Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-cd9895bd7-7cvxr Total loading time: 0 Render date: 2024-12-25T19:26:52.745Z Has data issue: false hasContentIssue false

Chapter 26 - Urogenital Prolapse

from Section 5 - Post-Reproductive Care

Published online by Cambridge University Press:  24 November 2021

By
Charlotte Cassis  and
Sambit Mukhopadhyay
Edited by
Tahir Mahmood ,
Charles Savona-Ventura ,
Ioannis Messinis  and
Sambit Mukhopadhyay
Tahir Mahmood
Affiliation:
Victoria Hospital, Kirkcaldy
Charles Savona-Ventura
Affiliation:
University of Malta, Malta
Ioannis Messinis
Affiliation:
University of Thessaly, Greece
Sambit Mukhopadhyay
Affiliation:
Norfolk & Norwich University Hospital, UK
Get access

Summary

Urogenital prolapse is the descent of the pelvic organs into the vagina. It is often seen in conjunction with bowel, bladder and/or sexual dysfunction symptoms, and although usually not life-threatening, can cause significant morbidity and decrease in quality of life. Pelvic organ prolapse is common and is present on examination in 40–60% of parous women [1].

Keywords

urogenital prolapseincontinencemenopauseBaden–WalkerPelvic Organ Prolapse Quantification
Type
Chapter
Information
The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology
Gynaecology
 , pp. 212 - 217
Publisher: Cambridge University Press
Print publication year: 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Handa, VL, Garrett, E, Hendrix, S, Gold, E, Robbins, J. Progression and remission of pelvic organ prolapse: a longitudinal study of menopausal women. Am J Obstet Gynecol 2004;190:27–32.CrossRefGoogle ScholarPubMed
Beck, RP. Pelvic relaxation in prolapse. In: Principles and Practice of Clinical Gynaecology. New York: Wiley; 1983, pp. 677–685.Google Scholar
Cardozo, L. Prolapse. In: Dewhurst’s Textbook of Obstetrics and Gynaecology for Postgraduates. Oxford: Blackwell Science; 1995, pp. 642–652.Google Scholar
Srikrishna, S Robinson, D. Urogenital prolapse. In: Obstetrics and Gynaecology: An Evidence-Based Text for MRCOG, 2nd edition. Boca Raton (FL): CRC Press; 2016.Google Scholar
Swift, SE, Pound, T, Dias, JK. Case–control study of etiological factors in the development of severe pelvic organ prolapse. Int Urogynecol J 2001;12:187–192.Google Scholar
Altman, D Falconer, C, Cnattingius, S, Granath, F. Pelvic organ prolapse surgery following hysterectomy on benign indications. Am J Obstet Gynecol 2008;198:572.e1–e6.Google Scholar
Bump, RC, Mattiasson, A, Bø, K, et al. The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 1996;175:10–17.Google Scholar
Price, N, Jackson, S, Avery, K, Brookes, S, Abrams, P. Development and psychometric evaluation of the ICIQ Vaginal Symptoms Questionnaire: the ICIQ-VS. BJOG 2006;113:1–13.Google Scholar
Zacharakis, D, Grigoriadis, T, Kastanias, S, et al. Occult stress urinary incontinence in women with pelvic organ prolapse: is the one step surgical approach a risky choice? Female Pelvic Med Reconstr Surg 2016;22:55–59.Google Scholar
Brubaker, L, Nygaard, I, Richter, HE, et al. Two‐year outcomes after sacrocolpopexy with and without Burch to prevent stress urinary incontinence. Obstet Gynecol 2008;112:49–55.CrossRefGoogle ScholarPubMed
Visco, AG, Brubaker, L, Nygaard, I, 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;19:607–614.Google Scholar
Sarma, S, Ying, T, Moore, K. Long-term vaginal pessary use: discontinuation rates and adverse events. BJOG 2009;116:1715–1721.Google Scholar
Hagen, S, Stark, D, Glazener, C, et al. Individualised pelvic floor muscle training in women with pelvic organ prolapse (POPPY): a multicentre randomised controlled trial. Lancet 2014;383:796–806.Google Scholar
Maher, C, Feiner, B, Baessler, K, Schmid, C. Surgical management of pelvic organ prolapse in women. Cochrane Database Syst Rev 2013;4:CD004014.Google Scholar
Olsen, AL, Smith, VJ, Bergstrom, JO, Colling, JC, Clark, AL. Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol 1997;89:501–506.CrossRefGoogle ScholarPubMed
Price, N, Slack, A, Jwarah, E, Jackson, S. The incidence of reoperation for surgically treated pelvic organ prolapse: an 11 year experience. Menopause Int 2008;14:145–148.Google Scholar
Reid, RI, You, H, Luo, K. Site-specific prolapse surgery: I. Reliability and durability of native tissue paravaginal repair. Int Urogynecol J 2011;22:591–599.Google Scholar
Khan, MA, Stanton, SL. Posterior colporrhaphy: its effects on bowel and sexual function. Br J Obstet Gynaecol 1997;104:82–86.CrossRefGoogle Scholar
McCall, ML. Posterior culdoplasty. Obstet Gynecol 1957;10:595–602.CrossRefGoogle Scholar
Marchionni, M, Bracco, GL, Checcucci, V, et al. True incidence of vaginal vault prolapse: thirteen years of experience. J Reprod Med 1999;44:679–684.Google ScholarPubMed
Aigmueller, T, Dungl, A, Hinterholzer, S, Geiss, I, Riss, P. An estimation of the frequency of surgery for posthysterectomy vault prolapse. Int Urogynecol J 2010;21:299–302.Google Scholar
Maher, CF, Qatawneh, AM, Dwyer, PL, et al. Abdominal sacral colpopexy or vaginal sacrospinous colpopexy for vaginal vault prolapse: a prospective randomised study. Am J Obstet Gynecol 2004;190:20–26.Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×