![]() ![]() All patients answered a standardized bowel function questionnaire. Thirty-eight women underwent clinical examination using the pelvic organ prolapse quantification system (POP-Q) followed by CDP. Further development of the defecography technique, using contrast medium in the urinary bladder and intraperitoneally, have resulted in cystodefecoperitoneography (CDP). Defecography can be used to complement the clinical evaluation in patients with posterior vaginal wall prolapse. ![]() The aim of the present study was to compare clinical and radiological findings when assessing posterior vaginal wall prolapse. © 2013 International Society for Sexual Medicine.Īssessment of posterior vaginal wall prolapse: comparison of physical findings to cystodefecoperitoneography.Īltman, Daniel López, Annika Kierkegaard, Jonas Zetterström, Jan Falconer, Christian Pollack, Johan Mellgren, Anders This is to our knowledge the first case in the literature where a posterior vaginal defect has been corrected using Coleman fat grafting, and we believe that this treatment method may be of benefit to more patients. The defect was corrected successfully using the minimally invasive Coleman fat grafting technique. Fat was harvested from the patient's abdomen and injected into the defect after more conservative treatment options were exhausted. She had a sizable soft tissue defect, causing sexual, urinary, and confidence problems. Due to complications during the delivery, she sustained pelvic trauma and developed a posterior vaginal wall defect. We present a case of a 38-year-old female who, 12 years prior to presentation, had a vaginal delivery. To present a new reconstructive method for patients with posterior vaginal wall defects. However, this is not the case once there is a tissue defect. In most cases of laxity, a period of extensive physiotherapy can strengthen the pelvic muscles enough for symptoms to be minimized. ![]() More uncommon is a resulting vaginal defect. Post-partum vaginal laxity is a problem encountered by many women. Zetlitz, Elisabeth Manook, Miriam MacLeod, Alison Hamilton, Stuart A new reconstructive technique for posterior vaginal wall defects, a case report. ![]()
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