Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2017 Apr 28;8(2):e0017.
doi: 10.5041/RMMJ.10294.

Surgical Updates in the Treatment of Pelvic Organ Prolapse

Julia Geynisman-Tan  1 , Kimberly Kenton  1
Affiliations
Review

Surgical Updates in the Treatment of Pelvic Organ Prolapse

Julia Geynisman-Tan et al. Rambam Maimonides Med J. .

Abstract

Pelvic organ prolapse affects approximately 8% of women, and the demand for pelvic organ prolapse surgery is expected to increase by nearly 50% over the next 40 years. The surgical techniques used to correct pelvic organ prolapse have evolved over the last 10 years, with multiple well-designed studies addressing the risks, outcomes, reoperation rates, and optimal surgical approaches. Here we review the most recent evidence on the route of access, concomitant procedures, and synthetic materials for augmenting the repair. Ultimately, this review highlights that there is no optimal method for correcting pelvic organ prolapse and that the risks, benefits, and approaches should be discussed in a patient-centered, goal-oriented approach to decision-making.

PubMed Disclaimer

Conflict of interest statement

Conflict of interest: Kimberly Kenton, M.D., M.S. has grant funding from Boston Scientific. The remaining author has no conflicts of interest to report.

References

    1. Swift SE, Tate SB, Nicholas J. Correlation of symptoms with degree of pelvic organ support in a general population of women: what is pelvic organ prolapse? Am J Obstet Gynecol. 2003;189:372–7. https://doi.org/10.1067/S0002-9378(03)00698-7. - DOI - PubMed
    1. Bradley CS, Nygaard IE. Vaginal wall descensus and pelvic floor symptoms in older women. Obstet Gynecol. 2005;106:759–66. https://doi.org/10.1097/01.AOG.0000180183.03897.72. - DOI - PubMed
    1. Nygaard I, Barber MD, Burgio KL, et al. Prevalence of symptomatic pelvic floor disorders in US women. JAMA. 2008;300:1311–16. https://doi.org/10.1001/jama.300.11.1311. - DOI - PMC - PubMed
    1. Rortveit G, Brown JS, Thom DH, Van Den Eeden SK, Creasman JM, Subak LL. Symptomatic pelvic organ prolapse: prevalence and risk factors in a population-based, racially diverse cohort. Obstet Gynecol. 2007;109:1396–403. https://doi.org/10.1097/01.AOG.0000263469.68106.90. - DOI - PubMed
    1. Tegerstedt G, Maehle-Schmidt M, Nyrén O, Hammarström M. Prevalence of symptomatic pelvic organ prolapse in a Swedish population. Int Urogynecol J Pelvic Floor Dysfunct. 2005;16:497–503. https://doi.org/10.1007/s00192-005-1326-1. - DOI - PubMed

LinkOut - more resources