Neovaginoplasty
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Neovaginoplasty
Vaginoplasty is any surgical procedure that results in the construction or reconstruction of the vagina. It is a type of genitoplasty. Pelvic organ prolapse is often treated with one or more surgeries to repair the vagina. Sometimes a vaginoplasty is needed following the treatment or removal of malignant growths or abscesses in order to restore a normal vaginal structure and function. Surgery to the vagina is done to correct congenital defects to the vagina, urethra and rectum. It will correct protrusion of the urinary bladder into the vagina (cystocele) and protrusion of the rectum (rectocele) into the vagina. Often, a vaginoplasty is performed to repair the vagina and its attached structures due to trauma or injury. Labiaplasty, which alters the appearance of the vulva, can be performed as a discrete surgery, or as a subordinate procedure within a vaginoplasty. Congenital disorders such as adrenal hyperplasia can affect the structure and function of the vagina and sometimes t ...
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Labiaplasty
Labiaplasty (also known as labioplasty, labia minora reduction, and labial reduction) is a plastic surgery procedure for altering the labia minora (inner labia) and the labia majora (outer labia), the folds of skin surrounding the human vulva. There are two main categories of women seeking cosmetic genital surgery: those with congenital conditions such as intersex, and those with no underlying condition who experience physical discomfort or wish to alter the appearance of their genitals because they believe they do not fall within a normal range. The size, colour, and shape of labia vary significantly, and may change as a result of childbirth, aging, and other events. Conditions addressed by labiaplasty include congenital defects and abnormalities such as vaginal atresia (absent vaginal passage), Müllerian agenesis (malformed uterus and fallopian tubes), intersex conditions (male and female sexual characteristics in a person); and tearing and stretching of the labia minora caus ...
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Müllerian Agenesis
Müllerian agenesis, also known as Müllerian aplasia, vaginal agenesis, or Mayer-Rokitansky-Küster-Hauser syndrome (MRKH syndrome), is a congenital malformation characterized by a failure of the Müllerian ducts to develop, resulting in a missing uterus and variable degrees of vaginal hypoplasia of its upper portion. Müllerian agenesis (including absence of the uterus, cervix and/or vagina) is the cause in 15% of cases of primary amenorrhoea. Because most of the vagina does not develop from the Müllerian duct, instead developing from the urogenital sinus, along with the bladder and urethra, it is present even when the Müllerian duct is completely absent. Because ovaries do not develop from the Müllerian ducts, affected people might have normal secondary sexual characteristics but are infertile due to the lack of a functional uterus. However, parenthood is possible through use of gestational surrogates. Müllerian agenesis is hypothesized to be a result of autosomal dominant ...
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Heterograph
A homophone () is a word that is pronounced the same (to varying extent) as another word but differs in meaning. A ''homophone'' may also differ in spelling. The two words may be spelled the same, for example ''rose'' (flower) and ''rose'' (past tense of "rise"), or spelled differently, as in ''rain'', ''reign'', and ''rein''. The term ''homophone'' may also apply to units longer or shorter than words, for example a phrase, letter, or groups of letters which are pronounced the same as another phrase, letter, or group of letters. Any unit with this property is said to be ''homophonous'' (). Homophones that are spelled the same are also both homographs and homonyms, e.g. the word ''read'', as in "He is well ''read''" (he is very learned) vs. the sentence "I ''read'' that book" (I have finished reading that book). Homophones that are spelled differently are also called heterographs, e.g. ''to'', ''too'', and ''two''. Etymology "Homophone" derives from Greek ''homo-'' (ὁμο ...
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Allogenic
In ecology, allogenic succession is succession driven by the abiotic components of an ecosystem. In contrast, autogenic succession is driven by the biotic components of the ecosystem. An allogenic succession can be brought about in a number of ways which can include: *Volcanic eruptions *Meteor or comet strike *Flooding *Drought *Earthquakes * Non-anthropogenic climate change Allogenic succession can happen on a time scale that is proportionate with the disturbance. For example, allogenic succession that is the result of non-anthropogenic climate change can happen over thousands of years. Example The majority of Salt Marsh development comes from allogenic succession.  The constant exposure to water in the intertidal zone causes the soil of a salt marsh to change over time.  This results in sedimentation and nutrient buildup that also slowly raises the level of the land.  What started as a sandy soil with a slightly high pH level, eventually becomes a loamy soil with a more ne ...
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Hymenorrhaphy
Hymenorrhaphy or hymen reconstruction surgery is the temporary surgical restoration of the hymen. The term comes from the Greek words ''hymen'' meaning "membrane", and ''raphḗ'' meaning "surgical suture, suture". It is also known as ''hymenoplasty'', although strictly this term would also include hymenotomy. Such procedures are not generally regarded as part of mainstream gynecology, but are available from some plastic surgery centers, particularly in the United States, Middle East, South Korea and Western Europe, generally as outpatient surgery. The normal aim is to cause bleeding during post-nuptial Sexual intercourse, intercourse, which in some cultures is considered proof of virginity. Operation A purely cosmetic procedure in which a membrane without blood supply is created, sometimes including a gelatine capsule of an artificial bloodlike substance. This operation is intended to be performed within a few days before an intended marriage. Availability and legality So ...
