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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.

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