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Author Spotlight: Advancing Pelvic Prolapse Treatment with a Non-Mesh Approach using Laparoscopic Pectopexy
Published on: October 25, 2024
[Conservative management of genital prolapse]
1Service d'urologie, hôpital Saint-Louis, Paris, France.
Abstract:
Conservative management of genital prolapse may be an alternative to surgical treatment, if prolapse is moderate or has few symptoms, and for frail patients when surgery is contraindicated. Non-surgical management consists of several measures. Topical hormonal treatments improve patients' comfort, but their efficiency was not proven. Pessaries achieve anatomical reintegration of prolapse and reach up to 80% satisfaction rate. Cube-shaped pessaries have to be changed daily, permanent ring pessaries require to be changed by a doctor every 3 months. Pelvic floor muscle training can improve symptoms in moderate forms and delays the prolapse worsening. Prevention is important, associating measures such as fighting obesity, constipation, coughing, eviction of heavy loads carrying and avoiding pelvic floor high solicitating sports.
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