Signs of herniosis in women with vaginal prolapse and/or stress incontinence.

Hernia : the Journal of Hernias and Abdominal Wall Surgery
Raymond C Read

Abstract

Gynecological literature pertaining to prolapse or stress urinary incontinence published over the past four decades was reviewed to determine whether signs of herniosis, the systemic connective tissue co-morbidity known to play a significant role in abdominal herniation, were present and differed from controls. A total of eight indications were reported: (1) Genetic factors, i.e., family history and race, were predictive. (2) An increase in the incidence was observed in association with heritable diseases of collagen and their formes frustes (e.g., joint laxity). (3) Recurrence rate after repair was high (30%). (4) Fragmentation and degeneration of smooth muscle and collagen fibers were observed histologically. (5) Biochemistry demonstrated a decline of 24-40% in collagen content of skin, round ligament, cardinal ligament, periurethral vaginal wall, cervix, pubocervical, cervicococcygeal, and vesicovaginal fasciae. (6) In patients with stress urinary incontinence, collagen content decreased 60%. This change was independent of age, parity, menopausal status, and weight. (7) Matrix metalloproteinase (MMP-2 and MMP-9) activity increased fourfold and that of their inhibitor TIMP-1 decreased. (8) Cigarette smoking, an acquired facto...Continue Reading

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Citations

Nov 13, 2009·Hernia : the Journal of Hernias and Abdominal Wall Surgery·R C Read
Nov 19, 2009·Hernia : the Journal of Hernias and Abdominal Wall Surgery·R C Read
May 19, 2011·Hernia : the Journal of Hernias and Abdominal Wall Surgery·R C Read
Oct 12, 2010·The Journal of Surgical Research·Wojciech SzczesnyStanislaw Dabrowiecki
Jul 14, 2010·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·S D MohammedS M Scott
Mar 15, 2011·American Journal of Obstetrics and Gynecology·Maria A T BortoliniMay Alarab
Dec 23, 2017·Journal of Animal Science and Technology·Mokhamad Fakhrul UlumBambang Purwantara
Apr 14, 2017·Hernia : the Journal of Hernias and Abdominal Wall Surgery·J J HarlaarJ F Lange
Mar 18, 2021·International Urogynecology Journal·Hooman Tadbiri, Victoria L Handa

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