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• Anterior Vaginal Wall Prolapse Urethrocele: urethral descent Cystocele: bladder descent Cystourethrocele: descent of bladder and urethra Posterior Vaginal Wall Prolapse Rectocele: descent of rectum Enterocele: small bowel descent Apical Vaginal Wall Prolapse Uterovaginal: uterine descent with inversion of vaginal apex Vault: Post-hysterectomy inversion of vaginal apex • • .

.• • • Grade I: descent within the vagina Grade II: descent to the introitus Grade III: descent outside the introitus (also called procidentia) Most dependent portion of the prolapse is assessed when the patient is straining.

• • o o o o Congenital Acquired Childbirth Raised intraabdominal pressure Ageing Previous surgery .

such as urine leakage or urine retention difficult bowel movement ureteric kinking – acute renal failure .• • • • • • • • Lump local discomfort Backache bleeding and infection (if ulcerated) dyspareunia and apareunia Urinary problems.

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• Uterine preserving Hysterosacropexy The Manchester Repair Le Fort Colpocleisis Total Mesh Procedure using an introducer device • Procedures Involving hysterectomy Vaginal hysterectomy Total abdominal hysterectomy and Sacrocolpopexy Subtotal abdominal hysterectomy and sacrocervicopexy • • • • • • • .

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