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Pelvic organ prolapse occurs in women when pelvic floor muscles don't support the uterus, bladder, ureter, vagina, cervix, small intestines and/or the rectum. When these organs drop out of position, it's called a prolapse.
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To date, the exact cause of illness is unknown. However, previous research linked it to vaginal birth or trauma. Lately, the defect is said to be caused by the subsequent blocking of the periurethral glands.
Some patient may not experience any signs. Signs and symptoms are usually different for every particular patient. However, the most common symptoms include:
Patients may also experience a tender area or mass at the frontal vaginal wall. With this type of condition, the severity of symptoms do not necessarily point to the size of the diverticulum. In some instances, minor symptoms may indicate a sizeable urethral diverticulum and vice versa.
Surgery is the primary approach to treating the disorder. There are three main surgical options, which include:
In most cases, surgical excision is the preferred method. During surgery, measures should be taken to ensure that the condition does not recur. These measures include closing the diverticular neck, removing the entire lining of the sac, and doing a multilayered closure to prevent postoperative urethrovaginal fistula formation (development of an abnormal opening between the urethra and vagina).
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