Management of pelvic organ prolapse. 2011

Faisal Ahmed, and Tiffany Sotelo
Pelvic Floor Center, George Washington University Hospital, Washington, DC 20037, USA.

Symptomatic pelvic organ prolapse can afflict up to 10% of women. Urinary incontinence, voiding dysfunction or difficulty possibly related to bladder outlet obstruction are common symptoms. Infrequently hydronephrosis or defecatory dysfunction can be seen. The management of pelvic organ prolapse (POP) should start with adequate assessment of all pelvic floor complaints. If a patient is not symptomatic, surgical intervention is usually not indicated. While the use of a variety of graft materials are available today including porcine, dermal and synthetic grafts, that are used in some surgical approaches to pelvic organ prolapse, other more conservative approaches may prove beneficial to many patients. This article describes our approach to the patient with pelvic organ prolapse.

UI MeSH Term Description Entries
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013520 Urologic Surgical Procedures Surgery performed on the urinary tract or its parts in the male or female. For surgery of the male genitalia, UROLOGIC SURGICAL PROCEDURES, MALE is available. Procedure, Urologic Surgical,Procedures, Urologic Surgical,Surgical Procedure, Urologic,Surgical Procedures, Urologic,Urologic Surgical Procedure,Urological Surgical Procedures,Procedure, Urological Surgical,Procedures, Urological Surgical,Surgical Procedure, Urological,Surgical Procedures, Urological,Urological Surgical Procedure
D013526 Surgical Mesh Any woven or knit material of open texture used in surgery for the repair, reconstruction, or substitution of tissue. The mesh is usually a synthetic fabric made of various polymers. It is occasionally made of metal. Mesh, Surgical,Meshes, Surgical,Surgical Meshes
D016896 Treatment Outcome Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series. Rehabilitation Outcome,Treatment Effectiveness,Clinical Effectiveness,Clinical Efficacy,Patient-Relevant Outcome,Treatment Efficacy,Effectiveness, Clinical,Effectiveness, Treatment,Efficacy, Clinical,Efficacy, Treatment,Outcome, Patient-Relevant,Outcome, Rehabilitation,Outcome, Treatment,Outcomes, Patient-Relevant,Patient Relevant Outcome,Patient-Relevant Outcomes
D017060 Patient Satisfaction The degree to which the individual regards the health care service or product or the manner in which it is delivered by the provider as useful, effective, or beneficial. Satisfaction, Patient
D053825 Suburethral Slings Support structures, made from natural or synthetic materials, that are implanted below the URETHRA to treat URINARY STRESS INCONTINENCE. Male Slings,Male Urethral Slings,Mid-Urethral Slings,Midurethral Slings,Tension-Free Vaginal Tape,Tensionless Vaginal Tape,Trans-Obturator Tape,Transobturator Suburethral Tape,Transobturator Tape,Urethral Slings,Male Sling,Male Urethral Sling,Mid Urethral Slings,Mid-Urethral Sling,Midurethral Sling,Sling, Male,Sling, Male Urethral,Sling, Mid-Urethral,Sling, Midurethral,Sling, Suburethral,Sling, Urethral,Slings, Male,Slings, Male Urethral,Slings, Mid-Urethral,Slings, Midurethral,Slings, Suburethral,Slings, Urethral,Suburethral Sling,Suburethral Tape, Transobturator,Suburethral Tapes, Transobturator,Tape, Tension-Free Vaginal,Tape, Tensionless Vaginal,Tape, Trans-Obturator,Tape, Transobturator,Tape, Transobturator Suburethral,Tapes, Tension-Free Vaginal,Tapes, Tensionless Vaginal,Tapes, Trans-Obturator,Tapes, Transobturator,Tapes, Transobturator Suburethral,Tension Free Vaginal Tape,Tension-Free Vaginal Tapes,Tensionless Vaginal Tapes,Trans Obturator Tape,Trans-Obturator Tapes,Transobturator Suburethral Tapes,Transobturator Tapes,Urethral Sling,Urethral Sling, Male,Urethral Slings, Male,Vaginal Tape, Tension-Free,Vaginal Tape, Tensionless,Vaginal Tapes, Tension-Free,Vaginal Tapes, Tensionless
D056887 Pelvic Organ Prolapse Abnormal descent of a pelvic organ resulting in the protrusion of the organ beyond its normal anatomical confines. Symptoms often include vaginal discomfort, DYSPAREUNIA; URINARY STRESS INCONTINENCE; and FECAL INCONTINENCE. Urogenital Prolapse,Vaginal Vault Prolapse,Organ Prolapse, Pelvic,Organ Prolapses, Pelvic,Pelvic Organ Prolapses,Prolapse, Pelvic Organ,Prolapse, Urogenital,Prolapse, Vaginal Vault,Prolapses, Pelvic Organ,Prolapses, Urogenital,Prolapses, Vaginal Vault,Urogenital Prolapses,Vaginal Vault Prolapses,Vault Prolapse, Vaginal,Vault Prolapses, Vaginal
D026741 Physical Therapy Modalities Therapeutic modalities frequently used in PHYSICAL THERAPY SPECIALTY by PHYSICAL THERAPISTS or physiotherapists to promote, maintain, or restore the physical and physiological well-being of an individual. Physical Therapy,Physiotherapy (Techniques),Group Physiotherapy,Neurological Physiotherapy,Neurophysiotherapy,Physical Therapy Techniques,Group Physiotherapies,Modalities, Physical Therapy,Modality, Physical Therapy,Physical Therapies,Physical Therapy Modality,Physical Therapy Technique,Physiotherapies (Techniques),Physiotherapies, Group,Physiotherapy, Group,Physiotherapy, Neurological,Techniques, Physical Therapy,Therapy, Physical

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