Surgical management of pelvic organ prolapse

Abstract

Despite pelvic organ prolapse being a universal problem experienced in nearly 50% of parous women, the surgical management of vaginal prolapse remains an enigma to many, with wide variation in the rates and types of intervention performed. As part of the 6th International Consultation on Incontinence (ICI) our committee, charged with producing an evidence-based report on the surgical management of prolapse, produced a pathway for the surgical management of prolapse. The 2017 ICI surgical management of prolapse evidence-based pathway will be presented and summarized. Weaknesses of the data and pathway will be discussed and avenues for future research proposed.

摘要

尽管盆腔器官脱垂是一个普遍的问题, 近50%的经产妇有盆腔脱垂病史, 手术治疗阴道脱垂采用何种干预类型仍然是一个谜。我们的委员会作为第6届尿失禁国际咨询(ICI)的成员之一, 制作了一个有证据支撑的关于脱垂的外科治疗的报告, 为脱垂外科治疗的管理提供了依据。本文将对2017年ICI手术治疗脱垂的循证方法进行介绍和总结, 并将讨论数据和报告的不足之处, 提出未来研究的方向。

Keywords:

• Pelvic organ prolapse
• surgery
• pathway

Conflict of interest

C.F.M. (lead author) received financial support for travel and accommodation to present work at the 6th ICI, Tokyo, September 2016 from ICI. X.D. was a consultant for Allergan, UrgoTech, and Astellas.

Source of funding

Nil.