FRII-07 THE HISTORY OF PELVIC ORGAN PROLAPSE FROM ANTIQUITY TO PRESENT DAY

Abstract

You have accessJournal of UrologyHistory of Urology Forum II1 Apr 2015FRII-07 THE HISTORY OF PELVIC ORGAN PROLAPSE FROM ANTIQUITY TO PRESENT DAY John Mattimore, Philippa Cheetham, and Aaron Katz John MattimoreJohn Mattimore More articles by this author , Philippa CheethamPhilippa Cheetham More articles by this author , and Aaron KatzAaron Katz More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.498AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Pelvic organ prolapse (POP) was first described in the earliest days of recorded medical history in the Ebers Papyrus in 1500 B.C. POP remains a common and debilitating female pelvic floor disorder, with significant impact on quality of life. Since antiquity, POP management has evolved from rudimentary pessaries and herbal medicines into modern robotic repair procedures. METHODS A non-systematic review of medical (Urology, gynecology, surgery) texts and current literature identified by pubmed pertaining to history and development of POP surgery was performed. RESULTS Recommendations “to correct a displaced womb” were described in the Ebers Papyrus. Hippocrates described pomegranate pessaries to reduce POP. Succussion (tying a woman upside down by her feet until the prolapse reduced) was also described. Leonardo Da Vinci (1452-1519) contributed to texts following extensive cadaveric pelvic dissection. Andrea Vesalius described the entire female genital tract and uterine ligaments. By the end of the 16th century, pessaries were being wideldy used, evolving from lint balls to those made of brass, cork, wood or metal, then rubber in 1844. During the later half of the 19th century dramatic advances occurred in surgical instruments. James Sims popularized the use of silver sutures in pelvic repair surgery in 1852. The first vaginal hysterectomy for POP was reported by Choppin, of New Orleans, in 1861. Alwin Mackendrot described the pelvic connective tissue including cardinal ligaments in 1895. Archibald Donald and William Fothergill developed the Manchester operation to counter POP. Le Fort developed partial colpocleisis in 1877, a technique still used today. In 1898, Thomas Watkins, not believing in removal of the non-diseased uterus, described interposition surgery. In 1971 two American gynecologists, Randall and Nichols reported surgical outcomes of transvaginal sacrospinous fixation for vault prolapse. Two major shifts have occurred in POP surgery: introduction of vaginal mesh and advanced endoscopic surgery. Graft use in pelvic reconstructive surgery can be traced back to the early 1900s. Over the intervening years, a number of auto-, allo-, and xenografts have been used. Abdominal sacrocolpopexy, is now achievable via laparoscopic or robotic approaches. CONCLUSIONS POP was first described thousands of years ago, since which time there has been evolution surgical treatment options. Early anatomists hastened progress in understanding anatomy. More recently advances in modern technology have been key to progress in surgical techniques. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e590-e591 Peer Review Report Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information John Mattimore More articles by this author Philippa Cheetham More articles by this author Aaron Katz More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...