Related Experiment Videos
Surgery for pelvic organ prolapse: current status and future perspectives
Giacomo Novara1, Walter Artibani
1Department of Oncological and Surgical Sciences, Urology Clinic, University of Padova, 35128 Padova, Italy.
Current Opinion in Urology
|June 2, 2005
Summary
This review highlights surgical treatments for pelvic organ prolapse (POP). Current evidence supports mesh for anterior prolapse, sacrocolpopexy for vault prolapse, and posterior colporrhaphy for rectocele, but more research is needed.
Area of Science:
- Urogynecology
- Pelvic Floor Surgery
- Surgical Innovation
Background:
- Pelvic organ prolapse (POP) affects many women, with surgical intervention being a common treatment.
- The surgical landscape for POP is evolving, necessitating a review of current evidence and future directions.
Purpose of the Study:
- To review the latest developments in surgical treatments for pelvic organ prolapse.
- To discuss future perspectives and research needs in POP surgery.
Main Methods:
- A comprehensive literature search was conducted using Medline and the Cochrane Database of Systematic Reviews.
- Records published in English concerning human subjects from 2004 were included.
- Selected papers were ranked by evidence grade, with a focus on randomized clinical trials and meta-analyses.
Main Results:
- Evidence supports mesh use in anterior vaginal wall prolapse surgery.
- Abdominal sacrocolpopexy is indicated for vaginal vault prolapse, and posterior colporrhaphy for rectocele.
- Data on functional outcomes (urinary, bowel, sexual) and long-term quality of life remain insufficient.
Conclusions:
- High-quality, multicenter prospective randomized studies are needed for POP surgery.
- Standardized POP staging (e.g., POP-Q system) and treatment indications are crucial.
- Validated questionnaires are essential for assessing functional and quality of life outcomes post-surgery.