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Delayed onset advanced pelvic organ prolapse after pelvic trauma in a nulliparous young female: case report



Delayed onset advanced pelvic organ prolapse after pelvic trauma in a nulliparous young female: case report



International Urogynecology Journal 22(6): 757-759



Reports have shown that high-energy pelvic trauma might be associated with advanced pelvic organ prolapse in conjunction with other causes. We report the case of a 21-year-old nulliparous, premenopausal, non-overweight woman with no predisposing factors for prolapse who developed stage IV massive pelvic organ prolapse and stress urinary incontinence 4 years after a severe pelvic traumatic accident. Most likely, the pelvic trauma, as a single factor, was the causative factor for the massive procidentia. The onset on the prolapse was delayed until 4 years after the pelvic accident. The patient was managed with sacrospinous ligament hysteropexy along with anterior and posterior vaginal wall repair and perineorrhaphy. Despite satisfactory surgical management, long-term regular follow-up is still required.

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Accession: 052475729

Download citation: RISBibTeXText

PMID: 21161180

DOI: 10.1007/s00192-010-1320-0


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