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Vol 93, No 4 (2022)
Guidelines / Expert consensus
Published online: 2022-01-05
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The Urogynecology Section of the Polish Society of Gynecologists and Obstetricians Guidelines for the diagnostic assessment of pelvic organ prolapse

Edyta Wlazlak1, Tomasz Kluz2, Tomasz Rechberger3, Wlodzimierz Baranowski4, Artur Rogowski5, Magdalena E. Grzybowska6, Konrad Futyma3, Klaudia Stangel-Wojcikiewicz7, Paulina Pajak8, Elzbieta Narojczyk-Swiesciak9, Bartlomiej Burzynski10, Radoslaw Maksym11, Grzegorz Surkont1
DOI: 10.5603/GP.a2021.0217
·
Ginekol Pol 2022;93(4):334-340.
Affiliations
  1. Department of Operative Gynecology and Gynecologic Oncology, 1st Department of Gynecology and Obstetrics, Medical University of Lodz, Poland, Poland
  2. Department of Gynecology, Gynecology Oncology and Obstetrics, Institute of Medical Sciences, Medical College of Rzeszow University, Poland
  3. II Department of Gynecology, Medical University of Lublin, Poland
  4. Department of Gynecology and Gynecological Oncology, Military Medical Institute, Warsaw, Poland
  5. Department of Minimally Invasive and Endoscopic Gynecology, Military Institute of Medicine, Legionowo Hospital, Warsaw, Poland
  6. Department of Gynecology, Gynecological Oncology and Gynecological Endocrinology, Medical University of Gdansk, Poland
  7. Jagiellonian University Medical College, Department of Gynecology and Oncology, Cracow, Poland
  8. Department of Obstetrics and Gynecology, Multidisciplinary Hospital Warsaw-Miedzylesie, Warsaw, Poland
  9. 2nd Department of Obstetrics and Gynecology, The Center of Postgraduate Medical Education, Warsaw, Poland
  10. Department of Rehabilitation, Faculty of Health Sciences in Katowice, Medical University of Silesia, Katowice, Poland
  11. Department of Procreational Health, The Center of Postgraduate Medical Education, Warsaw, Poland

open access

Vol 93, No 4 (2022)
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Published online: 2022-01-05

Abstract

Objectives: The aim of the team appointed by the Board of the Urogynecology Section of the Polish Society of Gynecologists and Obstetricians (PSGO) was to develop this interdisciplinary Guideline for the diagnostic assessment of pelvic organ prolapse (POP) in women, based on the available literature, expert knowledge and opinion, as well as everyday practice. Material and methods: A review of the literature, including current international guidelines and earlier PSGO recommendations (2010-2020) about POP, was conducted. Results: The steps of the diagnostic assessment for patients with POP, subdivided into initial and specialized diagnostics, have been presented. Indications for specialized diagnostic assessment have also been listed. In case of surgical treatment, the patient may be referred solely based on the initial diagnostics or after certain elements of the specialized diagnostics have been completed. Conclusions: Due to inconclusive data, the scope of the diagnostic process for POP is individualized for each patient and depends on patient-reported symptoms, initial diagnostic findings, surgical history, management plan, availability of the equipment, and cost.

Abstract

Objectives: The aim of the team appointed by the Board of the Urogynecology Section of the Polish Society of Gynecologists and Obstetricians (PSGO) was to develop this interdisciplinary Guideline for the diagnostic assessment of pelvic organ prolapse (POP) in women, based on the available literature, expert knowledge and opinion, as well as everyday practice. Material and methods: A review of the literature, including current international guidelines and earlier PSGO recommendations (2010-2020) about POP, was conducted. Results: The steps of the diagnostic assessment for patients with POP, subdivided into initial and specialized diagnostics, have been presented. Indications for specialized diagnostic assessment have also been listed. In case of surgical treatment, the patient may be referred solely based on the initial diagnostics or after certain elements of the specialized diagnostics have been completed. Conclusions: Due to inconclusive data, the scope of the diagnostic process for POP is individualized for each patient and depends on patient-reported symptoms, initial diagnostic findings, surgical history, management plan, availability of the equipment, and cost.

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Keywords

pelvic organ prolapse; diagnostics; USG; MRI

About this article
Title

The Urogynecology Section of the Polish Society of Gynecologists and Obstetricians Guidelines for the diagnostic assessment of pelvic organ prolapse

Journal

Ginekologia Polska

Issue

Vol 93, No 4 (2022)

Article type

Guidelines / Expert consensus

Pages

334-340

Published online

2022-01-05

Page views

5021

Article views/downloads

649

DOI

10.5603/GP.a2021.0217

Bibliographic record

Ginekol Pol 2022;93(4):334-340.

Keywords

pelvic organ prolapse
diagnostics
USG
MRI

Authors

Edyta Wlazlak
Tomasz Kluz
Tomasz Rechberger
Wlodzimierz Baranowski
Artur Rogowski
Magdalena E. Grzybowska
Konrad Futyma
Klaudia Stangel-Wojcikiewicz
Paulina Pajak
Elzbieta Narojczyk-Swiesciak
Bartlomiej Burzynski
Radoslaw Maksym
Grzegorz Surkont

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