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PFD Week 2018
Cervical Elongation in the Setting of Uterine Pres ...
Cervical Elongation in the Setting of Uterine Preservation
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Video Transcription
Video Summary
In the video, Carson Kaeser and Mickey Cram from the Christ Hospital in Cincinnati discuss the management of cervical elongation in a patient who desired future fertility. The patient had previously undergone sacrohystopexy with rectocele and experienced a recurrence of prolapse while on vacation. Upon re-examination, it was found that her cervix was at the level of the hymen with good apical support. The patient was diagnosed with cervical elongation, cystocele, and rectocele and underwent a partial trachelectomy with anterior and posterior repair. The procedures involved making incisions circumferentially, dissecting and removing the cervix, suturing the cervical canal, addressing the cystocele with an anterior repair, and performing a posterior repair. Additionally, a balloon Foley catheter was inserted to prevent cervical stenosis. A cystoscopy revealed a rectocele and widened genital hiatus.
Asset Subtitle
Carson Tyler Kaeser, MD
Meta Tag
Category
Pelvic Organ Prolapse
Category
Surgery - Vaginal Procedures
Keywords
cervical elongation
future fertility
partial trachelectomy
anterior repair
posterior repair
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