WOMENS-HEALTH Messages for June, 1997: Re: bladder, vaginal & pelvic support

Re: bladder, vaginal & pelvic support

From: Jeffrey Welgoss, MD (anonymous@obgyn.net)
Thu, 12 Jun 1997 14:47:36 -0500 (CDT)

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In reply to: Dr: "Re: bladder, vaginal & pelvic support"

At Sun, 8 Jun 1997, Dr wrote: >
>At Sun, 8 Jun 1997, anonymous@obgyn.net wrote:
>>
>>What procedure can be done to correct a prolapsed vagina & bladder,
>>along with weak lower abdominal supporting structures? Can this be
>>corrected by a Marshall-Marchetti, or this used only for incontinence?
>>There is no leaking at this time, however in spite of doing lower
>>abdomininal exercises, there is still the sagging & pelvic pressure.
>
>--
>
>Marshall-Marchetti or Burch procedures are, above all, designed to
>correct stress incontinence. The modified Stanton procedure can help a
>little bit but no more. If the main problem is the prolapsus the
>treatment would be made through vaginal way. It is the only way to
>reduce the excess of vaginal tissue by taking it away.
>
>--
>Bernard Cristalli MD CNGOF
>Paris - France
>http://www.obgyn.net/corresp/cristalli.htm
>

--
I would like to add that correction of the pelvic organ prolapse
can also be performed adequately through the abddominal route.
In the most recent (and only to my knowledge) prospective
randomized trial comparing abdominal and vaginal reconstructive
approaches the abdominal route proved superior.  It also allows
for abdominal correction of urinary stress incontinence which
has also been shown to be superior over the vaginal route.

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