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Evaluation & Management of Genital Prolapse Peter K. Sand, M.D. Professor, Department of Obstetrics & Gynecology Director, Division of Urogynecology Evanston Northwestern Healthcare Northwestern University, Feinberg School of Medicine
Outline ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Normal Uterine Support ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Normal Uterine Support Uterosacral ligaments Cardinal ligaments Uterosacral Ligament
Normal Vaginal Support ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Pelvic Floor Structures
Pathophysiology of Genital Prolapse ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Vaginal Prolapse: Paravaginal Defects Normal vaginal attachment  to the pelvic walls Detachment of vagina  from pelvic walls
Pelvic Organ Prolapse  Epidemiology ,[object Object],[object Object],[object Object],[object Object],[object Object]
Risk Factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Age and Pelvic Organ Prolapse
Vaginal Birth and Pelvic Organ Prolapse ,[object Object],[object Object],[object Object],[object Object],[object Object]
Vaginal Birth and Pelvic Organ Prolapse
Vaginal birth and pelvic floor injury
Parity and Pelvic Organ Prolapse
Uterine Prolapse
Anterior Vaginal Wall Prolapse (Cystocele) Cystocele
Posterior Vaginal Wall Prolapse (Rectocele) Rectocele
Small Bowel Herniation (Enterocele)
Pelvic Organ Prolapse - Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
History ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Rectovaginal Exam ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anterior Vaginal Wall Central  Cystocele Paravaginal  Defect
Posterior Vaginal Wall Rectocele Enterocele
Vaginal Apex
Perineum
Uterine Prolapse
Cystocele (Central)
Cystocele (Paravaginal)
Enterocele
Vaginal Vault Prolapse
Rectocele + Enterocele Rectocele Enterocele
 
Anatomic Outcome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Functional Outcome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Staging Systems ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pelvic Organ Prolapse Quantification (POP-Q) System
Vaginal Dimensions
Perineal Dimensions
 
Cystography - Cystocele
MRI: Cystocele
MRI: Uterine Prolapse
Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment of Pelvic Organ Prolapse ,[object Object],[object Object],[object Object],[object Object]
Vaginal Pessaries ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pessary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Vaginal Pessaries ,[object Object]
Ring Pessary Ring With Support
Ring Pessary Placement
Ring/Ring With Support Pessary   ,[object Object],[object Object],[object Object],[object Object]
Gellhorn Pessary
Gellhorn Pessary ,[object Object],[object Object],[object Object],[object Object],[object Object]
Cube Pessary
Cube Pessary ,[object Object],[object Object],[object Object],[object Object],[object Object]
Donut Pessaries
Inflatoball Pessary
Continence Pessaries
Colpexin ™  Sphere ,[object Object],[object Object],[object Object]
Cystocele With and Without Colpexin TM  Sphere
Summary ,[object Object],[object Object],[object Object],[object Object],[object Object]
Colpexin Sphere: Effect on Pelvic Floor Muscles ,[object Object],[object Object],[object Object],[object Object],[object Object],Lukban JC et al.  Int Urogynecol J.  Epub; November 19, 2005.
Colpexin Sphere:  Effect on Colpexin Pull Test  Lukban JC et al.  Int Urogynecol J.  Epub; November 19, 2005. +0.30   ( P  = 0.029) +0.12   ( P  = 0.23)
Conclusions ,[object Object],[object Object],[object Object]

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