Review

Surgical management of pelvic organ prolapse: An update

Athanasios Douskos, Eleni Pitsouni, Themos Grigoriadis, Stavros Athanasiou

Urogynecology Unit, 1st Department of Obstetrics and Gynecology, “Alexandra” Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece

Correspondence: Associate Professor Stavros Athanasiou, Urogynecology Unit, 1st Department of Obstetrics and Gynecology, “Alexandra” Hospital, Medical School, National and Kapodistrian University of Athens, Vasilisis Sofias Ave. 80, 11528, Athens, Greece, E – mail: stavros.athanasiou@gmail.com


Abstract

Pelvic organ prolapse (POP) is a common condition presenting in up to 50% of women depending on age, parity, body mass index, pelvic floor muscle strength and underlying diseases. The symptomatic POP usually presents at 3-10% of women, when the descent organ is at or beyond the level of hymen. Currently, guidelines for the best surgical treatment of POP are not available and an individualized approach for each patient should be followed. The International Urogynecological Association and the International Continence Society has recommended various surgical procedures (vaginal, abdominal and obliterative) for the management of POP. In this review we present updated evidence concerning the recommendations of these 2 International Organizations.

Keywords: POP, ligament suspension, apical prolapse, sacrocolpopexy, colpocleisis

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