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Surgery and Clinical Imaging for Pelvic Organ Prolapse

  • Chapter
Imaging Pelvic Floor Disorders

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

Abstract

The purpose of this chapter is to provide the radiologist interested in pelvic floor imaging with a surgical perspective of pelvic floor dysfunction. Although individual surgeons may have different reasons for requesting imaging studies, the basic question to be answered remains the same: the preoperative identifi cation of all surgically treatable prolapse and pelvic floor dysfunction. It is estimated that 11.1% of women will undergo a single operation for pelvic floor dysfunction in their lifetime. Nearly 30% of these patients will require a second operation (Olsen et al. 1997). Projections over the next 30 years show the at-risk population will increase by 22%, but the demand for care will increase by 45%, reflecting a higher number of visits for patients as they age (Luber 2001). Improving the care of these patients has major implications for health-care systems.

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References

  • Altringer WE, Saclarides TJ, Dominguez JM, Brubaker LT, Smith CS (1995) Four-contrast defecography: pelvic “floor-oscopy.” Dis Colon Rectum 38:695–699

    CAS  PubMed  Google Scholar 

  • Baden WF, Walker T (1992a) Abdominal approach to superior vaginal defects. In: Baden WF, Walker T (eds) Surgical repair of vaginal defects. JB Lippincott, Philadelphia, p 119

    Google Scholar 

  • Baden WF, Walker T (1992b) Vaginal approach to superior vaginal defects. In: Baden WF, Walker T (eds) Surgical repair of vaginal defects. JB Lippincott, Philadelphia, p 161

    Google Scholar 

  • Ball P Jr, Teichman JM, Sharkey FE, Rogenes VJ, Adrian EK Jr (1997) Terminal nerve distribution to the urethra and bladder neck: considerations in the management of stress urinary incontinence. J Urol 158:827–829

    PubMed  Google Scholar 

  • Barber MD, Visco AG, Weidner AC, Amundsen CL, Bump RC (2000) Bilateral uterosacral ligament vaginal vault suspension with site-specific endopelvic fascia defect repair for treatment of pelvic organ prolapse. Am J Obstet Gynecol 183:1402–1410

    CAS  PubMed  Google Scholar 

  • Benson JT (1992) Rectocele, descending perineal syndrome, enterocele. In: Benson JT (ed) Female pelvic floor disorders: Investigation and management. WW Norton, New York, p 384

    Google Scholar 

  • Benson JT, McClellan E (1993) The effect of vaginal dissection on the pudendal nerve. Obstet Gynecol 82:387–389

    CAS  PubMed  Google Scholar 

  • Benson JT, Lucente V, McClellan E (1996) Vaginal versus abdominal reconstructive surgery for the treatment of pelvic support defects: a prospective randomized study with long-term outcome evaluation. Am J Obstet Gynecol 175:1418–1421

    CAS  PubMed  Google Scholar 

  • Berglas B, Rubin IC (1953) Study of the supportive structures of the uterus by levator myography. Surg Gynecol Obstet 97:677–692

    CAS  PubMed  Google Scholar 

  • Boccasanta P, Venturi M, Salamina G, Cesana BM, Bernasconi F, Roviaro G (2004) New trends in the surgical treatment of outlet obstruction: clinical and functional results of two novel transanal stapled techniques from a randomised controlled trial. Int J Colorectal Dis 19:359–369

    PubMed  Google Scholar 

  • Borirakchanyavat S, Aboseif SR, Carroll PR, Tanagho EA, Lue TF (1997) Continence mechanism of the isolated female urethra: an anatomical study of the intrapelvic somatic nerves. J Urol 158:822–826

    CAS  PubMed  Google Scholar 

  • Brubaker L, Cundiff G, Fine P, Nygaard I, Richter H, Visco A, Zyczynski H, Brown MB, Weber A (2003) A randomized trial of colpopexy and urinary reduction efforts (CARE): design and methods. Control Clin Trials 24:629–642

