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Previous Volume 350:2699-2706 June 24, 2004 Number 26 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

A 46-year-old woman was admitted to the hospital because of pelvic discomfort and urinary symptoms.

The patient had been well until 10 months earlier, when she had experienced the rapid but otherwise uncomplicated vaginal delivery of her second child. A second-degree laceration (a tear in the vaginal mucosa that did not include the anal sphincter) had occurred and had been repaired. At her six-week, postpartum examination, she told her physician that she had a vaginal bulge.

On initial evaluation, the patient said she had no urinary or bowel symptoms. A physical examination revealed a third-degree cystocele (in which the anterior . . . [Full Text of this Article]

Differential Diagnosis

The Roles of Pregnancy and Delivery in Pelvic-Floor Dysfunction

Pelvic-Organ Prolapse

Urinary Incontinence

Fecal Incontinence

Discussion of Management

Conservative Management

Surgical Management

Prevention of Pelvic-Floor Dysfunction

Anatomical Diagnosis

Source Information

From the Department of Obstetrics, Gynecology, and Reproductive Biology, Massachusetts General Hospital and Harvard Medical School.

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