Levatorplasty for Symptomatic Posterior Prolapse due to Recurrent Malignant Ascites

Female Pelvic Medicine & Reconstructive Surgery
Alexcis P ThomsonLori R Berkowitz

Abstract

Although infrequently described, massive ascites due to malignancy contributes to symptomatic pelvic organ prolapse. A 73-year-old woman with recurrent ovarian cancer and massive ascites underwent a levatorplasty for repair of posterior prolapse after failing conservative management. Management of patient with cancer with prolapse is complex. Patients with cancer with ascites also have pelvic organ prolapse, in addition to other, better described sequelae of increased intra-abdominal pressure. These patients should be treated specifically for prolapse, with therapy, including type of surgery, chosen with special consideration of their underlying disease.

References

Feb 2, 2008·Obstetrics and Gynecology·Renée M Ward, Charles R Rardin
Apr 1, 2007·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Payal D PatelGopal H Badlani
Aug 17, 2010·Critical Reviews in Oncology/hematology·S BarniF Petrelli
Apr 14, 2011·International Urogynecology Journal·Deborah R KarpG Willy Davila
Oct 22, 2013·International Urogynecology Journal·Mickey Karram, Christopher Maher

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Citations

Jan 1, 2018·Nihon Hinyōkika Gakkai zasshi. The japanese journal of urology·Kumiko KatoRyohei Hattori

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