Erschienen in:
01.07.2009 | Case Report
Uterine prolapse after pelvic trauma: case report and literature review
verfasst von:
Themistoklis Mikos, Alexios Papanicolaou, Tryfon Tsalikis, Evangelos Ioannidis
Erschienen in:
International Urogynecology Journal
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Ausgabe 7/2009
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Abstract
Up to date, the connection of pelvic trauma with genital prolapse is not widely recognized. These cases could be classified in a group where disruption of normal anatomy of the pelvis is apparent (i.e., pelvic fracture), and in a second group, where pelvis remains unaffected by the pelvic trauma (i.e., seat belt-related injuries). The aim of the report is to describe the management of a 39-year-old nulliparous patient presenting with stage III uterine prolapse after pelvic trauma; the patient had a history of Mitrofanoff’s procedure for neurogenic bladder followed by closure of the bladder neck and permanent suprapubic urinary catheter for intractable incontinence. The prolapse was managed with a mesh anterior colporraphy combined with sacrospinous hysteropexy. At 3 months follow-up, she is well with no prolapse recurrence.