1/16. uterine prolapse in pregnancy caused by a very large mucinous cyst.The literature review and a case report of a 25 years old patient who started to suffer from an extemely large abdomen, sever oedema, dyspnea, and uterine prolapse from the 30th week in her third pregnancy because of a very large mucinous cyst. The prolapsed uterus improved with bed rest. She delivered at term with no complication. The cyst was removed three weeks after the delivery with about ten litres of mucoid secretion in it. The patient left hospital on the tenth post operative day.- - - - - - - - - - ranking = 1keywords = pregnancy (Clic here for more details about this article) |
2/16. uterine prolapse associated with bladder exstrophy: surgical management and subsequent pregnancy.Congenital bladder exstrophy affects 1 in 125,000 to 250,000 females. Consisting of absence of the anterior abdominal wall with exposure of the ureteral orifices, failure of pubic symphysis fusion, and deficient anterior pelvic diaphragm musculature, bladder exstrophy is frequently associated with genital prolapse. pregnancy may be complicated by recurrent urinary tract infections, preterm labor, mild procidentia, and malpresentation. Due to the rarity of the condition, there is a corresponding scarcity of obstetric literature regarding management during pregnancy. We report the case of a young woman with surgically repaired bladder exstrophy who developed genital prolapse. The uterus was suspended using a sacral colpopexy utilizing a Gore-Tex graft. Subsequently, the patient became pregnant and delivered a healthy male infant at 35 weeks' gestation via cesarean section (without recurrence of the genital prolapse postpartum). Sacral colpopexy to correct genital prolapse associated with bladder exstrophy may preserve fertility in young patients.- - - - - - - - - - ranking = 1.0353957998562keywords = pregnancy, gestation (Clic here for more details about this article) |
3/16. Sacrospinous cervico-colpopexy with follow-up 2 years after successful pregnancy.Sacrospinous cervico-colpopexy was performed for marked uterine prolapse in a young woman desirous of childbearing. Follow-up at 2 years following elective cesarean delivery revealed a well-supported cervix and vaginal vault at the level of the ischial spine. Although this represents an appropriate management, more information is still needed before the optimal mode of delivery following successful uterine prolapse repair can be established.- - - - - - - - - - ranking = 0.8keywords = pregnancy (Clic here for more details about this article) |
4/16. Recurrent pelvic organ prolapse in a woman with bladder exstrophy: a case report of surgical management and review of the literature.Management of gynecologic issues in women with bladder exstrophy is challenging. Congenital pelvic organ prolapse and prolapse-associated pregnancy and delivery are common. The management of prolapse is complicated by the anatomic changes involving the bony pelvis, connective tissue support, pelvic floor, and the length and axis of the vagina. A case of recurrent pelvic organ prolapse successfully managed with a sacral colpopexy and a review of the literature are presented.- - - - - - - - - - ranking = 0.2keywords = pregnancy (Clic here for more details about this article) |
5/16. Subtotal uterine prolapse and pregnancy.THE AIM: A successful reposition of a subtotal gravid uterus of an 29 year old patient and prevention of a spontaneous abortion is presented. methods AND RESULTS: An 29 year old patient was admitted to the clinic due to pains in the lower abdomen, miction difficulties and a subtotal uterine prolapse. During the examination in the gynecological position upon disinfection completed, a manual reposition of a gravid uterus was performed. During the reposition, we found the uterus in contraction and the cervical channel one-finger size opened up to the internal cervical os. We introduced Mikulitz tampon as a support while the patient undergone laboratory and anesthesiology pre-operative program. In a short OET anesthesia, the uterine reposition was performed by Smith-Hodge pessary 85 mm and cerclage sec. McDonald in order to prevent a spontancous abortion caused by cervical insufficiency. The postoperative status of the patient was regular/normal. We recommended a bed rest and diazcpam (Apaurin) tbl a 3 mg 3 x 1. CONCLUSION: Complete treatment was performed under the short OET anesthesia, and a recovery of the patient was successful. All parameters of the pregnancy were normal.- - - - - - - - - - ranking = 1keywords = pregnancy (Clic here for more details about this article) |