    CAS  PubMed  Google Scholar 

  • Bump RC, Fantl JA, Hurt WG (1988) The mechanism of urinary continence in women with severe uterovaginal prolapse: results of barrier studies. Obstet Gynecol 72:291–295

    CAS  PubMed  Google Scholar 

  • Bump RC, Hurt WG, Theofrastous JP, Addison WA, Fantl JA, Wyman JF, McClish DK (1996a) Randomized prospective comparison of needle colposuspension versus endopelvic fascia plication for potential stress incontinence prophylaxis in women undergoing vaginal reconstruction for stage III or IV pelvic organ prolapse. The Continence Program for Women Research Group. Am J Obstet Gynecol 175:326–333

    CAS  PubMed  Google Scholar 

  • Bump RC, Mattiasson A, Bo K, Brubaker LP, DeLancey JO, Klarskov P, Shull BL, Smith AR (1996b) The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 175:10–17

    CAS  PubMed  Google Scholar 

  • Campbell RM (1950) The anatomy and histology of the sacrouterine ligaments. Am J Obstet Gynecol 59:1–12

    CAS  PubMed  Google Scholar 

  • Chaudhuri SK (1979) The place of sling operations in treating genital prolapse in young women. Int J Gynaecol Obstet 16:314–320

    CAS  Google Scholar 

  • Collinet P, Belot F, Debodinance P, Ha DE, Lucot JP, Cosson M (2006) Transvaginal mesh technique for pelvic organ prolapse repair: mesh exposure management and risk factors. Int Urogynecol J Pelvic Floor Dysfunct 17:315–320

    PubMed  Google Scholar 

  • Comiter CV, Vasavada SP, Barbaric ZL, Gousse AE, Raz S (1999) Grading pelvic prolapse and pelvic floor relaxation using dynamic magnetic resonance imaging. Urology 54:454–457

    CAS  PubMed  Google Scholar 

  • Culligan PJ, Blackwell L, Goldsmith LJ, Graham CA, Rogers A, Heit MH (2005) A randomized controlled trial comparing fascia lata and synthetic mesh for sacral colpopexy. Obstet Gynecol 106:29–37

    PubMed  Google Scholar 

  • Cundiff GW, Harris RL, Coates K, Low VH, Bump RC, Addison WA (1997) Abdominal sacral colpoperineopexy: a new approach for correction of posterior compartment defects and perineal descent associated with vaginal vault prolapse. Am J Obstet Gynecol 177:1345–1353

    CAS  PubMed  Google Scholar 

  • Dastur B, Gurubaxani G, Palnitkar SS (1967) Shirodkar sling operation in the treatment of genital prolapse. J Obstet Gynaecol Br Commonw 74:125–128

    CAS  PubMed  Google Scholar 

  • Davis GD (1996) Uterine prolapse after laparoscopic uterosacral transection in nulliparous airborne trainees. A report of three cases. J Reprod Med 41:279–282

    CAS  PubMed  Google Scholar 

  • De Lamballe J (1840) Mem de l’Acad Roy De Med., vol VIII:697

    Google Scholar 

  • DeLancey JO (1992) Anatomic aspects of vaginal eversion after hysterectomy. Am J Obstet Gynecol 166:1717–1724

    CAS  PubMed  Google Scholar 

  • DeLancey JO (1999) Structural anatomy of the posterior pelvic compartment as it relates to rectocele. Am J Obstet Gynecol 180:815–823

    CAS  PubMed  Google Scholar 

  • DeLancey JO (2002) Fascial and muscular abnormalities in women with urethral hypermobility and anterior vaginal wall prolapse. Am J Obstet Gynecol 187:93–98

    PubMed  Google Scholar 

  • DeLancey JO, Morley GW (1997) Total colpocleisis for vaginal eversion. Am J Obstet Gynecol 176:1228–1232

    CAS  PubMed  Google Scholar 

  • DeLancey JO, Morgan DM, Fenner DE, Kearney R, Guire K, Miller JM, Hussain H, Umek W, Hsu Y, Ashton-Miller JA (2007) Comparison of levator ani muscle defects and function in women with and without pelvic organ prolapse. Obstet Gynecol 109:295–302

