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Pelvic organ prolapse and fistulas

10 articles

Complete uterovaginal prolapse

Complete uterovaginal prolapse (procidentia, ICD-11 GC40.34) is stage 3-4 descent of uterus, cervix, and upper vagina below the hymen or with complete eversion, caused mainly by childbirth-related pelvic floor damage and treated with pessaries or prolapse surgery.

Cystocele

Prolapse of anterior vaginal wall, also called cystocele or prolapsed bladder: descent of the bladder and front vaginal wall from pelvic floor weakness. Common after vaginal childbirth; treated with pelvic floor exercises, pessaries, or anterior colporrhaphy.

Fistulae involving female genital tract

Fistulae involving female genital tract (ICD-11 GC04.1) are abnormal passages between the genital tract and bladder, urethra, rectum, or skin. Mostly obstetric injuries from obstructed labour; 50,000-100,000 new cases yearly; surgical closure 80-95%.

Incomplete uterovaginal prolapse

Incomplete uterovaginal prolapse (ICD-11 GC40.30, ICD-10 N81.2) is partial descent of the uterus and vagina into the vaginal canal without protrusion beyond the introitus, typically after childbirth, causing pelvic heaviness and urinary symptoms.

Pelvic organ prolapse

Pelvic organ prolapse (POP), ICD-11 GC40, descent of the bladder, uterus, rectum, or vaginal walls into the vagina from pelvic floor weakness. Causes include childbirth; treated with pelvic floor training, pessaries, or surgery.

Prolapse of the vaginal apex

Prolapse of the vaginal apex is the descent of the uppermost vagina, either the uterus or the vault after hysterectomy, and is a common complication of hysterectomy.

Rectovaginal fistula

Rectovaginal fistula (RVF), also called anovaginal fistula, is an abnormal passage between rectum and vagina, usually from childbirth injury or Crohn's disease; treated first conservatively, then surgically.

Urethrovaginal fistula

Urethrovaginal fistula (UVF), an abnormal passage between the female urethra and vagina (ICD-11 GC04.14), usually iatrogenic from incontinence or diverticulum surgery; causes post-void vaginal urine leakage and is repaired vaginally, with SUI in about half after closure.

Uterovaginal prolapse

Uterovaginal prolapse (ICD-11 GC40.3, ICD-10 N81.3) is descent of the uterus, cervix, and upper vagina, a central-compartment pelvic organ prolapse managed with pessaries or hysterectomy, hysteropexy, or mesh sacro-hysteropexy.

Vaginal laxity

Vaginal laxity (VL), also called vaginal looseness or vaginal relaxation syndrome, is a self-reported symptom of pelvic floor dysfunction: excessive vaginal looseness, usually after childbirth, aging, or menopause, assessed by questionnaires such as the VLQ and treated first with pelvic floor muscle training.