Uterine prolapse Diagnostic and surgical management (1). Dr. Laleh AMINI French Board of OB&GYN Jam General Hospital Ir CS Annual Meeting June 2 nd 2011 Tehran-Iran. Definition.
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Uterine prolapseDiagnostic and surgical management (1)
Dr. Laleh AMINI
French Board of OB&GYN
Jam General Hospital
Ir CS Annual Meeting June 2nd 2011 Tehran-Iran
ICS-IUGA Standardized Terminology in Urinary Incontinence and pelvic floor disorders in www. ir-cs.com
Herniation of genital organ from vaginal mucosa
(Different from herniation from rectum)
POP-Q pelvic organ prolapse quantification
It s essential to know anatomy / physiology then to understand patho-physiology in order to think of how
Great Names: De Lancey and Papa Petros
Abdominal hyperpressure (sports),COPD
*Genetics and constitutional factors incriminated
because of SUI and POP in nulliparous women ( Norvegian National Registry ( n=38 000)
* homozygote and heterozygote twins ( Swedish) twin Registry n=3376/n=5067)
* Chromosome 9q21 predisposition gene for Pelvic floor disorders
*Connective tissue disease with 30% less collagen concentrations in the POP population
Are considered malpractice or obsolete all surgical procedures using natural defective tissus ( Macenroth, Kapanji, ventrofixation…)
Patient will come back with recurrence or will not come back at all!
Sacro-spinous fixation Richter
Cochrane Database Syst Revue 2006 on conservative
Associated to systematic prophylactic anti incontinence surgery in our practice