Patient is a 75 year old female with progressive loss of pelvic support and the pictures show a complete loss of support for the uterus, bladder and the bowel. This is called a complete procedentia, the end stage prolapse of all pelvic organs. The patient also had stress urinary incontinence.
This patient underwent a vaginal hysterectomy, suspension of the vaginal cuff and repair of the bladder and the posterior wall of the vagina as well as a sling operation for incontinence. The final picture is the completion of the operation. There was minimal blood loss and the patient recovered postoperatively very well and was discharged home the next day.