Acta Scientific Women's Health (ASWH)

Research Article Volume 6 Issue 7

Our Clinical Experiences with Pelvic Organ Prolapse Disorders. Uterine Prolapse, Stress Urinary Incontinence, and Cystocele

Oğuz Uyar1* and Mustafa Kemal Özel2

1Adana Şehir Hastanesi, Department of Gynecology, Adana, Turkey
2Prof. Dr. Turan Çetin In Vitro Fertilization Center, Adana, Turkey

*Corresponding Author: Oğuz Uyar, Adana Şehir Hastanesi, Department of Gynecology, Adana, Turkey.

Received: May 15, 2024; Published: June 26, 2024

Abstract

Introduction: Uterine prolapse, a condition prevalent among women, entails the descent of the uterus into the vaginal canal due to weakened pelvic floor support. Stress urinary incontinence is characterized by the involuntary leakage of urine during physical activities that exert pressure on the bladder. A cystocele, also known as a bladder prolapse or anterior vaginal wall prolapse, is a condition characterized by the protrusion of the bladder into the vagina. This study aims to share our clinical experiences treating diseases such as uterine prolapse, stress urinary incontinence, and cystorectocele.

Methods: The population of this study comprises participants who have undergone surgery at the center where the study was conducted due to uterine prolapse, cystorectocele, and stress urinary incontinence. Our study is both quantitative and longitudinal. It is retrospective, with data being classified through a backward-looking analysis. The study encompasses cases diagnosed with uterine prolapse, cystocele, and stress urinary incontinence between August 2017 and December 2019 at a secondary healthcare institution in the Gaziantep-Turkey. Our study's primary outputs are the outcomes of surgical procedures and the values derived from repeated measurements taken before and after the operations.

Results: The youngest participant is 39, while the oldest is 52. The average age of the participants is 47.2. At the end of the operation, six participants remained in the hospital for three days, and four stayed for four days. One participant is of Syrian nationality, while the others are citizens of the Republic of Turkey. No significant differences were observed between the pre- and post-intervention measurements of hemoglobin, hematocrit, platelet count, or fasting blood glucose levels.

Conclusion: In this study, our experiences in treating health issues stemming from pelvic floor dysfunction, as well as uterine prolapse, in patients presenting to a secondary healthcare center in the Gaziantep-Turkey are discussed.

Keywords: Uterine Prolapse; Stress Urinary Incontinence; Vaginal Hysterectomy; Sacrospinous Fixation; Mini-Sling

