Case Report


Complete vaginal eversion, uterine prolapse, and stress urinary incontinence: A rare case report

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1 School of Medicine, Texas Tech University Health Sciences Center at the Permian Basin, Odessa, TX, USA

2 The University of Texas Permian Basin, Odessa, TX, USA

Address correspondence to:

Sanjana Rao

MD, FACOG, FAAFP, Professor of Obstetrics and Gynecology, University Distinguished Professor, School of Medicine, Texas Tech University Health Sciences Center at the Permian Basin, 301 North N Street, Midland, TX 79701,

USA

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Article ID: 100130Z08KG2022

doi: 10.5348/100130Z08KG2022CR

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How to cite this article

Gandhi K, Garza J, Sanchez A, George A, Rao S, Ventolini G. Complete vaginal eversion, uterine prolapse, and stress urinary incontinence: A rare case report. J Case Rep Images Obstet Gynecol 2022;8(2):30–33.

ABSTRACT


Introduction: Pelvic organ prolapse is a multifactorial gynecological condition, caused by a disruption of muscles of the pelvic organs.

Case Report: A 63-year-old female presented with a history of stress urinary incontinence, dyschezia, and sexual dysfunction. A complete clinical and urogynecological evaluation was performed and diagnoses of uterine and vaginal prolapse and urinary incontinence were made. The patient underwent a vaginal hysterectomy with uterosacral ligament suspension and a vaginal wall repair. The patient’s symptoms resolved following pelvic floor physical therapy.

Conclusion: The patient benefited from a vaginal hysterectomy with uterosacral ligament suspension and a vaginal wall repair with subsequent pelvic floor physical therapy treatments.

Keywords: Hysterectomy, Pelvic organ prolapse, Stress urinary incontinence, Vaginal eversion

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Acknowledgments

We are grateful to the Texas Tech University Health Sciences Center, Permian Basin, TX. We would like to thank Paula Gutierrez, Elea Stout, and Evangelyna Nguyen for their excellent support and help in this case report.

Author Contributions

Kushal Gandhi - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

John Garza - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Asley Sanchez - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Asher George - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Sanjana Rao - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Gary Ventolini - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Guarantor of Submission

The corresponding author is the guarantor of submission.

Source of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this article.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2022 Kushal Gandhi et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.