    PubMed  Google Scholar 

  • Durfee RB (1966) Suspension operations for treatment of pelvic organ prolapse. Clin Obstet Gynecol 9:1047–1061

    CAS  PubMed  Google Scholar 

  • Fatton B, Amblard J, Debodinance P, Cosson M, Jacquetin B (2007) Transvaginal repair of genital prolapse: preliminary results of a new tension-free vaginal mesh (Prolift technique) — a case series multicentric study. Int Urogynecol J Pelvic Floor Dysfunct 18:743–752

    CAS  PubMed  Google Scholar 

  • Fauconnier A, Zareski E, Abichedid J, Bader G, Falissard B, Fritel X (2008) Dynamic magnetic resonance imaging for grading pelvic organ prolapse according to the international continence society classification: Which line should be used? Neurourol Urodyn 27:191–197

    PubMed  Google Scholar 

  • Fenner DE (1996) Diagnosis and assessment of sigmoidoceles: Am J Obstet Gynecol 175:1438–1441

    CAS  PubMed  Google Scholar 

  • Fischer JR, Hale DS, Benson JT et al (1997) Combined rectocele repair and abdominal sacralcolpopexy. A new method for repair of Denonvillier’s fascia. Presented at the AUGS 18th Annual Scientific Meeting, Tucson, Arizona

    Google Scholar 

  • Gilliam DT (1900) Round-ligament ventrosuspension of the uterus: A new method. Am J Obst 52:1028

    Google Scholar 

  • Gilpin SA, Gosling JA, Smith AR, Warrell DW (1989) The pathogenesis of genitourinary prolapse and stress incontinence of urine. A histological and histochemical study. Br J Obstet Gynaecol 96:15–23

    CAS  PubMed  Google Scholar 

  • Glavkind K, Madsen H (2000) A prospective study of the discrete fascial defect rectocele repair. Acta Obstet Gynecol Scand 79:145–147

    Google Scholar 

  • Goh J, Dwyer P (2001) Effectiveness and safety of polypropylene mesh in vagina prolapse surgery. Urogynecol J 12:S90

    Google Scholar 

  • Hall AF, Theofrastous JP, Cundiff GW, Harris RL, Hamilton LF, Swift SE, Bump RC (1996) Interobserver and intraobserver reliability of the proposed International Continence Society, Society of Gynecologic Surgeons, and American Urogynecologic Society Pelvic Organ Prolapse Classification System. Am J Obstet Gynecol 175:1467–1470

    CAS  PubMed  Google Scholar 

  • Heit M, Benson JT, Russell B, et al. (1996) Levator ani muscle in woman with genitourinary prolapse: Indirect assessment of muscle by histopathology. Neurol and Urodyn 15:17–29

    Google Scholar 

  • Hiltunen R, Nieminen K, Takala T, Heiskanen E, Merikari M, Niemi K, Heinonen PK (2007) Low-weight polypropylene mesh for anterior vaginal wall prolapse: a randomized controlled trial. Obstet Gynecol 110:455–462

    PubMed  Google Scholar 

  • Hock D, Lombard R, Jehaes C, et al. (1993) Colpocystodefecography. Dis Colon Rectum 36:1015–1021

    CAS  PubMed  Google Scholar 

  • Hoyte L, Schierlitz L, Zou K, Flesh G, Fielding JR (2001) Two-and 3-dimensional MRI comparison of levator ani structure, volume, and integrity in women with stress incontinence and prolapse. Am J Obstet Gynecol 185:11–19

    CAS  PubMed  Google Scholar 

  • Hsu Y, Summers A, Hussain HK, Guire KE, DeLancey JO (2006) Levator plate angle in women with pelvic organ prolapse compared to women with normal support using dynamic MR imaging. Am J Obstet Gynecol 194:1427–1433

