Uterine prolapse after pelvic trauma: case report and literature review.
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.
Mikos
Themistoklis
T
Department of Urogynecology, 1st Department of Obstetrics and Gynecology, Aristotle University of Thessaloniki, Papageorgiou General Hospital, 56 403, Thessaloniki, Greece. themis.mikos@gmail.com
Papanicolaou
Alexios
A
Tsalikis
Tryfon
T
Ioannidis
Evangelos
E
D000328:Adult; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D010388:Pelvis / Q000293:injuries*; D013526:Surgical Mesh; D014596:Uterine Prolapse / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery; D014947:Wounds and Injuries / Q000150:complications*