Evaluation and Management of Pelvic Organ Prolapse

Raju, Rubin; Linder, Brian J.

doi:10.1016/j.mayocp.2021.09.005

Cited by 60 publications

(28 citation statements)

References 33 publications

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“…Interventional and observational studies dedicated to POP surgeries or using pessaries have grown significantly in the last decade [ 90 , 91 ]. On the other hand, with the emergence of specialized QoL questionnaires for pelvic organ prolapse and its symptoms, we encounter a significant amount of data concerning QoL in different methods [ 92 ].…”

Section: Discussionmentioning

confidence: 99%

“…Increasing numbers of elderly women and their co-morbidities have increased the preference for obliterative vaginal surgery, due to high levels of durability with lower rates of morbidity. Obliterative methods seem to be a good method for older women who are not sexually active and could not tolerate major surgeries with good durability and relative ease of surgery [ 90 , 93 ]. Few studies evaluated the QoL of patients following obliterative methods.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Quality of Life Following Pelvic Organ Prolapse Treatments in Women: A Systematic Review and Meta-Analysis

Ghanbari

Ghaemi

Shafiee

et al. 2022

JCM

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Introduction: Quality of life (QoL) improvement is one of the main outcomes in the management of pelvic organ prolapse as a chronic illness in women. This systematic review aimed to investigate the impact of surgical or pessary treatment for pelvic organ prolapse (POP) on quality of life. Methods: Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) was applied. Electronic databases, including PubMed, Scopus, and Web of Science, were searched for original articles that evaluated the QoL before and after surgical interventions or pessary in pelvic organ prolapse from 1 January 2012 until 30 June 2022 with a combination of proper keywords. Included studies were categorized based on interventions, and they were tabulated to summarize the results. Results: Overall, 587 citations were retrieved. Of these, 76 articles were found eligible for final review. Overall, three categories of intervention were identified: vaginal surgeries (47 studies), abdominal surgeries (18 studies), and pessary intervention (11 studies). Almost all interventions were associated with improved quality of life. The results of the meta-analysis showed a significant association between the employment of surgical approach techniques (including vaginal and abdominal surgeries) and the quality of life (Pelvic Floor Distress Inventory (PFDI) (MD: −48.08, 95% CI: −62.34 to −33.77, p-value < 0.01), Pelvic Floor Impact Questionnaire (PFIQ) (MD: −33.41, 95% CI: −43.48 to −23.34, p < 0.01)) and sexual activity of patients with pelvic organ prolapse (Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire (PISQ) (MD: 4.84, 95% CI: 1.75 to 7.92, p < 0.01)). Furthermore, narrative synthesis for studies investigating the effect of the pessary approach showed a positive association between the use of this instrument and improvement in the quality of life and sexual activity. Conclusions: The results of our study revealed a significant improvement in the women’s quality of life following abdominal and vaginal reconstructive surgery. The use of pessary was also associated with increased patient quality of life.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Quality of Life Following Pelvic Organ Prolapse Treatments in Women: A Systematic Review and Meta-Analysis

Ghanbari

Ghaemi

Shafiee

et al. 2022

JCM

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“…It is reported that the proportion of women aged 70–79 seeking medical consultation due to symptomatic POP is the highest, as high as 18.6/1,000 ( 10 , 11 ). And most remarkably, POP remains a problem even in high-income countries, as shown in the United States, the annual incidence rate of POP is 1.5–1.8/1,000, and the highest incidence rate is among women aged 60–69 ( 11 , 12 ). Given the aging population in the United States, the number of women suffering from POP is expected to increase by about 50% by 2050 ( 6 ).…”

Section: Introductionmentioning

confidence: 99%

Global burden and trends of pelvic organ prolapse associated with aging women: An observational trend study from 1990 to 2019

Wang

Chen

Zhu

et al. 2022

Front. Public Health

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“…According to another research, approximately 12% of those anatomical POP are symptomatic, and may affect women's quality of life by causing discomfort and urinary, sexual, and bowel dysfunction (7)(8)(9)(10)(11). 13% women has lifetime risk of undergoing surgery for POP, which may raise nancial burden upon health care systems (12)(13)(14). Additionally, POP surgery may lead to symptoms of bladder over activity and voiding dysfunction, and even suffer from recurrence several years (15)(16)(17).…”

Section: Introductionmentioning

confidence: 99%

Risk factors of pelvic organ prolapse: an ultrasound based retrospective study

Fang

Weng

Lin

et al. 2022

Preprint

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Objective: To analyse the risk factors of pelvic organ prolapse in postpartum period. Methods: This retrospective study included 4965 participants who visited Fujian Maternity and Child Health Hospital from December 2019 to March 2022. All participants were assessed by medical professionals for general information and Pelvic floor 3D ultrasound. Results: Logistic regression analysis showed that age and body mass index had a negative impact on cystocele, perineal hypermobility, hiatal ballooning, rectocele (BMI only), levator avulsion (age only). In contrast, education was a protective factor of uterine prolapse, perineal hypermobility, and hiatal ballooning. Multiparas were more likely to develop cystocele, while multiparas were less likely to get levator avulsion. Vaginal delivery was a risk factor of most of pelvic floor injury, including cystocele, uterine prolapse, perineal hypermobility, hiatal ballooning, and levator avulsion. Similarly, neonatal weight was also a negative factor of levator avulsion. No specific association was found between these factors and anterior, middle and posterior pelvic prolapse. Conclusions: We found that age, body mass index, parity, vaginal delivery, and neonatal weight were the risk factors of pelvic organ prolapse or levator avulsion. But education and parity was the protective factor of pelvic organ prolapse and levator avulsion respectively.

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Evaluation and Management of Pelvic Organ Prolapse

Cited by 60 publications

References 33 publications

Quality of Life Following Pelvic Organ Prolapse Treatments in Women: A Systematic Review and Meta-Analysis

Quality of Life Following Pelvic Organ Prolapse Treatments in Women: A Systematic Review and Meta-Analysis

Global burden and trends of pelvic organ prolapse associated with aging women: An observational trend study from 1990 to 2019

Risk factors of pelvic organ prolapse: an ultrasound based retrospective study

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