Related Experiment Video
Updated: Jul 17, 2026

Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse (POP) Quantification System
Published on: September 20, 2018
Urogenital prolapse and occult stress urinary incontinence
Brian S Yamada1, Kathleen C Kobashi
1Continence Center at Virginia Mason, Seattle, WA 98111, USA.
Background:
A 76-year-old female presented to an outside clinic with symptoms of pelvic prolapse; she denied stress urinary incontinence (SUI). The patient had a history of two prior anti-incontinence surgeries. Pelvic examination revealed a grade IV cystocele. No SUI was identified, with or without reduction of the prolapse. Anterior colporrhaphy with cadaveric fascia was performed. Her prolapse symptoms resolved, but she had new-onset severe SUI.
Investigations:
Pelvic examination, cystoscopy, urodynamics. DIAGNOSIS OCCULT: SUI unmasked after anterior colporrhaphy.
Management:
The patient was referred to our institution where videourodynamics were performed, revealing a well-supported bladder and SUI with Valsalva leak-point pressure of 26 cm H20. A transvaginal polypropylene sling was placed. She had complete resolution of SUI and denied exacerbation of mild urgency.
Related Concept Videos
Disorders of the Urinary System
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
Nursing Assessment of the Genitourinary System I: Health History
Urinary Bladder
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
Microbiota of the Urogenital Tract
Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations
Anatomy of the Genitourinary System II: Bladder and Urethra
