Pelvic organs dysfunction (pod) and reconstructive surgical repair | ||
| The Egyptian Journal of Fertility and Sterility | ||
| Article 1, Volume 16, Issue 2 - Serial Number 11106352, June 2012, Pages 2-12 PDF (2.26 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/egyfs.2012.257686 | ||
| Author | ||
| Abdel Karim M. A. El Hemaly, Laila A. E. S. Mousa, Ahmad G. Serour Ibrahim M. Kandil* | ||
| Al Azhar University, 3 Emad El Din Kamel St. Nasr city, 11371, Cairo, Egypt | ||
| Abstract | ||
| Objective: By imaging with 3-dimension ultrasound (3DUS); MRI and by histopathology studies, we try to prove these three novel concepts. Materials & Methods: We chose three hundreds women suffering from stress urinary Incontinence (SUI), fecal incontinence (FI) and vaginal prolapse. In addition, we included QXOOLSDURXVLQIHUWLOHZRPHQZKRKDYHQRSHOYLFÀRRUG\VIXQFWLRQDVFRQWURO All patients and control were have their clinical history recorded, and were clinically examined and had been imaged with 3DUS and MRI. In addition, we took specimens from the IUS, IAS and the vagina and were prepared, examined microscopically, and compared to normal tissues. Results: Imaging with 3DUS and MRI proved the novel concepts and histopathological examinations proved that the IUS, IAS are cylinders of collagen-muscle tissues that surround the urethra and the anal canal. Rupture of the collagen layer lead to weakness of the sphincters and SUI and FI ensues. In addition, rupture of the collagen layer of the vagina leads to vaginal prolapse. Conclusion: Pelvic organs dysfunction is the main factor that leads to SUI, FI and vagiQDOSURODSVHDQGQRWSHOYLFÀRRUG\VIXQFWLRQ,QDGGLWLRQPRUHWKDQRQHWURXEOHFDQEH present in the patient simultaneously. | ||
| Keywords | ||
| Key words: Collagen; Urinary Continence; Fecal Incontinence (FI); Vaginal Prolapse; Three Dimension Ultra Sound (3DUS); MRI | ||
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