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Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse (POP) Quantification System
Published on: September 20, 2018
Genital prolapse in women
1Springfield Hospital, Chelmsford, United Kingdom.
BMJ Clinical Evidence
|May 21, 2009
Summary
This systematic review evaluates non-surgical and surgical treatments for pelvic organ prolapse. It found various interventions, including pelvic floor exercises and surgical repairs, to manage uterine and vaginal prolapse effectively.
Area of Science:
- Pelvic reconstructive surgery
- Gynecology
- Urogynecology
Background:
- Pelvic organ prolapse (POP) results from weakened pelvic muscle support, causing non-specific symptoms.
- POP affects a significant percentage of women, particularly those aged 50-59, with risks increasing with parity, age, and prior hysterectomy.
- Spontaneous regression of POP can occur, but risk factors necessitate effective management strategies.
Purpose of the Study:
- To systematically review the effects of non-surgical treatments for women diagnosed with genital prolapse.
- To systematically review the effects of surgical treatments for women diagnosed with genital prolapse.
Main Methods:
- A systematic review was conducted, searching major databases like Medline, Embase, and The Cochrane Library up to August 2006.
- Inclusion criteria encompassed systematic reviews, randomized controlled trials (RCTs), and observational studies.
- Harms alerts from regulatory agencies (FDA, MHRA) were also incorporated.
Main Results:
- Four systematic reviews, RCTs, or observational studies met the inclusion criteria for the review.
- A GRADE evaluation was performed to assess the quality of evidence for the included interventions.
- The review identified numerous interventions for pelvic organ prolapse.
Conclusions:
- The systematic review presents information on the effectiveness and safety of a wide range of interventions for pelvic organ prolapse.
- Interventions evaluated include both non-surgical options like pelvic floor muscle exercises and vaginal pessaries, and surgical procedures such as Burch colposuspension and various hysterectomy and colpopexy techniques.
- The findings provide a comprehensive overview of treatment options for women experiencing uterine or vaginal prolapse.
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