Management of pelvic organ prolapse of ruptured and extruded

Background The prolapse of a ruptured and extruded bladder after vaginal hysterectomy is rare in clinical practice. We report the case of a significant mass that prolapsed from the vagina after a vaginal hysterectomy in a multiparous postmenopausal woman. Case presentation A 67-year old multiparous postmenopausal Chinese woman was found to have a significant mass extruding from the vagina after a vaginal hysterectomy. The mass was a ruptured and everted bladder, and the diagnosis was confirmed after physical and imaging examinations and urethral catheterization. The patient underwent an emergency operation for mass reduction, bladder repair, and partial colpocleisis under general anesthesia. She recovered without prolapse or urinary drainage complications after 35 months of follow-up. Conclusions The present case serves as a guide for the management of patients with pelvic organ prolapse. The condition of patients should be carefully evaluated before surgery, and individualized operation should be performed. Careful postoperative follow-up is crucial for the timely exclusion of complications, especially in elderly patients with persistently increased abdominal pressure.

Disc Herniation - Physiopedia

Volume 21, issue 1

Image showing everted and prolapsed bladder with a bridge of

Optimal surgical management of stage 3 and 4 pelvic organ prolapse

SciELO - Brazil - Narrative review of the epidemiology, diagnosis and pathophysiology of pelvic organ prolapse Narrative review of the epidemiology, diagnosis and pathophysiology of pelvic organ prolapse

Yasmeen Bano's research works First Affiliated Hospital of China

Pelvic Organ Prolapse Treatment in South Florida

Uterus preserving surgeries for prolapse

Image showing everted and prolapsed bladder with a bridge of

Effect of patient age on increasing morbidity and mortality

Apical Prolapse - an overview

Image showing everted and prolapsed bladder with a bridge of

Urinary Tract Infection and Pelvic Organ Prolapse—an Association

Diagnosis and management of pelvic organ prolapse: The basics - Women's Healthcare