Explain: Pelvic relaxation syndrome

Content: Anterior colporraphy

Clinical Information:

The female patient had bearing down sensation, back soreness and lower abdominal pain for years. Palpable protruding prolapsed [[uterus, vaginal wall]] was noted.

ICS staging {{I, II, III, IV}}.

Urodynamic study {normal finding, GSI, D.I., mixed incontinence, not done}} was noted.

Pad test : gm.

Menopause {{ +, -}}.

Hormone replacement therapy: {{yes, no}}

Urogynecologic ultrasonography {{ +, -}}.

Previous pelvic surgical history: [[no, Burch, Laparoscopic Burch, EBNS, Raz, Stamy, TVT, anterior colporraphy, posterior colporraphy, VTH, colposacropexy, S-S ligament suspension, others]]

Operative Procedures:

Type of operation: Anterior colporraphy [[VTH, anterior colporraphy, posterior colporraphy, EBNS, Raz, Stamy, TVT]].

Inverted T incision is made in the vaginal mucosa, the mucosa is separated from the underlying fascia up to 0.5 cm from the external urethral meatus, the vaginal mucosa is dissected off the underlying fascia which lips on the bladder. The vaginal mucosa is then dissected laterally for 3‑4 cm. After the bladder pillars have been ligated, the bladder is pushed up higher. Three or four Kelly sutures are placed over the bladder neck p Foley catheter is inserted, then a purse‑string suture is placed on the remain bladder wall and tied. The excess vaginal mucosa is cut away, a continuous 2-0 Dexon suture is uses to close the vertical incision and the remaining vaginal cuff.

{{1,2,3,}}	{{1,2,3,}}	{{1,2,3,4,5,6,7,8,}}
{{2.5,3.5,4.5,}}	{{1,2,3,}}	{{1,2,3,4,5,6,7,8,}}
{{1,2,3,}}	{{1,2,3,}}	{{1,2,3,4,5,6,7,8,}}

Operative Findings:

Cystocele grade {{ I, II, III }}

Rectocele {{ I, II, III }}

Enterocele{{ +, -}}

ICS staging {{I, II, III, IV}}.

{{Uterine prolapse, Vaginal cuff eversion}}: {{ I, II, III }}

Complication: [[massive bleeding, ureter injury, bladder injury, intestine injury, _______________]].

Dr:________________. Date: _______________.