmed publisher
    ..The objective of this study was to investigate complications, sexual activity, urinary symptoms, and satisfaction with health care after vaginal hysterectomy due to prolapse...
  52. Bradley C, Zimmerman M, Wang Q, Nygaard I. Vaginal descent and pelvic floor symptoms in postmenopausal women: a longitudinal study. Obstet Gynecol. 2008;111:1148-53 pubmed publisher
    ..To determine whether vaginal descent changes are associated with pelvic floor symptoms in postmenopausal women...
  53. Ross J, Preston M. Laparoscopic sacrocolpopexy for severe vaginal vault prolapse: five-year outcome. J Minim Invasive Gynecol. 2005;12:221-6 pubmed
    ..To assess the efficacy of the laparoscopic sacrocolpopexy in the treatment of severe vaginal prolapse...
  54. Rosenblatt P, Chelmow D, Ferzandi T. Laparoscopic sacrocervicopexy for the treatment of uterine prolapse: a retrospective case series report. J Minim Invasive Gynecol. 2008;15:268-72 pubmed publisher
    ..To evaluate apical support in patients desiring uterine preservation with pelvic organ prolapse who underwent laparoscopic sacrocervicopexy...
  55. Jha S, Moran P. National survey on the management of prolapse in the UK. Neurourol Urodyn. 2007;26:325-31; discussion 332 pubmed
  56. Barber M, Neubauer N, Klein Olarte V. Can we screen for pelvic organ prolapse without a physical examination in epidemiologic studies?. Am J Obstet Gynecol. 2006;195:942-8 pubmed
    ..The objectives of this study were to develop a simple screening question for pelvic organ prolapse (POP) and to evaluate its test characteristics in high and low prevalence populations...
  57. Diwan A, Rardin C, Strohsnitter W, Weld A, Rosenblatt P, Kohli N. Laparoscopic uterosacral ligament uterine suspension compared with vaginal hysterectomy with vaginal vault suspension for uterovaginal prolapse. Int Urogynecol J Pelvic Floor Dysfunct. 2006;17:79-83 pubmed
    ..No LUSUS group patient underwent reoperation for recurrent apical prolapse as compared to three TVH patients. LUSUS is an effective treatment for appropriately selected women with uterovaginal prolapse who desire uterine preservation...
  58. Robinson C, Swift S, Johnson D, Almeida J. Prediction of pelvic organ prolapse using an artificial neural network. Am J Obstet Gynecol. 2008;199:193.e1-6 pubmed publisher
    ..The objective of this investigation was to test the ability of a feedforward artificial neural network (ANN) to differentiate patients who have pelvic organ prolapse (POP) from those who retain good pelvic organ support...
  59. Summers A, Winkel L, Hussain H, Delancey J. The relationship between anterior and apical compartment support. Am J Obstet Gynecol. 2006;194:1438-43 pubmed
  60. Misrai V, Roupret M, Cour F, Chartier Kastler E, Richard F. De novo urinary stress incontinence after laparoscopic sacral colpopexy. BJU Int. 2008;101:594-7 pubmed
    ..To analyse the incidence and the risk of developing de novo stress urinary incontinence (SUI) after laparoscopic sacral colpopexy (LSCP)...
  61. Barber M, Walters M, Bump R. Short forms of two condition-specific quality-of-life questionnaires for women with pelvic floor disorders (PFDI-20 and PFIQ-7). Am J Obstet Gynecol. 2005;193:103-13 pubmed
  62. Wu J, Wells E, Hundley A, Connolly A, Williams K, Visco A. Mesh erosion in abdominal sacral colpopexy with and without concomitant hysterectomy. Am J Obstet Gynecol. 2006;194:1418-22 pubmed
    ..The purpose of this study was to examine risk factors for mesh erosion, including concomitant hysterectomy, in abdominal sacral colpopexies...
  63. Espuna Pons M. Sexual health in women with pelvic floor disorders: measuring the sexual activity and function with questionnaires--a summary. Int Urogynecol J Pelvic Floor Dysfunct. 2009;20 Suppl 1:S65-71 pubmed publisher
    ..There is a need for a validated sexual function measure that evaluates not only the impact of pelvic floor dysfunction on sexual function but also the impact on sexual activity...
  64. Costantini E, Mearini L, Bini V, Zucchi A, Mearini E, Porena M. Uterus preservation in surgical correction of urogenital prolapse. Eur Urol. 2005;48:642-9 pubmed
    ..This study aimed to evaluate the efficacy of colposacropexy with uterine preservation as therapy for uterovaginal prolapse. Surgical techniques, efficacy and overall results are described...
