Nonsurgical vs. Surgical Treatment Options for Pelvic Organ Prolapse: Review of the Current Evidence

Pelvic organ prolapse (POP) is a common disorder that impacts a woman’s quality of life and has been projected to increase in the near future. Although many different treatments are currently available, healthcare practioners should be familiar with the common nonsurgical options that are considered the first-line therapy. Advances in nonsurgical interventions have traditionally included pessaries and pelvic floor muscle therapy. These optiosn have not changed much over time, however there have been recent trials providing more evidence with regards to their efficacy. The objective of this article is to review the current evidence for nonsurgical treatment options for POP. This review contains 2 tables and 19 references Key Words: pelvic floor muscle training, pelvic floor physical therapy, pelvic organ prolapse, pessary, kegel excercises, uterine prolapse, cystocele, rectocele

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Pelvic organ prolapse management

Post Reproductive Health ◽

10.1177/2053369120937594 ◽

2020 ◽

Vol 26 (2) ◽

pp. 79-85

Author(s):

K Fleischer ◽

G Thiagamoorthy

Keyword(s):

Pelvic Organ Prolapse ◽

Effective Treatment ◽

Treatment Options ◽

Treatment Success ◽

Pelvic Organ ◽

Current Evidence ◽

Pelvic Organs ◽

Current State ◽

Mesh Surgery ◽

The Uk

Pelvic organ prolapse describes the loss of support and subsequent descent of pelvic organs into the vagina. It is common, affecting up to 50% of parous women, and can be accompanied by a number of burdening symptoms. Prolapse has been thrown into the spotlight secondary to mesh-related complications. There are a number of effective treatment options to consider when managing pelvic organ prolapse and most do not require mesh. Patients’ choice, comorbidities and likelihood of treatment success should be considered when making decisions about their care. Vaginal mesh surgery is currently on hold in the UK and even prior to this there has been a reduction both in the number of all prolapse surgeries and the number of women seeking surgery to manage their symptoms. This article reviews the current evidence for the management of pelvic organ prolapse, providing an update on the current state of mesh in prolapse surgery and summarises the key evidence points derived from the literature.

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Are urodynamics useful prior to surgical treatment for advanced pelvic organ prolapse?

10.26226/morressier.59b63e41d462b80292389804 ◽

2017 ◽

Author(s):

Lucas Abrahão

Keyword(s):

Surgical Treatment ◽

Pelvic Organ Prolapse ◽

Pelvic Organ ◽

Advanced Pelvic Organ Prolapse

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Quality of Life After Conservative and Surgical Treatment of Pelvic Organ Prolapse

Case Medical Research ◽

10.31525/ct1-nct04110821 ◽

2019 ◽

Author(s):

Keyword(s):

Quality Of Life ◽

Surgical Treatment ◽

Pelvic Organ Prolapse ◽

Pelvic Organ ◽

Conservative And Surgical Treatment

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Use of a simple in vitro fatigue test to assess materials used in the surgical treatment of stress urinary incontinence and pelvic organ prolapse

Neurourology and Urodynamics ◽

10.1002/nau.23823 ◽

2018 ◽

Vol 38 (1) ◽

pp. 107-115 ◽

Cited By ~ 4

Author(s):

Sabiniano Roman ◽

Naside Mangir ◽

Lucie Hympanova ◽

Christopher R. Chapple ◽

Jan Deprest ◽

...

Keyword(s):

Urinary Incontinence ◽

Surgical Treatment ◽

Pelvic Organ Prolapse ◽

Stress Urinary Incontinence ◽

Fatigue Test ◽

Pelvic Organ ◽

Materials Used

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Skill Acquisition, Credentialing, and Maintenance of Skills in Surgical Treatment of Pelvic Organ Prolapse and Urinary Incontinence

Clinical Obstetrics & Gynecology ◽

10.1097/grf.0b013e31829029c3 ◽

2013 ◽

Vol 56 (2) ◽

pp. 238-246 ◽

Cited By ~ 2

Author(s):

CYNTHIA A. BRINCAT ◽

STERGIOS K. DOUMOUCHTSIS ◽

DEE E. FENNER

Keyword(s):

Urinary Incontinence ◽

Surgical Treatment ◽

Pelvic Organ Prolapse ◽

Skill Acquisition ◽

Pelvic Organ

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Treatment of pelvic organ prolapse

Urogynaecologia ◽

10.4081/uij.2012.e3 ◽

2012 ◽

Vol 26 (1) ◽

pp. 3

Author(s):

Munir'deen A. Ijaiya ◽

Hadijat O. Raji

Keyword(s):

Quality Of Life ◽

Pelvic Organ Prolapse ◽

De Novo ◽

Treatment Options ◽

Reproductive Function ◽

Pelvic Organ ◽

Pelvic Organs ◽

Choice Of Treatment ◽

Principles Of Treatment

Prolapse of the pelvic organs is a common condition encountered in gynecological practice that adversely affects the quality of life of affected women. It affects millions of women worldwide. The principles of treatment of pelvic organ prolapse include restoring anatomy and vaginal function, correcting associated urinary and or fecal incontinence, and preventing de novo prolapse and incontinence. There are various treatment options for pelvic organ prolapse. These vary from conservative treatments/ mechanical interventions to surgery. The choice of treatment depends on severity of symptoms, patient’s age, parity, and whether there is the need to conserve the uterus for reproductive function. In conclusion, thorough evaluation of symptoms and degree of prolapse is essential in order to provide the best possible treatment and ultimately improve quality of life.

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