Summary: 2021 International Consultation on Incontinence Evidence-Based Surgical Pathway for Pelvic Organ Prolapse

被引:16
作者
de Tayrac, Renaud [1 ]
Antosh, Danielle D. [2 ]
Baessler, Kaven [3 ,4 ]
Cheon, Cecilia [5 ]
Deffieux, Xavier [6 ]
Gutman, Robert [7 ]
Lee, Joseph [8 ]
Nager, Charles [9 ]
Schizas, Alexis [10 ]
Sung, Vivian [11 ]
Maher, Christopher [12 ]
机构
[1] Univ Montpellier, Serv Gynecol Obstet, CHU Nimes, F-34000 Nimes, France
[2] Houston Methodist Hosp, Dept Obstet & Gynecol, Houston, TX 77030 USA
[3] Franziskus Hosp, Pelv Floor Ctr, Budapester Str 15-19, D-10787 Berlin, Germany
[4] St Joseph Hosp, Pelv Floor Ctr, Budapester Str 15-19, D-10787 Berlin, Germany
[5] Hong Kong & Shenzhen Hong Kong Univ Hosp, Urogynaecol Sect, Queen Elizabeth Hosp, Shenzhen 518009, Peoples R China
[6] Hop Antoine Beclere, Serv Gynecol Obstet, F-92140 Clamart, France
[7] MedStar Washington Hosp Ctr, Urogynecol & Pelv Reconstruct Surg, 106 Irving St NW 405 S, Washington, DC 20010 USA
[8] UNSW Univ New South Wales, St Vincents Clin, Sydney, NSW 2010, Australia
[9] Univ Calif San Diego Hlth, Dept Obstet Gynecol & Reprod Sci, San Diego, CA 92037 USA
[10] Guys & St Thomas NHS Fdn Trust, Gen Surg Dept, Monkton St, London SELL 4TX, England
[11] Brown Univ, Dept Obstet & Gynecol, Warren Alpert Med Sch, Providence, RI 02903 USA
[12] Urogynaecol Univ QLD, Royal Brisbane & Womens Hosp, Herston, Qld 4029, Australia
关键词
POP; pelvic organ prolapse; guideline; repair; mesh; OCCULT STRESS-INCONTINENCE; ICS JOINT REPORT; CYSTOCELE RECURRENCE; OUTCOME MEASURES; CONTINENT WOMEN; LIFETIME RISK; TERMINOLOGY; SYMPTOMS; SURGERY; CLASSIFICATION;
D O I
10.3390/jcm11206106
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
(1) Background: There is wide variation in the reported prevalence rates for pelvic organ prolapse (POP). There is also wide variation in the rate at which surgical interventions for pelvic organ prolapse are performed, as well as the type of interventions undertaken. As part of the International Consultation on Incontinence (ICI), our committee was tasked to produce evidence-based pathways for the surgical management of POP, any associated stress urinary incontinence (SUI), and bowel dysfunction. (2) Methods: To enable us to generate such evidence, we undertook a thorough search for the POP surgery-related, English-language scientific literature published up to April 2021. (3) Results: The committee evaluated the literature and made recommendations based on the Oxford grading system. (4) Conclusions: This review serves to provide a summary of the 2021 ICI surgical management of an evidence-based prolapse pathway and outline the evidence used to inform this guidance.
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页数:13
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