6/16. uterine prolapse in pregnancy.We present a case of a patient developing uterine prolapse during pregnancy. The cervix reached the introitus at 10 weeks gestation and subsequently protruted progressively as the pregnancy advanced. The patient was conservatively treated with bed rest and the main maternal and fetal risks are avoided. At 4 months postpartum follow-up there was no evidence of uterine prolapse.- - - - - - - - - - ranking = 1.2353957998562keywords = pregnancy, gestation (Clic here for more details about this article) |
7/16. Incarceration of a retroflexed, gravid uterus from severe uterine prolapse: a case report.BACKGROUND: Acute urinary retention as a result of incarceration of a retroflexed, gravid uterus is a known phenomenon. However, prolapse as a risk factor has not been previously described. CASE: A 40-year-old woman, gravida 4, para 2, with an intrauterine gestation of 19 weeks presented to the emergency room complaining of inability to void for the previous 12 hours and difficulty voiding and constipation for the previous 6 weeks. She had a history significant for stage III uterine prolapse in early pregnancy. Foley catheterization yielded 800 mL of urine, and an examination revealed a retroflexed uterus. The cervix was displaced anteriorly behind the pubic symphysis. Ultrasound confirmed these findings and the presence of a viable gestation. The uterus was successfully manually displaced under epidural anesthesia. The patient was able to void without difficulty after uterine displacement. CONCLUSION: Incarceration of a retroflexed uterus should be considered in the differential diagnosis in any woman who presents with voiding difficulty in the late first or second trimester. uterine prolapse is a risk factor for incarceration of a retroflexed uterus. Epidural anesthesia should be considered for a patient if manual uterine displacement cannot be performed successfully without anesthesia.- - - - - - - - - - ranking = 0.2707915997125keywords = pregnancy, gestation (Clic here for more details about this article) |
8/16. pelvic organ prolapse complicating third trimester pregnancy. A case report.The concomitant phenomenon of a third trimester pregnancy with a significant degree of pelvic organ prolapse is extremely rare. We report on a patient with pelvic organ prolapse complicating third trimester pregnancy treated by concomitant cesarean hysterectomy and abdominal sacrocolpopexy. A 30-year-old woman, gravida 6, parity 5, was admitted to the hospital with uterine contractions in week 35 of gestation. Pelvic examination in the dorsal lithotomy position revealed a stage 3 pelvic organ prolapse. A cesarean hysterectomy was performed. After hysterectomy, the vaginal cuff was suspended to the periosteum overlying the sacral promontory. Cesarean hysterectomy might be a therapeutic option for women who have completed their families and are suffering from severe pelvic organ prolapse complicating third trimester pregnancy, particularly in developing countries where access to health care is limited.- - - - - - - - - - ranking = 1.4353957998562keywords = pregnancy, gestation (Clic here for more details about this article) |
9/16. pregnancy in a woman after eight reconstructive urological operations due to bladder extrophy: case report.The progress of reconstructive surgical treatment of congenital malformations is associated with an increasing number of patients requiring special care in pregnancy. Although there have been some communications concerning the management of pregnancy after one or two reconstructions of bladder extrophy, a case with a successful course of pregnancy after eight urological operations of this disorder is presented.- - - - - - - - - - ranking = 0.6keywords = pregnancy (Clic here for more details about this article) |
10/16. uterine prolapse complicating pregnancy. A case report.A patient developed uterine prolapse during pregnancy. Conservative management consisted of bed rest and use of a pessary. A viable infant was delivered at 30 weeks' gestation following premature rupture of the membranes. A review of the literature suggests that maintaining conservative treatment of these patients throughout pregnancy can result in uneventful, normal, spontaneous delivery.- - - - - - - - - - ranking = 1.2353957998562keywords = pregnancy, gestation (Clic here for more details about this article) |
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