Objective To evaluate the prevalence of vaginal laxity (VL) and its correlates in a cohort of women attending a urogynecology clinic in a tertiary referral center in Saudi Arabia. Methods In this retrospective study, demographic information, clinical characteristics, and POP‐Q system measurements for women attending the King Fahad Medical City Urogynecology Clinic (January 2013 to April 2015) were analyzed. Women with and without VL were compared across these variables. Results Out of 376 women attending the clinic for various reasons, 135 (35.9%) reported VL. VL was more common in younger women (P<0.001). Parity, menopausal status, and diabetes were not associated with this symptom. A history of cesarean delivery was protective (aOR 0.39; 95% CI, 0.17–0.90). A bulge symptom and “vaginal wind” were predictors (aOR 3.25; 95% CI, 1.46–7.23 and aOR 15.48; 95% CI, 6.93–34.56, respectively). There was no correlation between VL and POP‐Q measurements. VL was not associated with the presence of clinically significant prolapse (stage 2–4), compared with nonsignificant prolapse (stage 0–1) (P=0.869, P=0.152, and P=0.783 for anterior, posterior, and central vaginal compartment, respectively). Conclusions In this cohort, VL was common, more prevalent in younger women, and had poorly defined clinical correlates.

The Survey on Counseling and Managing Patient for Trial of Labor after Cesarean Section (TOLAC) on 2016, the survey conducted in multicenter. The questionnaire included segments on demographics data about physicians, also, elements in counselling sessions such as the success rate in case patients have previous vaginal delivery or not, the likelihood of rupture uterus, blood transfusion, endometritis maternal and fetal morbidity and mortality. Furthermore, physician preferred management in those patients if they came in spontaneous labor or need induction of labor and most frequent patient's final decision with each physician. In total, 300 physicians working in Obstetricians and Gynecologists practice were surveyed. Data analyzed using Statistical Package for Social Sciences (SPSS) version 2; by using 95% confidence level states and a 5% margin of error.We found that (84.91%) are including in their counseling session about successful rate of TOLAC in whom had one previous cesarean section and no previous vaginal birth (about 3 out of 4) and whom had one previous cesarean section and with at least one previous vaginal birth (almost 9 out of 10). Moreover, we discover that if patient came with spontaneous labor before an elective repeated cesarean delivery date, (81.37%) of physicians tend to prefer allowing TOLAC instead of preforming cesarean section.