Pelvic organs dysfunction (pod) and reconstructive surgical repair

Document Type : Original Article

Author

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
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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.

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