Pelvic Prolapse

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Pelvic prolapse is a common medical problem in parous women. This condition usually refers to the combination of a lack of pelvic organ support mechanisms related to the vaginal wall. Symptoms vary an accurate diagnosis requires a careful physical examination and complete with attention directed at the pelvis and the perineum. Although many patients will not require surgical treatment for pelvic organ prolapse, a comprehensive approach to improve where all the defects affect the anatomy to discuss the support needed for successful treatment. Patients who develop pelvic organ prolapse often provide some of the most complex cases, challenging, and rewarding in pelvic reconstructive surgery. Pelvic prolapse discuss the definition and classification, and risk factor prevalence, and anatomy and pathophysiology relevant to pelvic organ prolapse. Approach to diagnosis and management (operating and non operating) of the anterior vaginal wall prolapse, cystourethrocele, apical vaginal prolapse, uterine prolapse and enterocele, posterior vaginal wall prolapse, rectocele, and pelvic floor relaxation and weakness of the perineum, indications for surgery and approach, together with the possibility of complications.Pelvic Prolapse of the hymen to the cervix and uterus. Anterior wall of the rectum and posterior vaginal walls together for about 3 to 4 cm into the vagina. On top of this, a plane of dissection is easy to make. Posterior vaginal plastic repairs on the actual use of fascia using adventicia split and fibromuscular vaginal wall to support the anterior rectal wall. Evaluation of posterior vaginal wall defects requires not only an anatomic description of prolapse, but also the correlation of each functional derangements that may exist. Evaluation may include: imaging defecography, colon transit studies, manometry, endoluminal ultrasound and magnetic resonance. Surgical correction of posterior vaginal wall prolapse, including vaginal, anal and trans abdominal approach. Vaginal approach, including the improvement of certain sites and traditional posterior colporrhaphy with levator ani placation. Graft augmentation has been described by both approaches in an attempt to increase yield and reduce the failure rate.Pelvic prolapse extends from the hymen to the cervix and uterus. Anterior wall of the rectum and posterior vaginal walls together for about 3 to 4 cm into the vagina. On top of this, a plane of dissection is easy to make. Posterior vaginal plastic repairs on the use of actual use of fascia'''' adventicia split and fibromuscular vaginal wall to support the anterior rectal wall. Evaluation of posterior vaginal wall defects requires not only an anatomic description of prolapse, but also the correlation of each functional derangements that may exist. Evaluation may include: imaging defecography, colon transit studies, manometry, endoluminal ultrasound and magnetic resonance. Surgical correction of posterior vaginal wall prolapse, including vaginal, anal and trans abdominal approach. Vaginal approach, including the improvement of certain sites and traditional posterior colporrhaphy with levator ani placation. Graft augmentation has been described by both approaches in an attempt to increase yield and reduce the failure rate.