Vagina midline defect

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A cystocelealso known as a prolapsed bladderis a medical condition in which a woman's bladder bulges into her vagina. Causes include childbirthconstipationchronic coughheavy lifting, hysterectomygeneticsand being overweight. If the cystocele causes few symptoms, avoiding heavy lifting or straining may be all that is recommended.

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Perineal groove is a rare congenital malformation that is characterized by an exposed wet sulcus with nonkeratinized mucous membrane that extends from the posterior vaginal fourchette to the anterior ridge of the anal orifice. Although, this condition may be self-resolved before the age of 2 years, this nonepithelized mucous membrane can pose the risk of local irritation and infection, urinary tract infection, and the possibility of nonself-resolved condition that eventually needs surgical correction. This lesion could be misdiagnosed as contact dermatitis, trauma, or even sexual abuse.

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Either your web browser doesn't support Javascript or it is currently turned off. In the latter case, please turn on Javascript support in your web browser and reload this page. This study assesses relative contributions of "midline defects" widening of the vagina and "paravaginal defects" separation of the lateral vagina from the pelvic sidewall.

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DEE E. Fenner is Harold A. Furlong Professor of obstetrics and gynecology, director of gynecology, and associate chair for surgical services, department of obstetrics and gynecology, University of Michigan, Ann Arbor, Mich.

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For more than years, gynecologic surgeons have been taught that the vaginal defects causing anterior and posterior vaginal prolapse result either from generalized midline stretching or thinning of the pubocervical fascia, or from lateral or paravaginal injuries. The pubocervical fascia is a common surgical term for the fibromuscular coat of the vaginal epithelium. Histologically, it is indistinguishable from the deep vaginal wall and does not look like a distinct fascial layer.

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The paravaginal defect has been a topic of active discussion concerning 1 what it is; 2 how to diagnose it; 3 its role in anterior vaginal wall prolapse; and 4 if and how to repair it. The aim of this article is to review the existing literature on the paravaginal defect and to discuss its role in the anterior vaginal wall support system, with an emphasis on anatomy and imaging. Studies conclude that physical examination is inconsistent in detecting paravaginal defects.

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Use the link below to share a full-text version of this article with your friends and colleagues. Learn more. Within the literature, terminology is confusing, both on anatomical structures and classification of anterior vaginal wall prolapse.

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A transverse vaginal septum can occur at many different levels of the vagina. A large percentage of women with a transverse vaginal septum have a small hole or fenestration within the transverse vaginal septum, so they may have regular menstrual periods, although the periods may last longer than the normal day cycle. During an examination, a woman may find that she has a normal hymeneal opening and a lower vagina. As one enters the vagina there will be a fibrous wall of tissue and this is the transverse vaginal septum.

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Anterior vaginal wall prolapse, or cystocele, is defined as pathologic descent of the anterior vaginal wall and overlying bladder base. The cause of anterior vaginal wall prolapse is not completely understood but is probably multifactorial, with different factors implicated in individual patients. Until recently, two types of anterior vaginal wall prolapse were described: distention and displacement cystocele.

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If your institution subscribes to this resource, and you don't have a MyAccess Profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus. Posterior vaginal wall prolapse includes rectoceles, enteroceles, and sigmoidoceles and often occurs in combination with other pelvic support problems. Isolated rectoceles are quite rare.

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