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
. 2024 Aug;35(8):1577-1580.
doi: 10.1007/s00192-024-05877-2. Epub 2024 Jul 27.

Surgical Decision-Making: Who Should Be Offered Sacrocolpopexy?

Sarah A Collins  1 , Margaret G Mueller  2 , Christina Lewicky-Gaupp  2 , Kimberly Kenton  2
Affiliations
Review

Surgical Decision-Making: Who Should Be Offered Sacrocolpopexy?

Sarah A Collins et al. Int Urogynecol J. 2024 Aug.

Abstract

Introduction and hypothesis: Women undergoing surgery for apical pelvic organ prolapse have several medically sound options for specific surgical approaches.

Methods: We review the principles of shared decision-making as they pertain to surgery for prolapse. We review the literature supporting the superior sacrocolpopexy as a durable treatment for prolapse and the factors that may differentiate it from other repairs in risk and benefit.

Results: We emphasize the importance of collaboration between patients and surgeons in surgical decision-making.

Conclusion: All medically appropriate patients who desire reconstructive surgery for prolapse should be offered sacrocolpopexy.

Keywords: Elective surgery; Pelvic organ prolapse; Sacrocolpopexy; Shared decision-making.

PubMed Disclaimer

References

    1. Tucker Edmonds B. Shared decision-making and decision support: their role in obstetrics and gynecology. Curr Opin Obstet Gynecol. 2014;26(6):523–30. - DOI - PubMed
    1. Van der Horst DEM, Garvelink MM, Bos WJW, Stiggelbout AM, Pieterse AH. For which decisions is Shared Decision Making considered appropriate?—A systematic review. Patient Educ Couns. 2023;106:3–16. - DOI - PubMed
    1. Niburski K, Guadagno E, Mohtashami S, Poenaru D. Shared decision making in surgery: a scoping review of the literature. Health Expect. 2020;23(5):1241–9. - DOI - PubMed - PMC
    1. O’Malley ASC, Carrier E, Docteur E, Shmerling AC, Rich EC. Policy options to encourage patient-physician shared decision making. National Institute for Health Care Reform; 2011.
    1. Patient decision aid on surgery for vaginal vault prolapse. NICE; 2019.

LinkOut - more resources