Category Archive: Vaginal Prolapse

Vault prolapse is a dropping of the deepest portion of the vagina. Even if hysterectomy has been done in the past, it is possible for the top of the vagina to fall down, just like uterine prolapse but without the uterus there. As you can see, hysterectomy does not treat or prevent prolapse, only proper reconstruction techniques can prevent recurrence of prolapse, and hysterectomy does not improve the likelihood that your prolapse repair will hold up better over time. Treatment options include pessary and surgical reconstruction.

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 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 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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Dec 08

“Yankan Gishiri” cutting, a home remedy, cause fistula in Niger and Nigeria

(c) 2010 Lauri Romanzi In the Hausa/Fulani region of Northern Nigeria and Southern Niger, “Gishiri” is the term for salt, for “tasty” and slang for the genitalia of both sexes. “Yankan” is the word for cutting, and “Yankan Gishiri” (cutting with salt) has been used for generations as a local remedy for all sorts of …

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Nov 29

Kidogo Kidogo, fixing uterine prolapse in an incubator of extremis called the DRC

It’s not easy being a girl. I’m  here in DRC (Democratic Republic of Congo) where I and my American colleagues usually help the Panzi Hospital gyn and fistula surgeons fix fistulas and figure out ways to deal with less than perfect fistula repair results or how best to care for the “unfixables” – women with …

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Nov 25

The Step-Sisters of Fistula – Minimally Invasive Uterine Resuspension- Hysteropexy C’est Arrive au DR Congo.

NOV 23, 2010 (c) L Romanzi 2010 The Step-Sisters of Fistula – Minimally Invasive Uterine Resuspension- Hysteropexy C’est Arrive au DR Congo. It is difficult to express how impressed I am during each and every Harvard Humanitarian Initiative mission (www.hhi.harvard.edu) by the  skilled, motivated, and wise  pelvic floor – fistula surgeons at Panzi Hospital in Bukavu, …

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