vaginal prolapse

Management Of Genital Prolapse Associate Professor Semyatov S.M. Department of Obstetrics and Gynecology with course Perinatology Peoples’ Friendship University of Russia, Moscow

DEFINITION Prolapse/Procidentia is downward decent of uterus &/or vagina. (Procidentia is from Latin procidere - to fall). It is a state of pelvic relaxation due to a disorder of pelvic support structures that is, the endopelvic fascia. It is not a disease but a disabling condition.

CAUSE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

TYPES OF PROLAPSE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

EFFECTS OF PROLAPSE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

WHEN TO TREAT ? ,[object Object],[object Object],[object Object]

HOW TO TREAT ? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

HOW TO TREAT ? ,[object Object]

SURGICAL TREATMENT ,[object Object],[object Object],[object Object],[object Object]

SURGICAL TREATMENT ,[object Object],[object Object],[object Object],[object Object],[object Object]

VAGINAL OPERATIONS FOR PROLAPSE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

VAGINAL OPERATIONS FOR PROLAPSE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Anterior colporrhaphy & Urethroplasty ,[object Object],[object Object],[object Object],[object Object],[object Object]

Posterior colporrhaphy & Enterocele repair ,[object Object],[object Object],[object Object],[object Object],[object Object]

Perineorrhaphy ,[object Object],[object Object],[object Object],[object Object],[object Object]

Vaginal Hysterectomy with/without Vaginal repair ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Amputation of cervix ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Fothergill’s operation ,[object Object],[object Object],[object Object],[object Object]

Fothergill’s operation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ABDOMINAL OPERATIONS FOR PROLAPSE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Abdominal Sling operations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Shirodkar’s sling ,[object Object],[object Object],[object Object]

Purandare’s cervicopexy ,[object Object],[object Object],[object Object]

Virkud’s composite sling operation ,[object Object],[object Object],[object Object]

Khanna’s sling operation ,[object Object],[object Object],[object Object],[object Object]

Abdominal Colpopexy / Colposuspension ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Sacrocolpopexy ,[object Object],[object Object]

Ant.Colpopexy ,[object Object],[object Object],[object Object],[object Object],[object Object]

Vault / Colposuspension ,[object Object]

LAPAROSCOPIC SURGERY PROLAPSE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Laparoscopic Cervicopexy/sling Operations ,[object Object],[object Object],[object Object]

Laparoscopic Vault suspension/ Culdoplasty) ,[object Object],[object Object],[object Object]

Laparoscopic Pelvic Reconstruction With VH / LAVH / LH / TLH ,[object Object],[object Object],[object Object],[object Object],[object Object]

Laparoscopic Rectocele repair & Levatoroplasty ,[object Object],[object Object],[object Object],[object Object]

Laparoscopic Enterocele repair ,[object Object],[object Object]

Laparoscopic Post Colpopexy / Sacrocolpopexy ,[object Object],[object Object],[object Object]

Time has come for Laparoscopic Surgery for Prolapse So move with the times. Practice laparoscopy. This is the Surgery of the future today. THANK YOU

vaginal prolapse

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