  65. Kahn M, Breitkopf C, Valley M, Woodman P, O Boyle A, Bland D, et al. Pelvic Organ Support Study (POSST) and bowel symptoms: straining at stool is associated with perineal and anterior vaginal descent in a general gynecologic population. Am J Obstet Gynecol. 2005;192:1516-22 pubmed
    ..The purpose of this study was to evaluate the association of constipation symptoms and anal incontinence with vaginal wall and pelvic organ descent in a general gynecologic population...
  66. Ganatra A, Rozet F, Sanchez Salas R, Barret E, Galiano M, Cathelineau X, et al. The current status of laparoscopic sacrocolpopexy: a review. Eur Urol. 2009;55:1089-103 pubmed publisher
    ..Vaginal prolapse repairs, however, are often faster and offer patients a shorter recovery time. Laparoscopic sacrocolpopexy (LSC) aims to bridge this gap and to provide the outcomes of ASC with decreased morbidity...
  67. Slieker ten Hove M, Pool Goudzwaard A, Eijkemans M, Steegers Theunissen R, Burger C, Vierhout M. Symptomatic pelvic organ prolapse and possible risk factors in a general population. Am J Obstet Gynecol. 2009;200:184.e1-7 pubmed publisher
    ..We sought to examine the prevalence of pelvic organ prolapse (POP) symptoms and risk factors in a general white population...
  68. Cundiff G, Varner E, Visco A, Zyczynski H, Nager C, Norton P, et al. Risk factors for mesh/suture erosion following sacral colpopexy. Am J Obstet Gynecol. 2008;199:688.e1-5 pubmed publisher
    ..The purpose of this study was to identify risks for mesh/suture erosions following abdominal sacral colpopexy (ASC)...
  69. Morgan D, Rogers M, Huebner M, Wei J, Delancey J. Heterogeneity in anatomic outcome of sacrospinous ligament fixation for prolapse: a systematic review. Obstet Gynecol. 2007;109:1424-33 pubmed
    ..To explore why failure rates vary so much between published reports of sacrospinous ligament fixation to correct pelvic organ prolapse and what the potential sources of heterogeneity may be...
  70. Reena C, Kekre A, Kekre N. Occult stress incontinence in women with pelvic organ prolapse. Int J Gynaecol Obstet. 2007;97:31-4 pubmed
    ..To study the prevalence of occult stress urinary incontinence (SUI) among Indian women with genitourinary prolapse, and determine the risk of developing SUI after vaginal hysterectomy and pelvic floor repair in Indian women with occult SUI...
  71. Rooney K, Kenton K, Mueller E, Fitzgerald M, Brubaker L. Advanced anterior vaginal wall prolapse is highly correlated with apical prolapse. Am J Obstet Gynecol. 2006;195:1837-40 pubmed
    ..The purpose of this study was to determine the relationship between the most prolapsed portion of the anterior and posterior vaginal walls and the apex...
  72. Bradley C, Brown M, Cundiff G, Goode P, Kenton K, Nygaard I, et al. Bowel symptoms in women planning surgery for pelvic organ prolapse. Am J Obstet Gynecol. 2006;195:1814-9 pubmed
    ..The objective of the study was to measure associations between bowel symptoms and prolapse...
  73. Feiner B, Jelovsek J, Maher C. Efficacy and safety of transvaginal mesh kits in the treatment of prolapse of the vaginal apex: a systematic review. BJOG. 2009;116:15-24 pubmed publisher
    ..Vaginal mesh kits are being used to surgically treat apical vaginal prolapse; however, their safety and efficacy are currently unknown...
  74. Klingele C, Bharucha A, Fletcher J, Gebhart J, Riederer S, Zinsmeister A. Pelvic organ prolapse in defecatory disorders. Obstet Gynecol. 2005;106:315-20 pubmed
    ..To compare the prevalence of pelvic organ prolapse in subjects with defecatory disorders with that in control subjects...
  75. Handa V, CUNDIFF G, Chang H, Helzlsouer K. Female sexual function and pelvic floor disorders. Obstet Gynecol. 2008;111:1045-52 pubmed publisher
    ..To investigate the hypothesis that pelvic floor disorders are associated with female sexual problems, independently of other related factors...
  76. Mahajan S, Elkadry E, Kenton K, Shott S, Brubaker L. Patient-centered surgical outcomes: the impact of goal achievement and urge incontinence on patient satisfaction one year after surgery. Am J Obstet Gynecol. 2006;194:722-8 pubmed
    ..The purpose of this study was to assess factors that influence patient satisfaction 1 year after pelvic reconstructive surgery...
  77. Sokol A, Jelovsek J, Walters M, Paraiso M, Barber M. Incidence and predictors of prolonged urinary retention after TVT with and without concurrent prolapse surgery. Am J Obstet Gynecol. 2005;192:1537-43 pubmed