Apical Support Prolapse

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REFERENCES - UpToDate

    https://www.uptodate.com/contents/pelvic-organ-prolapse-in-women-surgical-repair-of-apical-prolapse-uterine-or-vaginal-vault-prolapse
    Support of the vaginal apex is primarily derived from the integrity of the uterosacral and cardinal ligaments, the continuity of the endopelvic fascia, and a neuromuscularly intact levator ani muscle . The etiology of apical prolapse is likely related to connective tissue, neural, and/or muscular defects in these normal supports.

What is an apical prolapse?

    https://www.webmd.com/women/qa/what-is-an-apical-prolapse
    Apical means near the apex, or top. There are three kinds of apical prolapse: Enterocele. If you have this, it means your small intestine has dropped down and is bulging into the upper part of the ...

Vaginal Prolapse: Symptoms, Treatment, Causes, and More

    https://www.healthline.com/health/womens-health/vaginal-prolapse
    Jan 02, 2018 · Vaginal prolapse happens when the muscles that support the organs in a woman’s pelvis weaken. This weakening allows the uterus, urethra, bladder, or rectum to droop down into the vagina.Author: Stephanie Watson

Apical support at the time of hysterectomy for ...

    https://www.ncbi.nlm.nih.gov/pubmed/25182150
    Uterovaginal prolapse was a proxy for apical descent. Primary outcome was the rate of concurrent apical procedures. Secondary outcomes included concurrent surgeries, complications, and surgeon training. Chi-squared tests compared categorical variables. Logistic regression determined factors associated with concurrent apical support.Cited by: 14

Efficacy of Laparoscopic Sacrocervicopexy for Apical ...

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3771790/
    To evaluate the efficacy of laparoscopic sacrocervicopexy for apical support in sexually active patients with pelvic organ prolapse.One-hundred thirty-five women with symptomatic prolapse of the central compartment (Pelvic Organ Prolapse Quantitative ...

AAGL Practice Report: Practice Guidelines on the ...

    https://www.aagl.org/wp-content/uploads/2013/03/Aprical-Prolapse-in-JMIG.pdf
    prolapse represents the anterior or posterior vaginal com-partment, failure to recognize or address apical prolapse is likely to lead to suboptimal treatment outcomes for prolapse procedures and perhaps to iatrogenic problems. Midline colporrhaphy when undertaken for an apical support defect may inadequately address the symptoms

Trends in Hysteropexy and Apical Support for Uterovaginal ...

    http://journals.lww.com/jpelvicsurgery/Abstract/2017/11000/Trends_in_Hysteropexy_and_Apical_Support_for.3.aspx
    Objectives: Our objective was to describe trends in hysteropexy and apical support for uterovaginal prolapse (UVP) from 2002 to 2012 in the United States. We identified patient and hospital variables associated with hysteropexy and apical support.

Choosing the best technique for vaginal vault prolapse ...

    https://www.mdedge.com/obgyn/article/61716/choosing-best-technique-vaginal-vault-prolapse
    This article reviews the anatomy of apical support, tells how to identify vaginal vault prolapse during the physical exam, and outlines effective surgical options—both vaginal and abdominal—for its correction. We focus on accurate pelvic assessment as the basis for planning the surgery. Vaginal stability is fragile

Intraoperative cervix location and apical support ...

    https://reference.medscape.com/medline/abstract/27615439
    OBJECTIVE: The aims of our study were to determine whether: (1) women with normal apical support on clinic Pelvic Organ Prolapse Quantification, but with vaginal wall prolapse (cystocele and/or rectocele), have the same intraoperative cervix location and apical support stiffness as women with normal pelvic support; and (2) all women with apical ...

Uterine and Apical Prolapse - Gynecology and Obstetrics ...

    https://www.merckmanuals.com/professional/gynecology-and-obstetrics/pelvic-organ-prolapse-pop/uterine-and-apical-prolapse
    Apical prolapse is descent of the vaginal vault or vaginal cuff after hysterectomy. Symptoms include vaginal pressure and fullness. Diagnosis is clinical. Treatment includes reduction, pessaries, and surgery. ... surgical repair is an option for women who do not wish to use a pessary or the perineum cannot support a pessary.



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