Uterine prolapse

A report comparing 2 techniques of posterior wall defect repair demonstrated that 17% of women had dyspareunia following posterior repair.[77]Abramov Y, Gandhi S, Goldberg RP, et al. Site-specific rectocele repair compared with standard posterior colporrhaphy. Obstet Gynecol. 2005 Feb;105(2):314-8. http://www.ncbi.nlm.nih.gov/pubmed/15684158?tool=bestpractice.com

Assessment of dyspareunia

Lower urinary tract symptoms, including urinary incontinence, may occur following a prolapse repair surgery.[19]American College of Obstetricians and Gynecologists. Urinary incontinence in women: ACOG practice bulletin no.155. Obstet Gynecol. 2015 Nov;126(5):e66-81. http://www.ncbi.nlm.nih.gov/pubmed/26488524?tool=bestpractice.com [65]Brubaker L, Cundiff GW, Fine P, et al; Pelvic Floor Disorders Network. Abdominal sacrocolpopexy with Burch colposuspension to reduce urinary stress incontinence. N Engl J Med. 2006 Apr 13;354(15):1557-66. https://www.nejm.org/doi/10.1056/NEJMoa054208 http://www.ncbi.nlm.nih.gov/pubmed/16611949?tool=bestpractice.com ​​​

Urinary incontinence in women

Constipation and faecal incontinence have also been reported as a possible complication of posterior repair.[77]Abramov Y, Gandhi S, Goldberg RP, et al. Site-specific rectocele repair compared with standard posterior colporrhaphy. Obstet Gynecol. 2005 Feb;105(2):314-8. http://www.ncbi.nlm.nih.gov/pubmed/15684158?tool=bestpractice.com

Faecal incontinence in adults

Neglected prolapsed uterus or vagina may be ulcerated, with tissue erosion. Erosion results from ischaemic changes and mechanical friction of the exposed area. Surgical treatment is recommended.[75]Shah HN, Badlani GH. Mesh complications in female pelvic floor reconstructive surgery and their management: a systematic review. Indian J Urol. 2012 Apr;28(2):129-53. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3424888 http://www.ncbi.nlm.nih.gov/pubmed/22919127?tool=bestpractice.com [76]Deffieux X, Letouzey V, Savary D, et al; French College of Obstetrics and Gynecology (CNGOF). Prevention of complications related to the use of prosthetic meshes in prolapse surgery: guidelines for clinical practice. Eur J Obstet Gynecol Reprod Biol. 2012 Dec;165(2):170-80. http://www.ncbi.nlm.nih.gov/pubmed/22999444?tool=bestpractice.com

Rarely, neglected prolapse can lead to renal failure. Patients with urinary retention may develop hydronephrosis, which consequently damages the renal parenchyma.

Immediate reduction of the prolapse is preferable by surgery and intraurethral catheterisation.

Nearly 30% of women undergoing one pelvic organ prolapse (POP) procedure have at least one more POP.[21]Olsen AL, Smith VJ, Bergstrom JO, et al. Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol. 1997 Apr;89(4):501-6. http://www.ncbi.nlm.nih.gov/pubmed/9083302?tool=bestpractice.com The risk factors for recurrent POP are unknown.