Pelvic organ prolapse

תאריך: 20/07/2016
מפרסם: BMJ CLINICAL UPDATES

Pelvic organ prolapse

Matthew D Barber professor of surgery and vice chair for research

What you need to know

  • Pelvic organ prolapse can substantially affect a woman’s quality of life

  • The most consistent risk factors are vaginal childbirth, advancing age, increasing body mass index, and prior hysterectomy

  • Evaluate and offer treatment to women only if they report bothersome symptoms

  • Effective conservative treatments include vaginal pessaries and pelvic floor physical therapy

  • Surgery is generally reserved for patients with bothersome prolapse symptoms who have at least stage 2 prolapse on examination when conservative treatments have failed or no longer works

BMJ 2016;354:i3853 doi: 10.1136/bmj.i3853 (Published 20 July 2016)

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