Complex pelvic organ prolapse: decision-making algorithm

Area of Science:

• Urogynecology and Pelvic Floor Reconstructive Surgery
• Female Pelvic Medicine and Reconstructive Surgery

Background:

• The pelvic floor functions as a unified anatomical and functional unit supporting pelvic organs.
• Multi-compartmental pelvic organ prolapse is a prevalent condition requiring specialized care.

Purpose of the Study:

• To propose a treatment algorithm for effectively managing complex pelvic organ prolapse.
• To guide multidisciplinary pelvic floor teams in treating intricate pelvic floor disorders.

Main Methods:

• Development of a decision-making algorithm based on literature review and expert team experience.
• Application of the algorithm to guide shared treatment strategies for complex pelvic floor disorders.

Main Results:

• Accurate preoperative assessment and shared diagnosis are crucial for algorithm implementation.
• The algorithm facilitates combining diverse surgical procedures to optimize outcomes.

Conclusions:

• The proposed algorithm offers an integrated surgical perspective for complex pelvic floor disorders.
• Associating surgical treatments across different compartments yields favorable anatomical and functional results, enhancing patient quality of life.