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Levator ani muscle and connective tissue changes associated with pelvic organ prolapse, parity, and aging in the squirrel monkey: a histologic study.

Levator ani muscle and connective tissue changes associated with pelvic organ prolapse, parity, and aging in the squirrel monkey: a histologic study. Research Abstract Details 

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  • Levator ani muscle and connective tissue changes associated with pelvic organ prolapse, parity, and aging in the squirrel monkey: a histologic study. Abstract Text:

    lisa m pierceLisa M Pierce,shannon baumannShannon Baumann,michelle r rankinMichelle R Rankin,richard m wassermanRichard M Wasserman,arabella biaggiArabella Biaggi,thomas j kuehlThomas J Kuehl,kimberly w coatesKimberly W Coates,

    OBJECTIVE: This study was undertaken to evaluate histologically the levator ani muscle and paravaginal attachments in squirrel monkeys with and without pelvic organ prolapse. STUDY DESIGN: Serial sections from 19 females were processed with routine histology stains. Fiber typing was performed with antifast (type II) and antislow (type I) skeletal myosin antibodies, and apoptotic nuclei were examined by dUTP nick-end labeling (TUNEL). RESULTS: Gross disruption of the levator ani muscle and its innervation was not observed in animals with or without visible support defects. Myogenic changes occurred more frequently in the pubocaudalis than iliocaudalis muscles, and a significant association was found with aging (P < .05, Fisher exact test) but not with pelvic organ prolapse or parity. Neurogenic changes were observed in 3 of 13 multiparous monkeys. Myocyte diameter increased in animals with pelvic organ prolapse compared with age-, weight-, and parity-matched animals without pelvic organ prolapse (P = .005) and correlated with levator ani muscle wet weight (R = 0.76; P = .0006). In the paravaginal attachments, the numbers of fibroblasts and apoptotic nuclei were not different between animals with and without pelvic organ prolapse, but parity was associated with increased apoptosis (P = .025). CONCLUSION: Vaginal prolapse in the squirrel monkey does not result from atrophy or gross disruption of the levator ani muscle or its innervation. As in women, myogenic changes are a common finding in the levator ani muscle and increase with aging, whereas denervation with subsequent reinnervation occurs in some multiparous monkeys.

    Levator ani muscle and connective tissue changes associated with pelvic organ prolapse, parity, and aging in the squirrel monkey: a histologic study. Publishing Authors By Initials

    lm pierceLM Pierce,s baumannS Baumann,mr rankinMR Rankin,rm wassermanRM Wasserman,a biaggiA Biaggi,tj kuehlTJ Kuehl,kw coatesKW Coates,

    For similar female urogenital diseases and pregnancy complications: female urogenital diseases: genital diseases, female: uterine diseases: uterine prolapse research abstracts see: female urogenital diseases and pregnancy complications: female urogenital diseases: genital diseases, female: uterine diseases: uterine prolapse research

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    Levator ani muscle and connective tissue changes associated with pelvic organ prolapse, parity, and aging in the squirrel monkey: a histologic study. Journal Published:

    PUBLICATION TYPE: Research Support, Non-U.S. Gov

    Journal: American journal of obstetrics and gynecology

    VOLUME: 197

    Page Numbers: 60.e1-9

    Journal Abbreviation: Am. J. Obstet. Gynecol.

    ISSN: 1097-6868

    DAY: 3

    MONTH: Jul

    YEAR: 2007

    Levator ani muscle and connective tissue changes associated with pelvic organ prolapse, parity, and aging in the squirrel monkey: a histologic study. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 370476

    Levator ani muscle and connective tissue changes associated with pelvic organ prolapse, parity, and aging in the squirrel monkey: a histologic study. Keywords Mesh Terms:

    KEYWORDS: Uterine Prolapse

    MESH TERMS: physiopathology

    Chemical & Substance for Abstract: Levator ani muscle and connective tissue changes associated with pelvic organ prolapse, parity, and aging in the squirrel monkey: a histologic study. Information

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    Grant and Affiliation Information for Levator ani muscle and connective tissue changes associated with pelvic organ prolapse, parity, and aging in the squirrel monkey: a histologic study.

    AFFILIATION: Department of Obstetrics and Gynecology, Scott & White Hospital, Temple, TX 76508, USA. lpierce@swmail.sw.org

    Country: United States

    United States Research PublicationUnited States Research Publication

    AGENCY: United States NICHD

    GRANT: HD 38655

    ACRONYM: HD

    MEDLINETA: Am J Obstet Gynecol

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