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June 19, 2013
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Vaginal Prolapse (cont.)

Medical Author:
George Lazarou, MD, FACOG
Medical Editor:
Melissa Conrad Stöppler, MD, Chief Medical Editor
Melissa Conrad Stöppler, MD, Chief Medical Editor
Melissa Conrad Stöppler, MD, Chief Medical Editor

Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.

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Vaginal Prolapse Pictures

Media file 1: Sites where a rectocele may occur.
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Media type: Image

Media file 2: The vagina and supportive structures. The paracolpium extends along the outside wall of vagina.
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Media type: Image

Media file 3: Level I is suspension and level II is attachment. The paracolpium suspends the vagina from the lateral pelvic walls in level I. These fibers extend vertically and posteriorly toward the sacrum. The vagina in level II is attached to the arcus tendineus fascia of pelvis and superior fascia of levator ani.
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Media type: Image

Media file 4: Level II and III detail. In level III, the vagina is fused to the medial surface of the levator ani muscles, urethra, and perineal body. The anterior surface of the vagina at its attachment to the arcus tendineus fascia pelvis forms the pubocervical fascia, while the posterior surface forms the rectovaginal fascia.
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Media type: Image

Media file 5: Enterocele and massive vaginal eversion. Posthysterectomy vaginal vault prolapse.
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Media type: Photo

Media file 6: Relaxed vaginal outlet. This elderly woman had a large rectocele and pronounced perineal body relaxation. The anterior repair and incontinence procedure had already been performed.
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Media type: Photo

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Read What Your Physician is Reading on Medscape

Enterocele and Massive Vaginal Eversion »

Massive vaginal vault prolapse (uterovaginal prolapse) is a devastating condition with discomfort and genitourinary and defecatory abnormalities as the primary consequences.

Read More on Medscape Reference »


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