Chirurgische Therapie des urogenitalen Deszensus

Abstract

Female pelvic organ prolapse is a widely prevalent condition and is associated with variable morbidity. It encompasses a number of clinical conditions, including subvesical obstruction, overactive bladder symptoms, sexual dysfunction and urinary und fecal incontinence. The prevalence of pelvic insufficiency is estimated to be between 30 and 50 %. As life expectancy is increasing and the elderly population is growing, there will be an increased incidence of the condition and growing demand for pelvic floor treatment in the future. The incidence of recurrent pelvic floor prolapse is also growing. The goal of surgical management is the restoration of pelvic anatomy and bladder, vaginal and bowel function, resolution of patient symptoms and improvement in quality of life. The objective of this review is to present the main surgical procedures for different subtypes of genital prolapse and to evaluate their outcomes and complications. During the last ten years, technologies for the minimally invasive approach have advanced and robotic assisted sacrocolpopexy is now equivalent to classical vaginal and transabdominal procedures.

Función sexual y calidad de vida relacionada con la salud en mujeres climatéricas con prolapso genital en Centros de Salud Familiar de la región de Ñuble.

“…En la mayoría de los estudios consultados, se describe o asocia la función sexual o calidad de vida al prolapso genital reparado con distintas técnicas, o con uso de terapia hormonal 20,21 .…”

Urologie der Frau – Rückblick auf die Entwicklung in den letzten 5 Jahrzehnten

“…Als erste Interponate wurden bei abdominalen Sakropexien Gefäßendoprothesen verwendet. Dann erst wurden textile Interponate aus der Hernienchirurgie bei Sakropexien verwandt [31]. Prinzip der operativen Harninkontinenztherapie war vor der TVT-Ära eine operative Fixation des Blasenhalses bzw.…”