References

  1. Chen CJ and Thompson H. “Uterine Prolapse”. In Treasure Island (FL) (2024).
  2. Carroll L., et al. “Pelvic organ prolapse: The lived experience”. PLoS One 11 (2022): e0276788.
  3. Thanasa A., et al. “Total uterine prolapse: a rare cause of chronic obstructive uropathy associated with renal dysfunction (a case report)”. The Pan African Medical Journal. Uganda; 44 (2023): 57.
  4. Ko KJ and Lee K-S. “Current surgical management of pelvic organ prolapse: Strategies for the improvement of surgical outcomes”. Investigation Clinical Urology6 (2019): 413-424.
  5. Yang X., et al. “The Anatomical Pathogenesis of Stress Urinary Incontinence in Women”. Medicina (Kaunas)1 (2022).
  6. Mistry MA., et al. “A structured review on the female urethral anatomy and innervation with an emphasis on the role of the urethral longitudinal smooth muscle”. International Urogynecology Journal1 (2020): 63-71.
  7. Harland N., et al. “Stress Urinary Incontinence: An Unsolved Clinical Challenge”. Biomedicines 9 (2023).
  8. Falah-Hassani K., et al. “The pathophysiology of stress urinary incontinence: a systematic review and meta-analysis”. International Urogynecology Journal3 (2021): 501-552.
  9. Lamblin G., et al. “Cystocele and functional anatomy of the pelvic floor: review and update of the various theories”. International Urogynecology Journal9 (2016): 1297-1305.
  10. Tinelli A., et al. “Age-related pelvic floor modifications and prolapse risk factors in postmenopausal women”. Menopause 1 (2010): 204-212.
  11. Mustain WC. “Functional Disorders: Rectocele”. Clinics in Colon and Rectal Surgery 1 (2017): 63-75.
  12. Bharucha AE and Knowles CH. “Rectocele: Incidental or important? Observe or operate? Contemporary diagnosis and management in the multidisciplinary era.” Neurogastroenterology Motility11 (2022): e14453.
  13. Eser A., et al. “Is There a Relationship Between Pelvic Organ Prolapse and Tissue Fibrillin-1 Levels?” International Neurourology Journal3 (2015): 164-170.
  14. Veronikis DK. “Vaginal Hysterectomy: The Present Past”. Molecular Medicine6 (2015): 439-442.
  15. Bekkers I., et al. “Vaginal hysterectomy versus vaginal assisted NOTES hysterectomy (VANH): a protocol for a randomised controlled trial”. BMJ Open (2022).
  16. Goh JTW and Ganyaglo GYK. “Sacrospinous fixation: Review of relevant anatomy and surgical technique”. International Journal of Gynecology and Obstetrics 3 (2023): 842-846.
  17. Gupta P. “Transvaginal Sacrospinous Ligament Fixation for Pelvic Organ Prolapse Stage III and Stage IV Uterovaginal and Vault Prolapse”. Iranian Journal of Medical Sciences 1 (2015): 58-62.
  18. Călinescu BC., et al. “Surgical Treatments for Women with Stress Urinary Incontinence: A Systematic Review”. Life (Basel, Switzerland)7 (2023).
  19. Marquini GV., et al. “Burch Procedure: A Historical Perspective”. Revista Brasileira de Ginecologia e Obstetrícia 5 (2022): 511-518.
  20. Dejene SZ., et al. “Long-Term Outcomes After Midurethral Mesh Sling Surgery for Stress Urinary Incontinence”. Female Pelvic Medicine and Reconstructive Surgery4 (2022): 188-193.
  21. Agrawal M., et al. “Surgical Outcomes and Feasibility of Transvaginal Sacrospinous Ligament Fixation through Anterior Approach for Women with Pelvic Organ Prolapse”. Journal of Midlife Health4 (2023): 280-284.
  22. Favre-Inhofer A., et al. “Sacrospinous ligament fixation: medium and long-term anatomical results, functional and quality of life results”. BMC Womens Health1 (2021): 66.
  23. Ko-Kivok-Yun P., et al. “[Vaginal sacral-spinal fixation or Richter’s procedure. Experience of a surgical team with 54 cases]”. Revue Française De Gynécologie Et D'obstétrique 12 (1995): 525-529.
  24. Richter K. “[The surgical anatomy of the vaginaefixatio sacrospinalis vaginalis. A contribution to the surgical treatment of vaginal blind pouch prolapse]”. Geburtshilfe Frauenheilkd4 (1968): 321-327.
  25. Maher C., et al. “Surgery for women with apical vaginal prolapse”. Cochrane database System Review10 (2016): CD012376.
  26. Ohno MS., et al. “Abdominal sacral colpopexy versus sacrospinous ligament fixation: a cost-effectiveness analysis”. International Urogynecology Journal2 (2016): 233-237.
  27. Zhang W., et al. “Comparison of the effectiveness of sacrospinous ligament fixation and sacrocolpopexy: a meta-analysis”. International Urogynecology Journal1 (2022): 3-13.
  28. Sze EH., et al. “A retrospective comparison of abdominal sacrocolpopexy with Burch colposuspension versus sacrospinous fixation with transvaginal needle suspension for the management of vaginal vault prolapse and coexisting stress incontinence”. International Urogynecology Journal6 (1999): 390-393.
  29. Arenholt LTS., et al. “Paravaginal defect: anatomy, clinical findings, and imaging”. International Urogynecology Journal5 (2015): 661-673.
  30. Chinthakanan O., et al. “Laparoscopic Paravaginal Defect Repair: Surgical Technique and a Literature Review”. Surgical Technology International 27 (2015): 173-183.
  31. Hu Q., et al. “Long-term outcomes of cable-suspended suture technique versus conventional suture for anterior vaginal wall prolapse: a retrospective cohort study”. BMC Womens Health1 (2023): 72.
  32. Duraisamy KY., et al. “A Prospective Study of Minimally Invasive Paravaginal Repair of Cystocele and Associated Pelvic Floor Defects: Our Experience”. Journal of Obstetrics and Gynecology of India 1 (2019): 82-88.
  33. Washington JL and Somers KO. “Laparoscopic paravaginal repair: a new technique using mesh and staples”. JSLS4 (2003): 31-33.
  34. McDonnell B and Birder LA. “Recent advances in pharmacological management of urinary incontinence”. F1000Research 6 (2017): 2148.
  35. Patel T., et al. “Single Incision Mini-Sling Versus Mid-Urethral Sling (Transobturator/Retropubic) in Females With Stress Urinary Incontinence: A Systematic Review and Meta-Analysis”. Cureus 4 (2023): e37773.
  36. Ruffolo AF., et al. “Single-incision mini-sling and trans-obturator sling for stress urinary incontinence: A 5-year comparison”. European Journal of Obstetrics and Gynecology and Reproductive Biology 270 (2022): 90-94.
  37. Liang C-C., et al. “Comparison of adjustable and nonadjustable single-incision mini-slings in the treatment of female stress urinary incontinence: An initial experience with 30 cases”. Taiwan Journal of Obstetrics and Gynecology5 (2022): 806-811.
  38. Jiao B., et al. “A systematic review and meta-analysis of single-incision mini-slings (MiniArc) versus transobturator mid-urethral slings in surgical management of female stress urinary incontinence”. Medicine (Baltimore)14 (2018): e0283.
  39. Lee JK-S., et al. “Randomized trial of a single incision versus an outside-in transobturator midurethral sling in women with stress urinary incontinence: 12 month results”. American Journal of Obstetrics and Gynecology 1 (2015): 35.e1-35.e9.
  40. Pascom ALG., et al. “Randomized controlled trial comparing single-incision mini-sling and transobturator midurethral sling for the treatment of stress urinary incontinence: 3-year follow-up results”. Neurourology and Urodynamics 7 (2018): 2184-2190.

Citation

Citation: Oğuz Uyar and Mustafa Kemal Özel. “Our Clinical Experiences with Pelvic Organ Prolapse Disorders. Uterine Prolapse, Stress Urinary Incontinence, and Cystocele".Acta Scientific Women's Health 6.7 (2024): 33-38.

Copyright

Copyright: © 2024 Oğuz Uyar and Mustafa Kemal Özel. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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Impact Factor1.278

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