Surgical Updates in the Treatment of Pelvic Organ Prolapse

Rambam Maimonides Medical Journal

Julia Geynisman-Tan¹  Kimberly Kenton¹ 

[1] Division of Female Pelvic Medicine and Reconstructive Surgery, Northwestern University, Chicago, Illinois, USA;

关键词: Apical suspension;    pelvic organ prolapse;    sacrocolpopexy;    stress incontinence;    uterine preservation;    vaginal mesh;   

DOI  :  10.5041/RMMJ.10294

来源: DOAJ

【 摘 要 】

Pelvic organ prolapse affects approximately 8% of women, and the demand for pelvic organ prolapse surgery is expected to increase by nearly 50% over the next 40 years. The surgical techniques used to correct pelvic organ prolapse have evolved over the last 10 years, with multiple well-designed studies addressing the risks, outcomes, reoperation rates, and optimal surgical approaches. Here we review the most recent evidence on the route of access, concomitant procedures, and synthetic materials for augmenting the repair. Ultimately, this review highlights that there is no optimal method for correcting pelvic organ prolapse and that the risks, benefits, and approaches should be discussed in a patient-centered, goal-oriented approach to decision-making.

【 授权许可】

Unknown