    PubMed  Google Scholar 

  • Janssen LW, van Dijke CF (1994) Selection criteria for anterior rectal wall repair in symptomatic rectocele and anterior rectal wall prolapse. Dis Colon Rectum 37:1100–1107

    CAS  PubMed  Google Scholar 

  • Jeffcoate TN (1959) Posterior colpoperineorrhaphy. Am J Obstet Gynecol 77:490–502

    CAS  PubMed  Google Scholar 

  • Jorge JM, Yang YK, Wexner SD (1994) Incidence and clinical significance of sigmoidoceles as determined by a new classification system. Dis Colon Rectum 37:1112–1117

    CAS  PubMed  Google Scholar 

  • Julian TM (1993) Response to Kovac SR, Cruikshank SH. Successful pregnancies and vaginal deliveries after sacrospinous uterosacral fixation in 5 of 19 patients. Am J Obstet Gynecol 168:1778–1786

    Google Scholar 

  • Kahn MA, Stanton SL (1997) Posterior colporrhaphy: its effects on bowel and sexual function. Br J Obstet Gynaecol 104:82–86

    CAS  PubMed  Google Scholar 

  • Karlbom U, Graf W, Nilsson S, Pahlman L (1996) Does surgical repair of a rectocele improve rectal emptying? Dis Colon Rectum 39:1296–1302

    CAS  PubMed  Google Scholar 

  • Karram M, Goldwasser S, Kleeman S, Steele A, Vassallo B, Walsh P (2001) High uterosacral vaginal vault suspension with fascial reconstruction for vaginal repair of enterocele and vaginal vault prolapse. Am J Obstet Gynecol 185:1339–1342

    CAS  PubMed  Google Scholar 

  • Kaufman HS, Buller JL, Thompson JR, Pannu HK, De-Meester SL, Genadry RR, Bluemke DA, Jones B, Rychcik JL, Cundiff GW (2001) Dynamic pelvic magnetic resonance imaging and cystocolpoproctography alter surgical management of pelvic floor disorders. Dis Colon Rectum 44:1575–1583

    CAS  PubMed  Google Scholar 

  • Kelvin FM, Maglinte DD (2003) Dynamic evaluation of female pelvic organ prolapse by extended proctography. Radiol Clin North Am 41:395–407

    PubMed  Google Scholar 

  • Kelvin FM, Maglinte DD, Hornback JA, Benson JT (1992) Pelvic prolapse: assessment with evacuation proctography (defecography). Radiology 184:547–551

    CAS  PubMed  Google Scholar 

  • Kelvin FM, Hale DS, Maglinte DD, Patten BJ, Benson JT (1999) Female pelvic organ prolapse: diagnostic contribution of dynamic cystoproctography and comparison with physical examination. AJR Am J Roentgenol 173:31–37

    CAS  PubMed  Google Scholar 

  • Kelvin FM, Maglinte DD, Hale DS, Benson JT (2000) Female pelvic organ prolapse: a comparison of triphasic dynamic MR imaging and triphasic fluoroscopic cystocolpoproctography. AJR Am J Roentgenol 174:81–88

    CAS  PubMed  Google Scholar 

  • Khubchandani IT, Clancy JP III, Rosen L, Riether RD, Stasik JJ Jr (1997) Endorectal repair of rectocele revisited. Br J Surg 84:89–91

    CAS  PubMed  Google Scholar 

  • Kohli N, Miklos J (2003) Dermal graft augmented rectocele repair. Int Urogynecol J 14:146–149

    CAS  Google Scholar 

  • Kovac SR, Cruikshank SH (1993) Successful pregnancies and vaginal deliveries after sacrospinous uterosacral fixation in 5 of 19 patients. Am J Obstet Gynecol 168:1778–1783

    CAS  PubMed  Google Scholar 

  • Kuhn RJ, Hollyock VE (1982) Observations on the anatomy of the rectovaginal pouch and septum. Obstet Gynecol 59:445–447

