title: Delayed onset advanced pelvic organ prolapse after pelvic trauma in a nulliparous young female: case report.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Chang Gung University, Taoyuan, Taiwan, Republic of China.
authors.forename: Po-Chun
authors.initials: PC
authors.lastname: Ko
authors.forename: Tsia-Shu
authors.initials: TS
authors.lastname: Lo
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D010298:Parity; D010388:Pelvis / Q000293:injuries*; D014596:Uterine Prolapse / Q000209:etiology* / Q000601:surgery; D014621:Vagina / Q000601:surgery; D055815:Young Adult