Recurrent pelvic organ prolapse: International Urogynecological Association Research and Development Committee opinion

被引：30

作者：

Ismail, Sharif ^{[1
,2
]}

Duckett, Jonathan ^{[3
,4
,5
]}

Rizk, Diaa ^{[6
]}

Sorinola, Olanrewaju ^{[7
]}

Kammerer-Doak, Dorothy ^{[8
]}

Contreras-Ortiz, Oscar ^{[9
]}

Al-Mandeel, Hazem ^{[10
,11
]}

Svabik, Kamil ^{[12
]}

Parekh, Mitesh ^{[13
]}

Phillips, Christian ^{[14
]}

机构：

[1] Brighton & Sussex Univ Hosp NHS Trust, Royal Sussex Cty Hosp, Dept Obstet & Gynecol, Brighton BN2 5BE, E Sussex, England

[2] Brighton & Sussex Med Sch, Brighton BN2 5BE, E Sussex, England

[3] Medway Maritime Hosp, Medway Hosp NHS Trust, Dept Obstet & Gynecol, Gillingham, Kent, England

[4] Univ Kent, Canterbury, Kent, England

[5] Univ Greenwich, London, England

[6] Arabian Gulf Univ, Coll Med & Med Sci, Dept Obstet & Gynecol, Manama, Bahrain

[7] Univ Warwick, South Warwickshire NHS Fdn Trust, Coventry, W Midlands, England

[8] Univ New Mexico Hosp, Womens Pelv Specialty Care PC, Albuquerque, NM USA

[9] Univ Buenos Aires, Fac Med, Buenos Aires, DF, Argentina

[10] King Khalid Univ Hosp, Dept Obstet & Gynecol, Riyadh, Saudi Arabia

[11] King Saud Univ, Coll Med, Riyadh, Saudi Arabia

[12] Charles Univ Prague, Dept Obstet & Gynecol, Prague, Czech Republic

[13] Genesis Hlth Syst, Zanesville, OH USA

[14] Hampshire Hosp NHS Fdn Trust, Dept Obstet & Gynecol, Basingstoke, Hants, England

来源：

INTERNATIONAL UROGYNECOLOGY JOURNAL | 2016年 / 27卷 / 11期

关键词：

Recurrent; Pelvic organ prolapse; Definition; Incidence; Prevalence; Cost; Etiology; Diagnosis; Treatment; RANDOMIZED CONTROLLED-TRIAL; VAGINAL WALL PROLAPSE; ICS JOINT REPORT; RISK-FACTORS; MESH REPAIR; ANTERIOR COLPORRHAPHY; CYSTOCELE RECURRENCE; STRESS-INCONTINENCE; POLYPROPYLENE MESH; TRANSVAGINAL MESH;

D O I：

10.1007/s00192-016-3076-7

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

This committee opinion paper summarizes available evidence about recurrent pelvic organ prolapse (POP) to provide guidance on management. A working subcommittee from the International Urogynecological Association (IUGA) Research and Development Committee was formed. The literature regarding recurrent POP was reviewed and summarized by individual members of the subcommittee. Recommendations were graded according to the 2009 Oxford Levels of Evidence. The summary was reviewed by the Committee. There is no agreed definition for recurrent POP and evidence in relation to its evaluation and management is limited. The assessment of recurrent POP should entail looking for possible reason(s) for failure, including persistent and/or new risk factors, detection of all pelvic floor defects and checking for complications of previous surgery. The management requires individual evaluation of the risks and benefits of different options and appropriate patient counseling. There is an urgent need for an agreed definition and further research into all aspects of recurrent POP.

引用

页码：1619 / 1632

页数：14

共 91 条

[1] Site-specific rectocele repair compared with standard posterior colporrhaphy [J].