    CAS  PubMed  Google Scholar 

  • Leffler KS, Thompson JR, Cundiff GW, Buller JL, Burrows LJ, Schon Ybarra MA (2001) Attachment of the rectovaginal septum to the pelvic sidewall. Am J Obstet Gynecol 85:41–43

    Google Scholar 

  • Lienemann A, Sprenger D, Janssen U, Grosch E, Pellengahr C, Anthuber C (2004) Assessment of pelvic organ descent by use of functional cine-MRI: which reference line should be used? Neurourol Urodyn 23:33–37

    PubMed  Google Scholar 

  • Lo T, Wang AC (1998) Abdominal colposacropexy and sacrospinous ligament suspension for severe uterovaginal prolapse: A comparison. J Gynecol Surg 14:59–64

    Google Scholar 

  • Luber KM, Boero S, Choe JY (2001) The demographics of pelvic floor disorders: current observations and future projections. Am J Obstet Gynecol 184:1496–1501

    CAS  PubMed  Google Scholar 

  • Maglinte DD, Kelvin F M, Fitzgerald K, Hale DS, Benson JT (1999) Association of compartment defects in pelvic floor dysfunction. AJR Am J Roentgenol 172:439–444

    CAS  PubMed  Google Scholar 

  • Maher CF, Qatawneh AM, Dwyer PL, Carey MP, Cornish A, Schluter PJ (2004) Abdominal sacral colpopexy or vaginal sacrospinous colpopexy for vaginal vault prolapse: a prospective randomized study. Am J Obstet Gynecol 190:20–26

    PubMed  Google Scholar 

  • Maher C, Baessler K, Glazener CM, Adams EJ, Hagen S (2007) Surgical management of pelvic organ prolapse in women. Cochrane Database Syst Rev:CD004014

    Google Scholar 

  • Maloney JC, Dunton CJ, Smith K (1990) Repair of vaginal vault prolapse with abdominal sacropexy. J Reprod Med 35:6–10

    CAS  PubMed  Google Scholar 

  • Mant J, Painter R, Vessey M (1997) Epidemiology of genital prolapse: observations from the Oxford Family Planning Association Study. Br J Obstet Gynaecol 104:579–585

    CAS  PubMed  Google Scholar 

  • Marks MM (1967) The rectal side of the rectocele. Dis Colon Rectum 10:387–388

    CAS  PubMed  Google Scholar 

  • Matsuoka H, Wexner SD, Desai MB, Nakamura T, Nogueras JJ, Weiss EG, Adami C, Billotti VL (2001) A comparison between dynamic pelvic magnetic resonance imaging and videoproctography in patients with constipation. Dis Colon Rectum 44:571–576

    CAS  PubMed  Google Scholar 

  • McCall ML (1957) Posterior culdeplasty; surgical correction of enterocele during vaginal hysterectomy; a preliminary report. Obstet.Gynecol 10:595–602

    CAS  PubMed  Google Scholar 

  • Mellgren A, Anzen B, Nilsson BY, Johansson C, Dolk A, Gillgren P, Bremmer S, Holmstrom B (1995) Results of rectocele repair. A prospective study. Dis Colon Rectum 38:7–13

    CAS  PubMed  Google Scholar 

  • Mengert WF. Mechanics of uterine support and position. Am J Obstet Gynecol 1936:775–782

    Google Scholar 

  • Milley PS, Nichols DH (1968) A correlative investigation of the human rectovaginal septum. Anat Rec 163:443–452

    Google Scholar 

  • Morrena GL, Balasingamb AG, Wells JE (2005) Triphasic MRI of pelvic organ descent: sources of measurement error. Eur J Radiol 54:276–283

    Google Scholar 

  • Moschcowitz AV (1912). The pathogenesis, anatomy and cure of prolapse of the rectum. Surg Gynecol Obstet 15:7

    Google Scholar 

  • Nassar GF (1967) Modified Williams-Richardson operation for uterine prolapse. Obstet Gynecol 30:233–237

