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Urogynaecology (Jeffery and de Jong)
16: Surgical Management of Urogenital Prolapse

16: Surgical Management of Urogenital Prolapse

Last updated

Sep 18, 2019
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- 15.4: Vaginal Pressaries
- 16.1: Introduction and Surgical Management

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16.1: Introduction and Surgical Management
Urogenital prolapse is a common condition and though not lifethreatening, it has a significant impact on the quality of life of women. Its treatment is one of the most common surgical indications in gynaecology, accounting for 20% of elective major surgery with this figure increasing to 59% in the elderly population. Despite numerous modifications to the traditional surgical techniques and the recent introduction of novel procedures, the permanent cure of urogenital prolapse remains one of the
16.2: Surgical Options for Anterior Compartment Prolapse
Traditionally this compartment is approached vaginally when operated on by the gynaecologist. It is important to remember that the colo-rectal surgeons also operate on the posterior compartment using a transanal approach. The patient should be referred to a colorectal surgeon for assessment if the following are present: concurrent anal or rectal pathology such as hemorrhoids, rectal wall prolapse or rectal mucosal redundancy.
16.3: Surgical Options for Posterior Compartment Prolapse
Traditionally this compartment is approached vaginally when operated on by the gynaecologist. It is important to remember that the colo-rectal surgeons also operate on the posterior compartment using a transanal approach. The patient should be referred to a colorectal surgeon for assessment if the following are present: concurrent anal or rectal pathology such as hemorrhoids, rectal wall prolapse or rectal mucosal redundancy.
16.4: Middle Compartment
16.5: Section 5-
16.6: Section 6-

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