Pudendal enterocele with bladder involvement

Philippe E. Zimmern, Fred Miyazaki

Research output: Contribution to journalArticle

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Abstract

A 72-year-old diabetic woman presented with a large left labial mass followingmultiple prior vaginal surgeries to correct vaginal vault prolapse, including two failed right-sided sacrospinalis fixation procedures and a near total colpocleisis. After failure of conservative management, a translabial repair of this pudendal hernia containing bladder was performed. Return of the labial mass 9 months later prompted a more extensive abdominal approach. To close the defect in the urogenital diaphragm and prevent its recurrence, an absorbable mesh was used. Then, to prevent enterocele recurrence, vaginal vault suspension to the sacral promontory and closure of the Douglas pouch were performed. A review of the literature is presented, with an analysis of risk factors and corrective surgical techniques.

Original languageEnglish (US)
Pages (from-to)918-921
Number of pages4
JournalUrology
Volume44
Issue number6
DOIs
Publication statusPublished - 1994

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ASJC Scopus subject areas

  • Urology

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