    CAS  PubMed  Google Scholar 

  • Nichols DH (1991) Fertility retention in the patient with genital prolapse. Am J Obstet Gynecol 164:1155–1158

    CAS  PubMed  Google Scholar 

  • Nichols DH, Randall CL (1996) Enterocele. In: Nichols DH, Randall CL (eds) Vaginal surgery, 4th edn. Williams and Wilkins, Baltimore, p 348

    Google Scholar 

  • Norton PA, Baker JE, Sharp HC, Warenski JC (1995) Genitourinary prolapse and joint hypermobility in women. Obstet Gynecol 85:225–228

    CAS  PubMed  Google Scholar 

  • Nygaard IE, McCreery R, Brubaker L, Connolly A, Cundiff G, Weber AM, Zyczynski H (2004) Abdominal sacrocolpopexy: a comprehensive review. Obstet Gynecol 104:805–823

    PubMed  Google Scholar 

  • Olsen AL, Smith VJ, Bergstrom JO, Colling JC, Clark AL (1997) Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol 89:501–506

    CAS  PubMed  Google Scholar 

  • Paraiso MF, Barber MD, Muir TW, Walters MD (2006) Rectocele repair: a randomized trial of three surgical techniques including graft augmentation. Am J Obstet Gynecol 195:1762–1771

    PubMed  Google Scholar 

  • Peters WA III, Christenson ML (1995) Fixation of the vaginal apex to the coccygeus fascia during repair of vaginal vault eversion with enterocele. Am J Obstet Gynecol 172:1894–1900

    PubMed  Google Scholar 

  • Pillai A, Benson JT (1996) Cystocele. In: Brubaker LT, Saclarides TJ (eds) The female pelvic floor: Disorders of function and support.FA Davis Company, Philadelphia, p 269

    Google Scholar 

  • Porter WE, Steele A, Walsh P, Kohli N, Karram MM (1999) The anatomic and functional outcomes of defect-specific rectocele repairs. Am J Obstet Gynecol 181:1353–1358

    CAS  PubMed  Google Scholar 

  • Randall CL, Nichols DH (1971) Surgical treatment of vaginal inversion. Obstet Gynecol 38:327–332

    CAS  PubMed  Google Scholar 

  • Richardson AC, Lyon JB, Williams NL (1976) A new look at pelvic relaxation. Am J Obstet Gynecol 126:568–573

    CAS  PubMed  Google Scholar 

  • Richardson AC, Edmonds PB, Williams NL (1981) Treatment of stress urinary incontinence due to paravaginal fascial defect. Obstet.Gynecol 57:357–362

    CAS  PubMed  Google Scholar 

  • Richardson AC (1989) Pelvic support defects in women (urethrocele, cystocele, uterine prolapse, enterocele and rectocele). In: Skandalakis J, Gray S, Mansberger A Jr, Colborn G, Skandalakis L (eds) Hernia: Surgical anatomy and technique. McGraw-Hill, New York, pp 238–263

    Google Scholar 

  • Richardson AC (1993) The rectovaginal septum revisited: Its relationship to rectocele and its importance in rectocele repair. In: Pitkin RM, Scot JR, DeLancey JOL (eds) Clinical obstetrics and gynecology, vol 36. JB Lippincott Co, Philadelphia, p 977

    Google Scholar 

  • Rooney K, Kenton K, Mueller ER, FitzGerald MP, Brubaker L (2006) Advanced anterior vaginal wall prolapse is highly correlated with apical prolapse. Am J Obstet Gynecol 95:837–1840

    Google Scholar 

  • Sehapayak S (1985) Transrectal repair of rectocele: an extended armamentarium of colorectal surgeons. A report of 355 cases. Dis Colon Rectum 28:422–433

    CAS  PubMed  Google Scholar 

  • Shaw WF (1933) The treatment of prolapses uteri, with special reference to the Manchester operation of colporrhaphy. Am J Obstet Gynecol 26:667

    Google Scholar 

  • Shull BL, Baden WF (1989) A six-year experience with paravaginal defect repair for stress urinary incontinence. Am J Obstet Gynecol 160:1432–1439

