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Pelvic organ prolapse: a review
1Division of Urology, Department of Surgery, Hospital of the University of Pennsylvania, University of Pennsylvania School of Medicine, Philadelphia, Pa., USA. erovner@mail.med.upenn.edu
Ostomy/Wound Management
|March 14, 2002
Summary
Pelvic organ prolapse (POP) is common in parous women, involving vaginal wall support deficiencies. Successful treatment requires a comprehensive approach addressing all anatomic defects, with surgery as a key option for complex cases.
Area of Science:
- Urogynecology
- Female Pelvic Medicine and Reconstructive Surgery
Background:
- Pelvic organ prolapse (POP) is a prevalent condition affecting parous women, characterized by deficiencies in pelvic organ support.
- It manifests with varied symptoms, necessitating thorough physical examination for accurate diagnosis.
Purpose of the Study:
- To provide a comprehensive overview of pelvic organ prolapse.
- To discuss definitions, classifications, prevalence, risk factors, anatomy, and pathophysiology.
- To detail diagnostic approaches and management strategies, including surgical and nonsurgical options.
Main Methods:
- Review of existing literature on pelvic organ prolapse.
- Discussion of diagnostic criteria and physical examination techniques.
- Exploration of surgical and nonsurgical management strategies for various types of prolapse.
Main Results:
- Pelvic organ prolapse encompasses anterior vaginal wall prolapse, cystourethrocele, apical vaginal prolapse, uterine prolapse, enterocele, posterior vaginal wall prolapse, rectocele, and pelvic floor relaxation.
- Successful management hinges on a comprehensive surgical approach addressing all anatomic defects.
- While not all patients require surgery, complex cases present challenges and rewards in reconstructive pelvic surgery.
Conclusions:
- A thorough understanding of pelvic organ prolapse anatomy and pathophysiology is crucial for diagnosis and management.
- Comprehensive treatment, often surgical, is necessary for successful outcomes in cases of pelvic organ prolapse.
- This article serves as a guide to the diagnosis and management of various pelvic organ prolapse conditions.