Vaginal enterocele repair

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Hear Dr. Karram discuss ways to avoid potential hazards when performing high uterosacral suspension of the prolapsed vaginal apex. Mickey Karram, MD Dr.

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Anterior and posterior vaginal wall prolapse involve protrusion of an organ into the vaginal canal. Anterior vaginal wall prolapse is commonly referred to as cystocele or urethrocele when the bladder or urethra is involved. Posterior vaginal wall prolapse is commonly referred to as enterocele when the small intestine and peritoneum are involved and rectocele when the rectum is involved.

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There are several ways to surgically treat pelvic organ prolapse. There is no one right answer for all patients. We suggest a consultation with one of our doctors, to determine which option is best for each patient.

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The urologist actively involved in the treatment of female genitourinary disease must to be able to recognize and treat various forms of pelvic prolapse. Enterocele is commonly seen in conjunction with stress urinary incontinence and cystocele or it may result from surgery to correct these problems. Many techniques to correct enterocele have been developed, including transvaginal repairs as well as intra-abdominal procedures such as the Moschcowitz technique or colpofixation to the sacrum for enterocele with vault prolapse.

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Watkins Interposition Operation. Enterocele is a hernia of the lining of the peritoneal cavity with or without abdominal viscera. The enterocele can occur posteriorly with or without inversion of the vagina.

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Jump to content. A rectocele occurs when the end of the large intestine rectum pushes against and moves the back wall of the vagina. An enterocele small bowel prolapse occurs when the small bowel presses against and moves the upper wall of the vagina.

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An enterocele en-tuh-roh-sealalso called small bowel prolapse, occurs when the small intestine moves down and pushes at the top part of the vagina. This creates a bulge see Figure 1. Figure 1.

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Disabling symptoms of pelvic discomfort and obstructed defaecation are frequently attributed to posterior pelvic floor disorders, such as enterocele and rectocele. Enterocele is defined as a herniation of the peritoneal sac between the vagina and the rectum. Unlike other types of pelvic organ prolapse, enterocele is a true herniation with a peritoneal sac containing small bowel or sigmoid colon.

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Enterocele is the descending of the small intestine into the lower pelvic cavity. When this occurs, the small intestine pushes on the top part of the vagina, creating a bulge. It is a form of pelvic organ prolapse.

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Small bowel prolapse enterocele occurs when muscles and tissues that hold the intestines small bowel in place inside the pelvic cavity weaken, causing the small bowel to descend and bulge into the vagina. Small bowel prolapse, also called enterocele EN-tur-o-seeloccurs when the small intestine small bowel descends into the lower pelvic cavity and pushes at the top part of the vagina, creating a bulge. The word "prolapse" means to slip or fall out of place. Childbirth, aging and other processes that put pressure on your pelvic floor may weaken the muscles and ligaments that support pelvic organs, making small bowel prolapse more likely to occur.

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