A 52 yo woman presented with something coming out per vaginu | Figure 1
DrAVirkud
Obstetrics & Gynecology
A 52 yo woman presented with something coming out per vaginum for 10 years. With a clinical diagnosis of pelvic organ #prolapse, vaginal #hysterectomy was done. The specimen shows rather unusual uterocervical length of almost 6 inches owing to #supravaginal elongation of cervix which is a diagnostic feature of #uterine prolapse specimen.
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\n\Cochrane Review; 19 trials (2717 women).\nKey results\nSurgery to treat women with POP and stress urinary incontinence:\nIn two studies of moderate quality, women with stress incontinence benefited from an additional continence procedure (mid‐urethral sling) at the time of vaginal prolapse repair for the outcome of postoperative stress urinary incontinence (SUI). The continence procedure might also be postponed for three months after prolapse surgery with similar success rates. In this situation, some women might avoid an additional continence operation.\nIt is unclear whether abdominal prolapse repair (sacrocolpopexy or sacrohysteropexy) with an additional abdominal continence procedure (Burch colposuspension) improves urinary leakage after surgery.\nSurgery to treat women with POP and occult stress urinary incontinence:\nFive moderate‐quality studies of women with prolapse and observed urinary leakage during vaginal examination with a reduced prolapse reported benefit from an additional continence procedure (mid‐urethral sling) when undergoing vaginal prolapse surgery.\nSurgery to treat continent women with POP:\nEvidence from one moderate‐quality study was inconclusive as to any benefit of an additional continence procedure (mid‐urethral sling) when women underwent vaginal prolapse surgery.