14. Advanced Posterior Vaginal Prolapse in an Adolescent

We report a case of a 14 year-old postmenarchal female who presented with vaginal pain and sensation of bulge with examination consistent with Stage III posterior predominant pelvic organ prolapse (POP). On exam under anesthesia, the posterior prolapse was noted to arise from significant redundant posterior vaginal soft tissue with multiple invaginations creating blind-ending pouches. Symptoms resolved after posterior colporrhaphy and resection of redundancy of posterior vaginal wall epithelium.
Source: Journal of Pediatric and Adolescent Gynecology - Category: OBGYN Authors: Source Type: research