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

作者：Ko Po Chun; Lo Tsia Shu^*

来源：International Urogynecology Journal and Pelvic Floor Dysfunction, 2011, 22(6): 757-759.

DOI：10.1007/s00192-010-1320-0

• Pelvic organ prolapse
• Pelvic trauma
• Regarding pregnancy
• Sacrospinous ligament fixation
• Stress urinary incontinence
• Without mesh repair

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.

• 出版日期2011-6
• 单位长春大学