vaginal vault prolapse

腟断端脱

WordNet

1. bound vigorously
2. a strongroom or compartment (often made of steel) for safekeeping of valuables (同)bank vault
3. a burial chamber (usually underground) (同)burial vault
4. the act of jumping over an obstacle (同)hurdle
5. an arched brick or stone ceiling or roof
6. jump across or leap over (an obstacle) (同)overleap
7. slip or fall out of place, as of body parts; "prolapsed rectum"
8. the slipping or falling out of place of an organ (as the uterus) (同)prolapsus, descensus
9. (architecture) a vaulted structure; "arches and vaulting"
10. the lower part of the female reproductive tract; a moist canal in female mammals extending from the labia minora to the uterus; "the vagina receives the penis during coitus"; "the vagina is elastic enough to allow the passage of a fetus"
11. of or relating to the vagina; "vaginal suppository"

PrepTutorEJDIC

1. 〈C〉(石・コンクリート・れんがなどでできた)『アーチ型天井』,『丸屋根』,丸天井 / 〈U〉《the ~》《詩》丸天井に似たもの,青天井,大空 / 〈C〉(特に貯蔵用に使われる)『地下室』 / 〈C〉(特に銀行などの)金庫宝,貴重品管理室 / 〈C〉(教会・墓地の)地下納骨堂 / 〈建物など〉‘に'丸天井をつける / 〈建物など〉‘を'丸天井様式にする
2. 《副詞[句]を伴って》(手で支えたり棒を使って)飛ぶ,飛び越える / …‘を'飛び越える / 手で支えたり棒を使ったりして飛ぶこと
3. (腸・子宮などの)脱出,下垂
4. アーチ形天井,半筒天井 / 丸天井造り(構造)
5. 手で支えたり棒を使って飛び上がる(飛び越す) / 誇張された,大げさな
6. 膣
7. 膣の(に関する)

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2013/11/17 15:36:33」(JST)

wiki en

[Wiki en表示]

Female Genital prolapse / Pelvic organ prolapse
Classification and external resources
ICD-10	N81
ICD-9	618
DiseasesDB	25265
MeSH	D014596

Female genital prolapse (or vaginal prolapse or pelvic organ prolapse) is characterized by a portion of the vaginal canal protruding (prolapsing) from the opening of the vagina. The condition usually occurs when the pelvic floor collapses as a result of childbirth.

Types

• Cystocele (bladder into vagina)
• Enterocele (small intestine into vagina)
• Rectocele (rectum into vagina)
• Urethrocele (urethra into vagina)
• Uterine prolapse (uterus into vagina)
• Vaginal vault prolapse (roof of vagina) - after Hysterectomy

Grading

POP-Q Points

They are graded either via the Baden-Walker System or Shaw's System or the Pelvic Organ Prolapse Quantification (POP-Q) System.

Shaw's System

• Anterior wall

  *Upper 2/3 cystocele
  *Lower 1/3 urethrocele

• Posterior wall

  *Upper 1/3 enterocele
  *Middle 1/3 rectocele
  *Lower 1/3 deficient perenium

• Uterine prolapse

  *Grade 0 Normal position
  *Grade 1 decent into vagina not reaching introitus
  *Grade 2 decent up to the introitus
  *Grade 3 decent outside the introitus
  *Grade 4 Procenditia

Baden-Walker

Baden-Walker System for the Evaluation of Pelvic Organ Prolapse on Physical Examination

Grade	posterior urethral descent, lowest part other sites
0	normal position for each respective site
1	descent halfway to the hymen
2	descent to the hymen
3	descent halfway past the hymen
4	maximum possible descent for each site

POP-Q

Pelvic Organ Prolapse Quantification System (POP-Q)

Stage	description
0	No prolapse anterior and posterior points are all -3 cm, and C or D is between -TVL and -(TVL-2) cm.
1	The criteria for stage 0 are not met, and the most distal prolapse is more than 1 cm above the level of the hymen (less than -1 cm).
2	The most distal prolapse if between 1 cm above and 1 cm below the hymen (at least one point is -1, 0, or +1).
3	The most distal prolapse is more than 1 cm below the hymen but no further than 2 cm less than TVL.
4	Represents complete procidentia or vault eversion; the most distal prolapse protrudes to at least (TVL-2) cm.

Management

Vaginal prolapses are treated according to the severity of symptoms. They can be treated:

• With conservative measures (changes in diet and fitness, Kegel exercises, etc.)^{[citation needed]}
• With surgery (for example Colpocleisis). Surgery is used to treat symptoms such as bowel or urinary problems, pain, or a prolapse sensation. A Cochrane Collaboration review found that limited data are available on optimal surgical approaches, including the use of transvaginal surgical mesh, in the form of a patch or sling, similar to its implementation for abdominal hernia.

