Figure 10.
Effects of apical and paravaginal impairments on cystocele formation. Simulations had 60% levator ani muscle impairments and were loaded with 168cmH2O maximum intra-abdominal pressure. For apical impairment simulations, models had normal paravaginal support, but a varying degree of apical support impairment with remaining apical connective tissue stiffness ranging from 20% to 100% of the normal value. For paravaginal impairment simulations, models had normal apical support but varying degree of paravaginal support impairment with remaining paravaginal connective tissue stiffness ranging from 20% to 100% of normal values.