Korean J Urol.  2014 Nov;55(11):693-702. 10.4111/kju.2014.55.11.693.

Management of Pelvic Organ Prolapse

• Choi KH
• Hong JY

• KMID: 2069910
• DOI: http://doi.org/10.4111/kju.2014.55.11.693

Abstract

Quality of life is adversely affected by pelvic organ prolapse, the prevalence of which is increasing because of the persistently growing older population. Today, the tension-free vaginal mesh kit has grown in popularity owing to its comparable cure rate to traditional reconstructive surgery and the feasibility of an early return to normal life. However, significant debate remains over the long-term cure rate and the safety of tension-free vaginal mesh in the United States. The U.S. Food and Drug Administration recommends obtaining informed consent about the safety and cure rate when the patient chooses surgery using the tension-free vaginal mesh kit or meshes before surgery. The goal of surgery for pelvic organ prolapse is the restoration of anatomic defects. This review article provides an overview of basic surgical techniques and the results, advantages, and disadvantages of surgery for pelvic organ prolapse.

Keyword

Cystocele; Pelvic organ prolapse; Reconstructive surgical procedures; Surgical mesh

MeSH Terms

*Disease Management
Female
Gynecologic Surgical Procedures/*methods
Humans
Pelvic Organ Prolapse/*surgery
Quality of Life

Figure

• 

  FIG. 1 Robotic sacrocolpopexy. Adapted with permission from KS Lee, MD, PhD (Department of Urology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea).

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