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Surgery: Case Report

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Two cystoceles that hide different pathophysiological histories: Report of two cases

Author(s): Aziz Slaoui*, Anass Nah, Samir Bargach, Amine Slaoui, Tarik Karmouni, Khalid El Khader, Abdellatif Koutani and Ahmed Ibn Attya

BACKGROUND: The most commonly affected compartment in pelvic organ prolapse is cystocele. For a long time, vaginal birth was considered being the most important factor when it comes to its primary occurrence. However, recent studies showed that non-obstetric risk factors should also be considered.

CASE PRESENTATION: In our study, we report the cases of two women having advanced cystocele but with different medical history. The first one was a 49-year-old white woman G7P5 all vaginally without any other medical history and with a BMI of 25.7. She was treated successfully using a laparoscopic approach to suspend the bladder to the sacral promontory. The second one was a 70-year-old widow G0P0 followed for type II diabetes under insulin therapy with a BMI of 31.6. She benefited from a colpocleisis. Both women were controlled 4 weeks later and annually and didn’t demonstrate any complication or recurrence.

CONCLUSION: Despite the fact that both patients presented the same pathology, their pathophysiological records were significantly different. Through this work we hope to inform the general public about this pathology that can cause important functional disorders in women’s bodies and could in some cases be the cause of a social discomfort and tensions within the couple. Finally, it is essential to highlight that non-obstetric risk factors that can be modified or controlled can provide an effective primary prevention ground.

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