Genital Prolapse in a Newborn Following Resection of Sacrococcygeal Teratoma

Neonatal genital prolapse usually occurs during the first few days of life and presents as a tumor mass protruding from the vulva. We present a 15-day-old female neonate who developed neonatal genital prolapse following the operation of sacral teratoma. We suggest that sacral teratoma operation may be a significant predisposing factor for genital prolapse in neonates and the neonatal vaginal prolapse may be one of the differential diagnoses of interlabial mass during the late neonatal period.     

Free Full-Thickness Vaginal Epithelium Graft in Correction of Recurrent Genital Prolapse

Recurrence of a cystocele, rectocele or enterocele following a previous vaginal repair procedure can be an awkward problem to correct. This preliminary report suggests a simple yet very effective method of dealing with such defects.     

Reproductive Performance Following Sleeve Excision Anastomosis Operation for Genital Prolapse

Genital prolapse is a disorder of pelvic support and is one of the most frequent disorders encountered in our gynaecological practice. Our social and cultural background predisposes to this condition to occur at an age which is reported to be earlier than any part of the world. Over a period of 4 years, 1986-1989, 17 cases were studied in whom the Sleeve Excision anastomosis operation was carried out, either at the Lokmanya Tilak Municipal General Hospital, Sion, Bombay, India or in some other hospital. All these patients were either admitted in active labour or as cases of abortions or were being treated for infertility. The incidence of full-term normal vaginal delivery in our study was 66.6% and the incidence of Caesarean section was 8.3%. There was 1 case of posterior wall rupture following previous sleeve excision anastomosis operation. The recurrence rate of prolapse in our series was only 7.7%. The Sleeve excision anastomosis operation has given excellent anatomical and obstetric results in our study and future multicentric trials will be necessary to study its effect on subsequent fertility to arrive at any final conclusion.     

Menopause Leading to Increased Vaginal Wall Thickness in Women with Genital Prolapse: Impact on Sexual Response

IntroductionHypoestrogenism causes structural changes in the vaginal wall that can lead to sexual dysfunction. A reduction in vaginal wall thickness has been reported to occur after menopause, although without precise morphometry.AimTo measure vaginal wall thickness in women with genital prolapse in normal and hypoestrogenic conditions and to correlate sexual dysfunction with vaginal wall thickness and estradiol levels.MethodsSurgical vaginal specimens from 18 normoestrogenic and 13 postmenopausal women submitted to surgery for genital prolapse grades I and II were examined. Patients were evaluated for FSH, estradiol, prolactin, glycemia, and serum TSH levels. For histological analysis, samples were stained with Masson's trichrome and hematoxylin‐eosin. Sexual function was assessed by the Golombok‐Rust Inventory of Sexual Satisfaction (GRISS).Main Outcome MeasuresGRISS questionnaire, histological analysis, morphometric methods, Masson's trichrome.ResultsThe vaginal wall was thicker in the postmenopausal than premenopausal group (2.72 ± 0.72 mm and 2.16 ± 0.43, P = 0.01, and 2.63 ± 0.71 mm and 2.07 ± 0.49 mm, P = 0.01, for the anterior and posterior walls, respectively). These thicknesses seem to be due to the muscular layer, which was also thicker in the postmenopausal group (1.54 ± 0.44 and 1.09 ± 0.3 mm, P = 0.02, and 1.45 ± 0.47 and 1.07 ± 0.44 mm, P = 0.03, for the anterior and posterior wall, respectively). The vaginal epithelium was thinner in the middle segment than in the proximal one in the posterior wall (0.17 ± 0.07 mm, 0.15 ± 0.05 mm, 0.24 ± 0.09 mm, P = 0.02). There was no correlation between coital pain, vaginal wall thickness, and estradiol levels in either group.ConclusionThe vaginal wall is thicker after menopause in women with genital prolapse. In this study, vaginal thickness and estrogen levels were not related to sexual dysfunction. da Silva Lara LA, Ribeiro‐Silva A, Rosa‐e‐Silva JC, Chaud F, Silva‐de‐Sá MF, Meireles e Silva AR, and Rosa‐e‐Silva ACJS. Menopause leading to increased vaginal wall thickness in women with genital prolapse: impact on sexual response.     

Assessment of Body Image,Sexual Function,and Attractiveness in Women With Genital Prolapse: A Cross-Sectional Study With Validation of the Body Image in the Pelvic Organ Prolapse (BIPOP) Questionnaire

Introduction

Women’s sense of attractiveness and body image, and the impact of pelvic organ prolapse (POP) over these constructs, are likely influenced by social and cultural background.