Genitourinary prolapse occurs when there is descent of one or even more from the pelvic organs such as the uterus, bladder, rectum, big or small bowel, or vaginal vault. The anterior and/or posterior vaginal walls, the uterus and the vaginal vault can all be impacted by this descent. There's resulting protrusion of the vaginal walls and/or the uterus. It is almost always associated with urinary, bowel, sexual, or local pelvic symptoms..
Pathophysiology
The pelvic organs mostly are supported by the levator ani muscles and also the endopelvic fascia (a ligament network connecting the organs to the pelvic muscles and bones). Genitourinary prolapse occurs if this support structure is weakened through direct muscle trauma, neuropathic injury, disruption or stretching. A multifactorial cause for this damage is probably. The orientation and shape of the bones from the pelvis are also implicated in the pathogenesis of genitourinary prolapse..
The description from the laparoscopic treatment of genitourinary prolapse covers every aspect from the surgical treatment used for the management of genital prolapse.
Operating room set up, position of patient and equipment, instruments used are thoroughly described. The technical key steps from the surgical procedure are presented in a step by step way: exposure, dissection, posterior prosthesis, closure, promontory, vesico-vaginal dissection, anterior mesh, promontory fixation, repair of peritoneum, drainage/closure.
Consequently, this operating way is well standardized for that management of the condition.
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