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Surgical Mesh
Surgical mesh is a loosely woven sheet which is used as either a permanent or temporary support for organs and other tissues during surgery. Surgical mesh is created from both inorganic and biological materials and is used in a variety of surgeries. Though hernia repair surgery is the most common application, it can also be used for reconstructive work, such as in pelvic organ prolapse. Permanent meshes remain in the body, whereas temporary ones dissolve over time. One temporary mesh was shown in 2012 to fully dissolve after three years in a scientific trial on sheep. Some types of mesh combine permanent and temporary meshes which includes both resorbable vicryl, made from polyglycolic acid, and prolene, a non-resorbable polypropylene. Data of mechanical and biological behaviors of mesh ''in vivo'' may not always be reflective of conditions within the human body due to testing in non-human organisms. Most published reports experiment on mice, thus creating the likelihood of ...
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Prosthesis
In medicine, a prosthesis (plural: prostheses; from grc, πρόσθεσις, prósthesis, addition, application, attachment), or a prosthetic implant, is an artificial device that replaces a missing body part, which may be lost through trauma, disease, or a condition present at birth (congenital disorder). Prostheses are intended to restore the normal functions of the missing body part. Amputee rehabilitation is primarily coordinated by a physiatrist as part of an inter-disciplinary team consisting of physiatrists, prosthetists, nurses, physical therapists, and occupational therapists. Prostheses can be created by hand or with computer-aided design (CAD), a software interface that helps creators design and analyze the creation with computer-generated 2-D and 3-D graphics as well as analysis and optimization tools. Types A person's prosthesis should be designed and assembled according to the person's appearance and functional needs. For instance, a person may need a transra ...
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Graft (surgery)
Grafting refers to a surgical procedure to move tissue from one site to another on the body, or from another creature, without bringing its own blood supply with it. Instead, a new blood supply grows in after it is placed. A similar technique where tissue is transferred with the blood supply intact is called a flap. In some instances, a graft can be an artificially manufactured device. Examples of this are a tube to carry blood flow across a defect or from an artery to a vein for use in hemodialysis. Classification Autografts and isografts are usually not considered as foreign and, therefore, do not elicit rejection. Allografts and xenografts may be recognized as foreign by the recipient and rejected. * Autograft: graft taken from one part of the body of an individual and transplanted onto another site in the same individual, e.g., skin graft. * Isograft: graft taken from one individual and placed on another individual of the same genetic constitution, e.g., grafts between ...
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Retropubic Paravaginal Repair
A retropubic paravaginal repair is the surgical procedure to reattach the anterior lateral vaginal wall and its connective tissue to its normal position in the pelvis to correct pelvic organ prolapse. It may be necessary to preserve normal function of pelvic organs after the vagina has detached from its normal position and has moved along with underlying tissues away from the pelvic sidewall. A common finding in repairing this condition is that the arcus tendineus fasciae has become detached. The procedure is usually performed by a gynecological surgeon using pelvic surgery techniques. Women who experience stress incontinence Stress incontinence, also known as stress urinary incontinence (SUI) or effort incontinence is a form of urinary incontinence. It is due to inadequate closure of the bladder outlet by the urethral sphincter. Pathophysiology It is the loss of sma ... and who need a paravaginal repair often receive a Burch colposuspension to correct the problem. Referenc ...
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Recto-uterine Pouch
The rectouterine pouch (recto-uterine pouch), pouch of Douglas, or rectovaginal pouch is the extension of the peritoneum between the rectum and the posterior wall of the uterus in the human female. Its anterior boundary is formed by the posterior fornix of the vagina. Structure In women, the rectouterine pouch is the deepest point of the peritoneal cavity. It lies posterior to the uterus and anterior to the rectum. (The pouch on the other side of the uterus is the vesicouterine pouch.) It is near the posterior fornix of the vagina. It is normal to have approximately 1 to 3 ml (or mL) of fluid in the rectouterine pouch throughout the menstrual cycle. After ovulation there is between 4 and 5 ml of fluid in the rectouterine pouch. In men, the region corresponding to the rectouterine pouch is the rectovesical pouch, which lies between the urinary bladder and rectum. Clinical significance The rectouterine pouch, being the lowest part of the peritoneal cavity in a woman at supine p ...
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Prolapse
In medicine, prolapse is a condition in which organs fall down or slip out of place. It is used for organs protruding through the vagina, rectum, or for the misalignment of the valves of the heart. A spinal disc herniation is also sometimes called "disc prolapse". Prolapse means "to fall out of place", from the Latin ' meaning "to fall out". Relating to the uterus, prolapse condition results in an inferior extension of the organ into the vagina, caused by weakened pelvic muscles. Humans Heart valve prolapse The main type of prolapse of heart valves in humans is mitral valve prolapse (MVP), which is a valvular heart disease characterized by the displacement of an abnormally thickened mitral valve leaflet into the left atrium during systole. ''Tricuspid valve prolapse'' can cause tricuspid regurgitation.Page 41 in: Rectal prolapse Rectal prolapse is a condition in which part of the wall or the entire wall of the rectum falls out of place. Rectal prolapse can be a medical em ...
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