PMC5019914_01
Preoperative findings of the patient with total pelvic organ prolapse with anterior-posterior and apical prolapse (grade IV).
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fig1
On pelvic examination, total pelvic organ prolapse with anterior-posterior and apical prolapse (grade IV) was noted (Figure 1).
The posterior part of the four-arm mesh was passed through the obturator foramen.
CRIOG2016-2906596.002.jpg
PMC5019914_01_CRIOG2016-2906596.002.jpg
fig2
The posterior part of the four-arm mesh was passed through the obturator foramen (Figure 2).
(a) shows that the anterior arms were placed as a midurethral sling as in the intravaginal slingplasty (IVS) procedure, supporting the midurethra and bladder. (b) shows that mesh was fixed using tension free technique. (c) shows postoperative findings of the patient.
CRIOG2016-2906596.003.jpg
PMC5019914_01_CRIOG2016-2906596.003.jpg
fig3
The anterior arms were placed as a midurethral sling as in the intravaginal slingplasty (IVS) procedure, supporting the midurethra and bladder (Figure 3).