[Urogynecology: from past to future]

Area of Science:

• Urogynecology
• Surgical Innovation
• Pelvic Floor Reconstruction

Context:

• The field of urogynecologic surgery has undergone substantial transformation over the past decade.
• Understanding injury mechanisms for pelvic organ prolapse (POP) and urinary incontinence has driven new surgical techniques and therapeutic strategies.
• Biotechnology advancements have expanded treatment options for POP and incontinence.

Purpose:

• To review the historical evolution of surgical techniques in pelvic floor reconstruction over the last century.
• To critically evaluate the safety and efficacy of current urogynecologic surgical procedures.
• To summarize the state-of-the-art approach to POP and incontinence surgery in Western countries.

Summary:

• This review details the historical progression of surgical methods for pelvic floor reconstruction.
• It analyzes the safety and effectiveness of diverse treatment options for POP and female incontinence.
• The paper synthesizes current best practices and offers expert-opinion-based recommendations.

Impact:

• Provides a comprehensive overview of urogynecologic surgical advancements.
• Highlights the importance of understanding injury mechanisms in developing effective treatments.
• Offers evidence-based recommendations for clinical practice and professional guidelines.