Physiologic Changes. The pulley stitch has been tied, and the ends of the suture have been cut. A transvaginal approach to repair of apical and other associated sites of pelvic organ prolapse with uterosacral ligaments.
Adequate retraction of the cardinal ligament, vagina, and rectum is essential for safe operative exposure. FDA-regulated Device Product:. Thereafter, management of bladder function is similar to that following surgery for urinary incontinence.
Pelvic Organ Prolapse Impact Questionnaire total score minimum: Special Procedures. You can provide good apical support without significantly distorting the vaginal axis, and passing sutures intraperitoneally can be cleaner, and simpler, than passage through retroperitoneal structures. Later, in the s, Richardson promoted the concept that, in patients who have pelvic organ prolapse, the uterosacral ligaments do not become attenuated, instead, they break at specific points. Prevention Official Title:
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