{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T17:30:33Z","timestamp":1786728633990,"version":"build-2736575974"},"reference-count":7,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:p>Pelvic organ prolapse refers to the descent of pelvic floor organs resulting from the weakening of pelvic muscles, fascia and connective tissue. The overall prevalence of pelvic organ prolapse is approximately 41%, including bladder prolapse (25%\u201334%), uterine prolapse (4%\u201314%) and rectal prolapse (13%\u201319%). Various methods are currently employed to repair damaged structures and improve patient symptoms, consequently enhancing their quality of life. This report focuses on a 94-year-old female diagnosed with pelvic organ prolapse, specifically Grade 3 bladder prolapse, Grade 3 uterine prolapse and complete rectal prolapse. A comprehensive surgical treatment was carried out to repair the pelvic organs on all three levels (rectum, uterus and bladder) by combining the Delorme procedure with synthetic graft implants. The surgical outcomes were good, illustrating immediate improvement in symptoms without early complications. A multispeciality approach helps functionally repair pelvic organ prolapse while preserving structural integrity.<\/jats:p>","DOI":"10.4103\/npmj.npmj_32_24","type":"journal-article","created":{"date-parts":[[2024,6,3]],"date-time":"2024-06-03T03:01:36Z","timestamp":1717383696000},"page":"170-172","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Combination of Anterior and Posterior Vaginal Mesh Implants and Delorme Procedure in a 94-year-old female with Pelvic Organ Prolapse"],"prefix":"10.4103","volume":"31","author":[{"given":"Hien Van","family":"Nguyen","sequence":"first","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dung Thi","family":"Ngo","sequence":"additional","affiliation":[{"name":"Department of Surgical Nursing, Faculty of Nursing and Medical Technology, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dat Vinh","family":"Lieu","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tuan Thanh","family":"Tran","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Can Tho University of Medicine and Pharmacy Hospital, Can Tho University of Medicine and Pharmacy, Can Tho, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,6,3]]},"reference":[{"key":"R2-20260507","doi-asserted-by":"crossref","first-page":"1559","DOI":"10.1007\/s00192-015-2695-8","article-title":"Risk factors for pelvic organ prolapse and its recurrence: A systematic review","volume":"26","author":"Vergeldt","year":"2015","journal-title":"Int Urogynecol J"},{"key":"R3-20260507","first-page":"397","article-title":"INTERIM UPDATE: This Practice Bulletin is updated as highlighted to reflect the US Food and Drug Administration order to stop the sale of transvaginal synthetic mesh products for the repair of pelvic organ prolapse. Pelvic organ prolapse","volume":"25","year":"2019","journal-title":"Female Pelvic Med Reconstr Surg"},{"key":"R4-20260507","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1080\/13697137.2017.1366978","article-title":"Native tissue repair versus mesh repair in pelvic organ prolapse surgery","volume":"20","author":"Kalkan","year":"2017","journal-title":"Climacteric"},{"key":"R5-20260507","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1002\/ijgo.12632","article-title":"Simplified laparoscopic sacropexy avoiding deep vaginal dissection","volume":"143","author":"Cosma","year":"2018","journal-title":"Int J Gynaecol Obstet"},{"key":"R6-20260507","doi-asserted-by":"crossref","first-page":"975","DOI":"10.1097\/AOG.0000000000004794","article-title":"Transvaginal mesh compared with native tissue repair for pelvic organ prolapse","volume":"139","author":"Kahn","year":"2022","journal-title":"Obstet Gynecol"},{"key":"R7-20260507","first-page":"107","article-title":"Surgical treatment of pelvic organ prolapse in women aged \u226575 years in Hong Kong: A multicentre retrospective study","volume":"28","author":"Wong","year":"2022","journal-title":"Hong Kong Med J"},{"key":"R8-20260507","first-page":"228","article-title":"Preliminary assessment of the surgery for pelvic organ prolapse using nonabsorbable synthetic mesh at Tu Du hospital","volume":"10","author":"Nguyen","year":"2012","journal-title":"T\u1ea1p Ch\u00ed Ph\u1ee5 S\u1ea3n"}],"container-title":["Nigerian Postgraduate Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/npmj.npmj_32_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T16:29:35Z","timestamp":1786724975000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/npmj.npmj_32_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4]]},"references-count":7,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/npmj.npmj_32_24","relation":{},"ISSN":["1117-1936","2468-6875"],"issn-type":[{"value":"1117-1936","type":"print"},{"value":"2468-6875","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4]]},"assertion":[{"value":"2024-01-28","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-02-27","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}