A study of the surgical anatomy of the vagina, with special reference to vaginal operations. What Causes Vaginal Itching? There are many misconceptions about what panic attacks look and feel like. The connective tissue adventitia of the vagina is continuous with that of the cervix. This structural difference may help explain why the surgeon who customarily operates by the abdominal route may experience unexpected difficulty in separating bladder from cervix when approaching a hysterectomy vaginally; similarly, the surgeon who is more comfortable with performing a hysterectomy through the vagina may wonder why unfamiliar difficulty may arise during the course of abdominal hysterectomy. Vaginitis often results from a bacterial, yeast, or viral infection or an imbalance in vaginal bacteria. Damage to the upper level of the suspensory system can give rise to inversion of the upper vagina, often with elongation of the cervix and cul-de-sac hernia; damage at the lower levels supporting system is more likely to be associated with eversion of the lower vagina, including cyctocele, rectocele and descent of the perineum.
Neuromuscular pressure receptors within the striated muscular content of the levator ani are responsible for mediating this tone, and they apparently communicate with the central nervous system by way of the pudendal nerve on each side of the body.
It is a firm anchoring point used in pelvic reconstructive surgery to support the vagina. Here's what you need to know and when you should contact your doctor. A swollen vulva is a common symptom of vaginitis, which is an inflammation of the vagina. The medial border is formed by the rectal pillar, the lateral by the levator ani. Postmenopausal atrophic vaginitis normally occurs after menopause. Urogynecology and Reconstructive Pelvic Surgery.