Summary
The histological structure of the vaginal fascia was studied in two groups of patients: 10 consecutive women having a vaginal repair for uterine prolapse or descent and 10 consecutive women having an abdominal hysterectomy for fibroids. Abnormal histological changes were found in 7 out of 10 patients with uterine descent as compared to 2 out of 10 controls (P < 0.05). This suggests a correlation between histological changes in vaginal connective tissue and pelvic laxity.
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References
Disbrey BD, Rack JH (1970) Histological laboratory methods. E & S Livingstone, Edinburgh
El-Kholi GY, Mina SN (1975) Elastic tissue of the vagina in genital prolapse. A morphological study. J Egypt Med Assoc 58: 196–204
Gitsch E, Palmrich AH (1977) Gynecological operative anatomy. Walter de Gruyter, Berlin New York
Kranz KE (1951) The anatomy of the urethra and anterior vaginal wall. Am J Obstet Gynecol 62: 374–386
Käser O, Ikle FA, Hirsch HA (1983) Atlas der Gynäkologischen Operationen, 4. Aufl. Georg Thieme Verlag, Stuttgart New York
Milley PS, Nichols DH (1971) The relationship between the pubourethral ligaments and the urogenital diaphragm in the human female. Anat Rec 170: 281–285
Prockop DJ, Kivirikko KI (1984) Heritable diseases of collagen. The lessons of rare maladies provide a basis for understanding common diseases. N Engl J Med 311: 376–386
Richardson AC, Edmonds PB, Williams NL (1981) Treatment of stress urinary incontinence due to paravaginal fascial defect. Obst Gynecol 57: 357–362
Spernol R, Bernaschek G, Schaller A (1983) Entstehungsursachen des Deszensus. Geburtshilfe Frauenheilkd 43: 33–36
Wilson PD, Dixon JS, Brown ADG, Gosling JA (1983) Posterior pubourethral ligaments in normal and genuine stress incontinent women. J Urol 130: 802–805
Zacharin RF (1963) The suspensory mechanism of the female urethra. J Anat 97: 423–427
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Mäkinen, J., Söderström, KO., Kiilholma, P. et al. Histological changes in the vaginal connective tissue of patients with and without uterine prolapse. Arch. Gynecol. 239, 17–20 (1986). https://doi.org/10.1007/BF02134283
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DOI: https://doi.org/10.1007/BF02134283