Tag Archives: gyn surgery

PUBLISHED: Vaginal Hysterectomy, Uterosacral Ligament Suspension, Anterior Repair, and Perineorrhaphy

Vaginal Hysterectomy, Uterosacral Ligament Suspension, Anterior Repair, and Perineorrhaphy
Emily C. Von Bargen, DO; Patricia L. Hudson, MD; Lori R. Berkowitz, MD
Massachusetts General Hospital

This is the case of a 74-year-old female who presented with bothersome stage III pelvic organ prolapse. She desired definitive surgical management for her prolapse and opted for total vaginal hysterectomy, uterosacral ligament suspension, and anterior/posterior vaginal repairs. She had urodynamic testing before the surgery that showed no stress urinary incontinence, no detrusor overactivity, and normal bladder capacity. The surgery was uncomplicated. She was discharged home the same day as surgery, and her postoperative recovery was unremarkable.

PREPRINT RELEASE: Site-Specific Posterior Colporrhaphy and Perineorrhaphy for Rectocele


Site-Specific Posterior Colporrhaphy and Perineorrhaphy for Rectocele
Massachusetts General Hospital

Lori R. Berkowitz, MD
Assistant Professor of Obstetrics, Gynecology, and Reproductive Biology
Harvard Medical School

Patricia L. Hudson, MD
Female Pelvic Medicine and Reconstructive Surgery Fellow
Harvard Medical School

In this case, Dr. Berkowitz and Dr. Hudson perform a site-specific posterior colporrhaphy at MGH. The patient is a 38-year-old female who presented with fecal incontinence, constipation, and stress urinary incontinence, and was found to have stage II posterior vaginal wall prolapse. She desired definitive surgical management of her prolapse and opted for posterior vaginal repair.