Category Archive: Pelvic Organ Prolapse

Sep 06

Pelvic Organ Prolapse Surgery and Graft Complications 1950-present

Vaginal prolapse surgery with synthetic and non-synthetic graft material – Concerns about the use of graft material, particularly Prolene mesh, continue to mount after the most recent FDA warning on mesh in vaginal surgery.  These diligent authors from Michigan, Texas, Massachussetts, Washington State, New Mexico and Israel combed the international medical literature in all languages from …

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Aug 29

Female sexual function and vaginal surgery

Vaginal Prolapse Surgery, Vaginal Contour and Female Sexual Function This is another manuscript I reviewed for the Journal of Sexual Medicine, published by colleagues from The Mayo Clinic in the International Urogynecology Journal July 2011 issue. These authors looked carefully at the possibility of change in vaginal contour resulting from pelvic organ prolapse surgery with regards to female …

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Jul 13

Pregnancy, Prolapse and Cesarean on Demand

Cesarean on Demand More women than ever before are showing up at the hospital in labor and asking for a cesarean section. According to the National Institutes of Health, the rate of c-section delivery has increased 40% since the mid-90s, a trend reflected in these NIH summary statements: Between 1996 and 2007, the C-section rate …

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Jul 07

Vitamin D and Women’s Health

The Center for Disease Control attests that at least 77% of American adults don’t get enough Vitamin D. And while that’s bad news for everyone, it’s often WOMEN who suffer most. Vitamin D is involved in regulating up to 2,000 different genes in the human body. Considering that this amounts to 10% of our makeup, …

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Jun 30

Bulging Rectum: Rectocele Facts

Understanding Rectocele, Levatorplasty and Site-specific Rectocele surgery techniques You may be unacquainted with the term “rectocele,” but for almost 19% of women, the condition is all too familiar! In a normal female pelvis, the rectum rests behind the vagina. The two are separated by a thin wall of fibrous tissue called fascia. When the fascia …

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Jun 22

Pelvic Organ Prolapse and the Sexy Pessary Posse

  PELVIC ORGAN PROLAPSE: NO DIFFERENCE IN SEXUAL QUALITY OF LIFE BETWEEN PROLAPSE PATIENTS CHOOSING PESSARY VS SURGERY. Pelvic organ prolapse is a condition where the organs around the vagina are out of place – bladders drop (called cystocele), rectums bulge forward and sometimes out of the vaginal opening (rectocele), and/or the uterus drops down, …

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Jun 13

Prolene mesh and your prolapse surgery – erosions, sex, and the latest data

Prolene Mesh and Pelvic Organ Prolapse Cystocele, rectocele, erosions, sex, mesh shrinkage, folding and thickening     You can’t make this stuff up. Prolene mesh is the product name for a permanent plastic mesh with many implantation applications in reconstructive surgery. Prolene mesh is used to fix large and small abdominal hernias, inguinal hernias, hernias …

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May 31

Kegel Exercise: The Facts

KEGEL EXERCISE: THE FACTS If you have a vagina and you’re old enough to vote, then Kegel Exercise belongs in your feminine fitness daily routine. Before you dive into pelvic fitness, it’s important to know what Kegel muscles actually DO. Kegels—or the levator ani muscles—wrap around a woman’s most important parts: her bladder, vagina, and rectum. …

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May 17

Dropped Bladder: Cystocele Facts

DROPPED BLADDER: CYSTOCELE FACTS At birth, a female’s bladder rests in front of her vagina and just behind the pubic bone. The bladder and vagina are separated by connective tissue called the vesicovaginal fascia. This fascia is anchored to each hip bone by tendons known as the arcus tendineus fascia pelvis. Vesicovaginal connective tissue is NOT particularly …

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Jan 24

Cesarean on Demand Does Not Eliminate Risk of Prolapse

Worldwide, “cesarean on demand” continues to increase. In the hopes of avoiding pelvic floor damage associated with birthing, some women have bought into the the trend for elective cesarean before onset of labor. Called “cesarean on demand” because patients demand it in the absence of a maternal or fetal indication, it’s the obstetric equivalent of …

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