Manchester Operation
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Manchester Operation
The Manchester operation, Manchester repair or simply Fothergill operation is a technique used in gynaecologic surgeries. It is an operation for uterine prolapse by fixation of the cardinal ligaments. Its purpose is to reduce the cystourethrocele and to reposition the uterus within the pelvis. The major steps of the intervention are listed below: # Preliminary dilatation and curettage # Amputation of cervix # strengthening the cervix by suturing cut end of Mackenrodt ligament in front of cervix # Anterior colporrhaphy # Posterior colpoperineorrhaphy High amputation of cervix during this procedure may cause cervical incompetence. Prognosis Success rate of Manchester operation was re-evaluated at the Department of Obstetrics and Gynecology of Hacettepe University School of Medicine, Ankara, Turkey for clinical characteristics, complications, and satisfaction scores of patients. A high degree of acceptance/satisfaction and a low morbidity rate show the Manchester operation to b ...
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Gynecology
Gynaecology or gynecology (see spelling differences) is the area of medicine that involves the treatment of women's diseases, especially those of the reproductive organs. It is often paired with the field of obstetrics, forming the combined area of obstetrics and gynecology (OB-GYN). The term comes from Greek and means "the science of women". Its counterpart is andrology, which deals with medical issues specific to the male reproductive system. Etymology The word "gynaecology" comes from the oblique stem (γυναικ-) of the Greek word γυνή (''gyne)'' semantically attached to "woman", and ''-logia'', with the semantic attachment "study". The word gynaecology in Kurdish means "jinekolojî", separated word as "jin-ekolojî", so the Kurdish "jin" called like "gyn" and means in Kurdish "woman". History Antiquity The Kahun Gynaecological Papyrus, dated to about 1800 BC, deals with gynaecological diseases, fertility, pregnancy, contraception, etc. The text is divided into th ...
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Uterine Prolapse
Uterine prolapse is when the uterus descends towards or through the opening of the vagina. Symptoms may include vaginal fullness, pain with sex, trouble urinating, urinary incontinence, and constipation. Often it gets worse over time. Low back pain and vaginal bleeding may also occur. Risk factors include pregnancy, childbirth, obesity, constipation, and chronic coughing. Diagnosis is based on examination. It is a form of pelvic organ prolapse, together with bladder prolapse, large bowel prolapse, and small bowel prolapse. Preventive efforts include managing chronic breathing problems, not smoking, and maintaining a healthy weight. Mild cases may be treated with a pessary together with hormone replacement therapy. More severe cases may require surgery such as a vaginal hysterectomy. About 14% of women are affected. It occurs most commonly after menopause. Causes The most common cause of uterine prolapse is trauma during childbirth, in particular multiple or difficult bir ...
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Cardinal Ligaments
The cardinal ligament (or Mackenrodt's ligament, lateral cervical ligament, or transverse cervical ligament) is a major ligament of the uterus. It is located at the base of the broad ligament of the uterus. There are a pair of cardinal ligaments in the female human body. Structure The cardinal ligament is a paired structure on the lateral side of the uterus. It originates from the lateral part of the cervix. It attaches to the uterosacral ligament. It attaches the cervix to the lateral pelvic wall by its attachment to the Obturator fascia of the Obturator internus muscle, and is continuous externally with the fibrous tissue that surrounds the pelvic blood vessels. It thus provides support to the uterus. It carries the uterine arteries to provide the primary blood supply to the uterus. Clinical significance The cardinal ligament may be affected in hysterectomy. Due to its close proximity to the ureters, it can get damaged during ligation of the ligament. It is routinely cu ...
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Cystourethrocele
A urethrocele is the prolapse of the female urethra into the vagina. Weakening of the tissues that hold the urethra in place may cause it to protrude into the vagina. Urethroceles often occur with cystoceles (involving the urinary bladder as well as the urethra). In this case, the term used is cystourethrocele. Signs and symptoms There are often no symptoms associated with a urethrocele. When present, symptoms include stress incontinence, increased urinary frequency, and urinary retention (difficulty in emptying the bladder). Pain during sexual intercourse may also occur. Complications Where a urethrocele causes difficulty in urinating, this can lead to cystitis. Cause Urethroceles can often result as a result of damage to the supporting structures of the pelvic floor. Urethroceles can form after treatment for gynecological cancers. Urethroceles are often caused by childbirth, the movement of the baby through the vagina causing damage to the surrounding tissues. When they occ ...
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Human Pelvis
The pelvis (plural pelves or pelvises) is the lower part of the Trunk (anatomy), trunk, between the human abdomen, abdomen and the thighs (sometimes also called pelvic region), together with its embedded skeleton (sometimes also called bony pelvis, or pelvic skeleton). The pelvic region of the trunk includes the bony pelvis, the pelvic cavity (the space enclosed by the bony pelvis), the pelvic floor, below the pelvic cavity, and the perineum, below the pelvic floor. The pelvic skeleton is formed in the area of the back, by the sacrum and the coccyx and anteriorly and to the left and right sides, by a pair of hip bones. The two hip bones connect the spine with the lower limbs. They are attached to the sacrum posteriorly, connected to each other anteriorly, and joined with the two femurs at the hip joints. The gap enclosed by the bony pelvis, called the pelvic cavity, is the section of the body underneath the abdomen and mainly consists of the reproductive organs (sex organs) and ...
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Genital Modification And Mutilation
The terms genital modification and genital mutilation can refer to permanent or temporary changes to human sex organs. Some forms of genital alteration are performed on adults with their informed consent at their own behest, usually for aesthetic reasons or to enhance stimulation. However, other forms are performed on people who do not give informed consent, including infants or children. Any of these procedures may be considered modifications or mutilations in different cultural contexts and by different groups of people. Reasons Religious The vast majority of genital cutting in the world is done for religious motives (though not all members of genital cutting religions adhere to the practice). Genital cutting is performed for reasons such as: # Rite of passage: circumcision in Islam () is typically performed during childhood before puberty. In Judaism, the religious male circumcision ceremony () is usually performed on infants. # Expression of religious identity: both in Jud ...
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Women's Health
Women's health differs from that of men in many unique ways. Women's health is an example of population health, where health is defined by the World Health Organization as "a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity". Often treated as simply women's reproductive health, many groups argue for a broader definition pertaining to the overall health of women, better expressed as "The health of women". These differences are further exacerbated in developing countries where women, whose health includes both their risks and experiences, are further disadvantaged. Although women in industrialised countries have narrowed the gender gap in life expectancy and now live longer than men, in many areas of health they experience earlier and more severe disease with poorer outcomes. Gender remains an important social determinant of health, since women's health is influenced not just by their biology but also by conditions such ...
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