    CAS  PubMed  Google Scholar 

  • Shull BL, Benn SJ, Kuehl TJ (1994) Surgical management of prolapse of the anterior vaginal segment: an analysis of support defects, operative morbidity, and anatomic outcome. Am J Obstet Gynecol 171:1429–1436

    CAS  PubMed  Google Scholar 

  • Shull BL, Bachofen C, Coates KW, Kuehl TJ (2000) A transvaginal approach to repair of apical and other associated sites of pelvic organ prolapse with uterosacral ligaments. Am J Obstet Gynecol 183:1365–1373

    CAS  PubMed  Google Scholar 

  • Silva WA, Pauls RN, Segal JL, Rooney CM, Kleeman SD, Karram MM (2006) Uterosacral ligament vault suspension: 5-year outcomes. Obstet Gynecol 108:255–263

    PubMed  Google Scholar 

  • Smith AR, Hosker GL, Warrell DW (1989) The role of partial denervation of the pelvic floor in the aetiology of genitourinary prolapse and stress incontinence of urine. A neurophysiological study. Br J Obstet Gynaecol 96:24–28

    CAS  PubMed  Google Scholar 

  • Smith P, Heimer G, Norgren A, Ulmsten U (1990) Steroid hormone receptors in pelvic muscles and ligaments in women. Gynecol Obstet Invest 30:27–30

    CAS  PubMed  Google Scholar 

  • Su KC, Mutone MF, Terry CL, Hale DS (2007) Abdominovaginal sacral colpoperineopexy: patient perceptions, anatomical outcomes, and graft erosions. Int Urogynecol J Pelvic Floor Dysfunct 18:503–511

    PubMed  Google Scholar 

  • Sullivan ES, Leaverton GH, Hardwick CE (1968) Transrectal perineal repair: an adjunct to improved function after anorectal surgery. Dis Colon Rectum 11:106–114

    CAS  PubMed  Google Scholar 

  • Summers A, Winkel LA, Hussain HK, DeLancey JO (2006) The relationship between anterior and apical compartment support. Am J Obstet Gynecol 194:1438–1443

    PubMed  Google Scholar 

  • Sutton GP, Addison WA, Livengood CH III, Hammond CB (1981) Life-threatening hemorrhage complicating sacral colpopexy. Am J Obstet Gynecol 140:836–837

    CAS  PubMed  Google Scholar 

  • Swift SE (2000) The distribution of pelvic organ support in a population of female subjects seen for routine gynecologic health care. Am J Obstet Gynecol 183:277–285

    CAS  PubMed  Google Scholar 

  • Sze EH, Karram MM (1997) Transvaginal repair of vault prolapse: a review. Obstet Gynecol 89:466–475

    CAS  PubMed  Google Scholar 

  • Sze EH, Kohli N, Miklos JR, Roat T, Karram MM (1999) 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. Int Urogynecol J Pelvic Floor Dysfunct 10:390–393

    CAS  PubMed  Google Scholar 

  • Thomas AG, Brodman ML, Dottino PR, Bodian C, Friedman F Jr, Bogursky E (1995) Manchester procedure vs. vaginal hysterectomy for uterine prolapse. A comparison. J Reprod Med 40:299–304

    CAS  PubMed  Google Scholar 

  • Thompson JD (1992) Malposition of the uterus. In: Thompson JD, Rock JA (eds) TeLinde’s operative gynecology, 7th edn. JB Lippincott Co, Philadelphia, pp 846–849

    Google Scholar 

  • Timmons MC, Addison WA, Addison SB, Cavenar MG (1992) Abdominal sacral colpopexy in 163 women with posthysterectomy vaginal vault prolapse and enterocele. Evolution of operative techniques. J Reprod Med 37:323–327

    CAS  PubMed  Google Scholar 

  • Tulikangas PK, Walters MD, Brainard JA, Weber AM (2001) Enterocele: is there a histologic defect? Obstet Gynecol 98:634–637

