Bilateral attachment of the vaginal cuff to iliococcygeus fascia: an effective method of cuff suspension
Article Abstract:
Women with prolapse of the bladder, urethra, cervix or other organs into the vagina may benefit from surgery which attaches the cervix to the iliococcygeus fascia. Prolapse of an organ occurs when it slides from its usual position. The iliococcygeus fascia is a fibrous tissue located in the region between the end of the spine and the pelvis. Forty-two women with a variety of pelvic support defects had surgery using this new technique. Six weeks after surgery, 98% had no evidence of support defects though one woman had a vaginal hernia which required surgery one year later. Two patients eventually had recurrent prolapse. The first woman had some prolapse one year after surgery, but did not require additional surgery as she had no symptoms. The second woman experienced more severe prolapse and had a second procedure 2.5 years after the first. The surgical technique involves careful preoperative evaluation of the defects. This evaluation must be complemented by another evaluation at the time of surgery. A discussion of the techniques for repairing various sites is offered.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1993
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The squirrel monkey: an animal model of pelvic relaxation
Article Abstract:
The squirrel monkey may make a good animal model for studying pelvic relaxation. It was noted that some of the adult females in a hospital research colony had prolapses indicative of pelvic relaxation. The external genitalia of all 28 adult female monkeys in the colony were photographed, examined, and measurements made. Half the animals had pelvic prolapse at rest or upon straining. Three areas of loss of support were documented: the urethra, the anterior vagina, and the posterior vagina. Although female squirrel monkeys differ in some important anatomic and physiologic ways from humans, as for example, they have musculature relating to their tails and they do not have menstrual cycles, the squirrel monkey could provide a model for investigations not possible in humans.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1995
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