J Menopausal Med.  2018 Dec;24(3):155-162. 10.6118/jmm.2018.24.3.155.

Various Approaches and Treatments for Pelvic Organ Prolapse in Women

• Chung SH
• Kim WB

• KMID: 2455888
• DOI: http://doi.org/10.6118/jmm.2018.24.3.155

Abstract

Pelvic organ prolapse (POP) is bulging of one or more of the pelvic organs into the vagina and triggered by multiple causes. It is a very common disorder, especially among older women. POP is characterized by protrusion of the presentation part visible by the naked eye, and problems with urination or bowel movements. POP can be diagnosed based on the onset of symptoms and a pelvic exam, and management options include medical and surgical treatment. Although medical treatment cannot correct the abnormal herniation of the pelvic structures, this can help alleviate symptoms. One of the disadvantages of surgical interventions is recurrence, and advances in surgical techniques have decreased recurrence rates of POP. Therefore, author will explain the gynecology and urology approach and treatment.

Keyword

Cystocele; Pelvic organ prolapse; Rectocele

MeSH Terms

Cystocele
Female
Gynecological Examination
Gynecology
Humans
Pelvic Organ Prolapse*
Rectocele
Recurrence
Urination
Urology
Vagina

Figure

• 

  Fig. 1 Choosing a primary procedure for pelvic organ prolapse: major decision points. SUI: stress urinary incontinence. [Reprinted from “Pelvic organ prolapse in women: Choosing a primary surgical procedure”, by Jelovsek E, 2018, Waltham, MA, UpToDate, Inc., Available from: https://www.uptodate.com/contents/pelvic-organ-prolapse-inwomen-choosing-a-primary-surgicalprocedure?search=Pelvic%20organ%20prolapse%20in%20women:%20Choosing%20a%20primary%20surgical%20procedure&source=search_result&selectedTitle=1~150. Copyright 2018 by UpToDate, Inc. Reprinted with permission].

• 

  Fig. 2 (A) Robotic subtotal hysterectomy with sacro-colpopexy, (B) paravaginal repair.

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