    CAS  PubMed  Google Scholar 

  • Uhlenhuth E, Nolleyg GW (1957) Vaginal fascia, a myth. Obstet Gynecol 10:349–358

    CAS  PubMed  Google Scholar 

  • von Pechmann WS, Mutone M, Fyffe J, Hale DS (2003) Total colpocleisis with high levator plication for the treatment of advanced pelvic organ prolapse. Am J Obstet Gynecol 189:121–126

    Google Scholar 

  • Weber AM, Walters MD (1997) Anterior vaginal prolapse: review of anatomy and techniques of surgical repair. Obstet Gynecol 89:311–318

    CAS  PubMed  Google Scholar 

  • Weber AM, Walters MD, Piedmonte MR, Ballard LA (2001) Anterior colporrhaphy: a randomized trial of three surgical techniques. Am J Obstet Gynecol 185:1299–1304

    CAS  PubMed  Google Scholar 

  • Weidner AC, Cundiff GW, Harris RL, Addison WA (1997) Sacral osteomyelitis: an unusual complication of abdominal sacral colpopexy. Obstet Gynecol 90:689–691

    CAS  PubMed  Google Scholar 

  • White GR (1909) Cystocele. A radical cure by suturing lateral sulci of vagina to white line of pelvic fascia. JAMA 21:1701–1710

    Google Scholar 

  • Word BH, Montgomery HA, Baden WF et al (1992) Vaginal approach to anterior paravaginal repair: Alternative techniques. In: Baden WF, Walker T (eds) Surgical repair of vaginal defects. JB Lippincott, Philadelphia, p 201

    Google Scholar 

  • Young SB, Daman JJ, Bony LG (2001) Vaginal paravaginal repair: 1-year outcomes. Am J Obstet Gynecol 185:1360–1366

    CAS  PubMed  Google Scholar 

  • Zaccharin RF (1977) A Chinese anatomy-the supporting tissues of the Chinese and Occidental female compared and contrasted. Aust NZ J Obstet Gynaec 17:1–11

    Google Scholar 

  • Zaccharin RF (1980) Pulsion enterocele: Review of functional anatomy of the pelvic floor. Obstet Gynecol 55:135–140

    Google Scholar 

  • Zaccharin RF (1985) Abdomino-perineal repair of large pulsion enterocele. In: Zaccharin RF (ed) Pelvic floor anatomy and the surgery of pulsion enterocele. Springer, New York Vienna Heidelberg Berlin, pp 135–155

    Google Scholar 

  • Zivkovic F, Tamussino K, Ralph G, Schied G, Auer-Grumbach M (1996) Long-term effects of vaginal dissection on the innervation of the striated urethral sphincter. Obstet Gynecol 87:257–260

    CAS  PubMed  Google Scholar 

Further Reading

  • Farrell SA, Dempsey T, Geldenhuys L (2001) Histologic examination of “fascia” used in colporrhaphy. Obstet Gynecol 98:794–798

    CAS  PubMed  Google Scholar 

  • Gauruder-Burmester A, Koutouzidou P, Rohne J, Gronewold M, Tunn R (2007) Follow-up after polypropylene mesh repair of anterior and posterior compartments in patients with recurrent prolapse. Int Urogynecol J Pelvic Floor Dysfunct 18:1059–1064

    CAS  PubMed  Google Scholar 

  • Singh K, Reid WM, Berger LA (2001) Assessment and grading of pelvic organ prolapse by use of dynamic magnetic resonance imaging. Am J Obstet Gynecol 185:71–77

    CAS  PubMed  Google Scholar 

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© 2008 Springer-Verlag Berlin Heidelberg

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Hale, D.S. (2008). Surgery and Clinical Imaging for Pelvic Organ Prolapse. In: Imaging Pelvic Floor Disorders. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-71968-7_12

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  • DOI: https://doi.org/10.1007/978-3-540-71968-7_12

  • Publisher Name: Springer, Berlin, Heidelberg

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