Related Experiment Video
Updated: Sep 14, 2025
03:30
Author Spotlight: Advancing Pelvic Prolapse Treatment with a Non-Mesh Approach using Laparoscopic Pectopexy
Published on: October 25, 2024
1.7K
Perioperative interventions in pelvic organ prolapse surgery
Usama Shahid1, Nir Haya2, Kaven Baessler3
1Royal Brisbane and Women's Hospital, James Cook University, Brisbane, Australia.
The Cochrane Database of Systematic Reviews
|July 22, 2025
Summary
This review found limited evidence for perioperative interventions in pelvic organ prolapse (POP) surgery. Prolonged catheter use may increase urinary tract infection risk, but most other interventions showed no significant benefit.
Area of Science:
- Urology
- Gynecology
- Surgical Innovation
Background:
- Pelvic organ prolapse (POP) is common, often requiring surgery.
- Evidence for perioperative interventions in POP surgery is limited.
- Interventions aim to reduce adverse events and improve surgical outcomes.
Purpose of the Study:
- To compare the safety and effectiveness of perioperative interventions in POP surgery.
- To evaluate interventions against control groups or other interventions.
Main Methods:
- Systematic review of 49 randomized controlled trials (RCTs).
- Included 5657 women undergoing POP surgery.
- Assessed outcomes like prolapse awareness, repeat surgery, adverse events, and patient-reported outcomes using GRADE.
Main Results:
- Pelvic floor muscle training showed no significant difference in prolapse recurrence or patient-reported outcomes.
- Early ( < 24 hours) versus delayed (24 hours) indwelling catheter removal did not significantly impact urinary tract infections (UTIs) or length of stay.
- Prolonged catheter use (> 24 hours) was associated with a significantly higher risk of UTIs and longer hospital stays.
Conclusions:
- Limited evidence exists for most perioperative interventions in POP surgery.
- Prolonged catheterization (>24 hours) increases UTI risk and hospital stay.
- Further research is needed to establish effective perioperative strategies.
Related Concept Videos
01:26Muscles of the Pelvic Floor and Perineum
2.2K
The muscles of the pelvic floor and perineum are crucial for supporting the pelvic organs, controlling continence, and aiding in sexual function, childbirth, and core stability. They are typically divided into the superficial perineal layer and the deep pelvic floor layer.
Perineal Layer
The perineum is a diamond-shaped area below the pelvic diaphragm, divided into an anterior urogenital triangle that contains the external genitals and a posterior anal triangle housing the anus. The urogenital...
Perineal Layer
The perineum is a diamond-shaped area below the pelvic diaphragm, divided into an anterior urogenital triangle that contains the external genitals and a posterior anal triangle housing the anus. The urogenital...
2.2K
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
177
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
177
01:21Inflammatory Bowel Disease V: Surgical Management
219
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
219
01:22Aneurysm IV: Nursing Management
20
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
20
01:25Urinary Tract Calculi VI: Surgical Management
30
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
30
01:23Peripheral Artery Disease V: Postoperative Nursing Management
26
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
26