Transcription of Pelvic Organ Prolapse - UMIN
1 65 25 5 10 25 5 10 Pelvic Organ Prolapse 1 80 80 20 59 30 50 20 59 30 50 55 44 QOL Successful Aging 100 90 Perinatal Medicine, Maternal & Fetal Medicine Gynecologic Oncology Reproductive Endocrinology Women s Health CarePelvicFloorMedicine&ReconstructiveSu rgeryPelvic Floor Medicine&ReconstructiveSurgery ( , , , etc)
2 PelvicOrganProlapse Pelvic Organ Prolapse Pelvic Organ Prolapse Genitalprolapse Genitalprolapse POP DeLancey I I II II III Heiss AB ECD 1 2 3 70 79 60 69 50 59 BMI25 30 88cm BMI25 BMI30 HRT 1 005115225 0 1 2 1 2 Hendrix SL.
3 2004 POP 12 Pelvic Organ Prolapse POPP elvic Organ Prolapse , POP OABSS OABSS Q-Tip bonney QOLQOL QOLQOL 20 Kegel VaginalconeVaginal cone
4 54mm71mm McCall McCall I McCall Inmon Manchester Tension-freeMcCall Vaginal Mesh (TVM) McCall Mayo Halban McCall Moschowitz(TVM)II Nichols Tension-freeVaginalM-M-K Burch III Vaginal Tape (TVT)
5 Burch McCall McCall McCall Anterior colporrhaphy Burch POP POP 20 40% 60% 30% Muchlikerebarin Much like rebar in concrete, the stress at anyonepointisconcreteany one point is distributed over the entireareaoftheentire area of the graftRebar TVM Tension-free Vaginal Mesh g Tension-free 2 2 1 1 Erosion Erosion Vaginalerosion Vaginalerosion Infection Rejection j Shrinkage Abscess ( 33)
6 2008 FDA 2008 10 2010 12 1503 FDA 2008 10 2010 12 1503 FDA 2011 9 TVM DeLancey stageIII DeLancey stageIII TVM TVM native tissue repair 36