Epidemiology

Genital prolapse occurs in about 316 million women worldwide as of 2010 (9.3% of all females).

See also

• Perineometer
• Pessary
• trans-vaginal mesh

References

External links

• Selected abstracts from recent medical literature on vaginal and uterine prolapse
• Vaginal Mesh FDA Alert

UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

• 1. 女性の骨盤臓器脱：先端脱（子宮脱または膣円蓋脱）の外科的修復 pelvic organ prolapse in women surgical repair of apical prolapse uterine or vaginal vault prolapse
• 2. 女性の骨盤臓器脱：疫学、危険因子、臨床症状、マネージメント pelvic organ prolapse in women epidemiology risk factors clinical manifestations and management
• 3. 臓器脱および尿失禁のペッサリー治療 vaginal pessary treatment of prolapse and incontinence
• 4. 女性の骨盤臓器脱：診断的評価 pelvic organ prolapse in women diagnostic evaluation
• 5. 女性の骨盤臓器脱：一次手術の術式選択 pelvic organ prolapse in women choosing a primary surgical procedure

English Journal

• Authors' reply re: Pelvic organ prolapse and incontinence 15-23 years after first delivery: a cross-sectional study.

• Volløyhaug I1,2, Mørkved S3, Salvesen K1,4.
• BJOG : an international journal of obstetrics and gynaecology.BJOG.2015 Nov;122(12):1715. doi: 10.1111/1471-0528.13588.
• PMID 26498309

• Re: Pelvic organ prolapse and incontinence 15-23 years after first delivery: a cross-sectional study.

• Georgiou C1, Raja M1, Ye W2, Grosu L1, Jaffar H1, Neale E1, Mahran M1.
• BJOG : an international journal of obstetrics and gynaecology.BJOG.2015 Nov;122(12):1714-1715. doi: 10.1111/1471-0528.13587.
• PMID 26498307

• Total pelvic floor ultrasound for pelvic floor defaecatory dysfunction: a pictorial review.

• Hainsworth AJ1, Solanki D1, Schizas AM1, Williams AB1.
• The British journal of radiology.Br J Radiol.2015 Nov;88(1055):20150494. doi: 10.1259/bjr.20150494. Epub 2015 Sep 21.
• Total pelvic floor ultrasound is used for the dynamic assessment of pelvic floor dysfunction and allows multicompartmental anatomical and functional assessment. Pelvic floor dysfunction includes defaecatory, urinary and sexual dysfunction, pelvic organ prolapse and pain. It is common, increasingly r
• PMID 26388109

Japanese Journal

• 直腸脱を合併した骨盤臓器脱（腟断端脱、直腸瘤）に対して一期的に腹腔鏡下仙骨腟固定術および直腸固定術を施行した1例

• 滋賀医科大学雑誌 30(1), 76-80, 2017-03-09
• NAID 120006330561

• 当院におけるLSC（Laparoscopic sacral colpopexy）の治療成績

• 日本産科婦人科内視鏡学会雑誌 31(1), 238-243, 2015
• NAID 130005117771

• 子宮摘出後の腟断端脱の手術 : 腟断端脱に対する術式とその特徴 (手術手技 女性泌尿器関連の手術 : 基本手技とコツ(5))

• 臨床泌尿器科 = Japanese journal of clinical urology 68(13), 1060-1068, 2014-12
• NAID 40020282317

Related Links

• Vaginal Vault Prolapse

It is vital that a vaginal vault suspension be completed at the time of prolapse surgery if vault prolapse is evident, which in many cases it is. Vaginal vault prolapse can also occur in many patients months or years after a ...

• Vaginal Vault Prolapse - National Center for Biotechnology ...

Coexistent pelvic floor defects which may be a cystocoele, rectocoele or enterocoele are present in 72% of patients with vault prolapse [2]. Prolapse does have a negative impact on these women's quality of life due to ...

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★リンクテーブル★

リンク元	「腟断端脱」
関連記事	「prolapse」「vault」「prolapsed」「vaginal」

「腟断端脱」

　　[★]

英

vaginal vault prolapse

「prolapse」

　　[★]

• n.

• 逸脱、脱出、脱出症

• v.

• 逸脱する、脱出する

関

aberration、departure、deviate、deviation、diverge、escape、hernia

　 　 　

「vault」

　　[★]

• n.

• 円蓋

• v.

関

円蓋部

fornix、jump、leap、skip

　 　 　 　 　 　 　 　

「prolapsed」

　　[★]

• adj.

• 脱出性の

関

herniated

• ex.

• prolapsed true hemorrhoids. internal hemorrhoids

「vaginal」

　　[★]

• adj.

• 腟の、膣の

関

vagina、vaginalis