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Updated: Mar 31, 2026

Author Spotlight: Advancing Pelvic Prolapse Treatment with a Non-Mesh Approach using Laparoscopic Pectopexy
Published on: October 25, 2024
Evaluation and Management of Pelvic Organ Prolapse in Elderly Women
Javier Pizarro-Berdichevsky1, Marisa M Clifton2, Howard B Goldman2
1Department of Urology, Center for Female Pelvic Medicine and Reconstructive Surgery, The Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA; Urogynecology Unit, Dr. Sotero del Rio Hospital, Av Concha y Toro 3459, Santiago 8207257, Chile; Division de Obstetricia y Ginecologia, Pontificia Universidad Catolica de Chile, Avenida Libertador Bernardo O Higgins 340, Santiago 8331150, Chile.
Abstract:
Pelvic organ prolapse is a common disease in elderly patients. The most important symptom is vaginal bulge (bulge sensation or the sensation of something coming down through the vaginal introitus). This symptom is not different than in the general population. Diagnosis can be confirmed using just vaginal examinations to identify the presence of protrusion beyond the hymen, and is not different than in the general population. Different treatment options are available, including observation, nonsurgical, and surgical techniques. Pessaries and colpocleisis are the treatment options used more often in elderly patients than in the general population.
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