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Urogynecology Section of the Polish Society of Gynecologists and Obstetricians Guidelines on the management of recurrent pelvic organ prolapse
, 3, 4, 5, 6, 7, 8, 910, 6
Affiliations- Department of Gynecology, Gynecological Oncology, Military Medical Institute, Warsaw, Poland, Poland
- Department of Gynecology and Obstetrics and Gynecological Endocrinology, Jagiellonian University Medical College, Cracow, Poland, Poland
- Department of Gynecology, Gynecological Oncology and Gynecological Endocrinology, Medical University of Gdansk, Poland, Poland
- Department of Surgical and Endoscopic Gynaecology, Medical University in Lodz, Poland, Poland
- 2nd Department of Gynecology, Medical University of Lublin, Poland, Poland
- Department of Operative Gynecology and Gynecological Oncology, I Department of Gynecology and Obstetrics, Medical University of Lodz, Poland, Poland
- Department of Gynecology, Gynecology Oncology and Obstetrics, Institute of Medical Sciences, Medical College of Rzeszow University, Poland, Poland
- 2nd Department of Gynecology and Obstetrics, Bielanski Hospital, Warsaw, Poland, Poland
- Department of Gynecology, „Inflancka” Specialist Hospital, Warsaw, Poland, Poland
- Collegium Medicum, Cardinal Stefan Wyszynski University, Warsaw, Poland, Poland
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Abstract
Objectives: The aim of the publication was to present the Guideline of the Urogynecology Section of the Polish Society of Gynecologists and Obstetricians (PSGO) for the management of recurrent pelvic organ prolapse, based on the available literature, expert knowledge and opinion, as well as everyday practice. Material and methods: In 2005, 2006 and 2010, the panel of PSGO experts published guidelines for the diagnosis and treatment of patients with lower urinary tract symptoms (LUTS). This publication presents an update of those recommendations and concerns recurrent POP treatment. Main conclusion: The analysis of data revealed that sacrocolpopexy with the use of commercial sets or polypropylene hernia mesh is the method of choice for the surgical repair of recurrent vaginal vault prolapse. However, a significantly higher risk of surgical and postoperative complications after sacrocolpopexy, as compared to vaginal surgeries, should be considered when making treatment decisions. In other types of recurrent POP, the choice of surgery method should be tailored to the individual needs of each patient and may depend on the medical center.
Abstract
Objectives: The aim of the publication was to present the Guideline of the Urogynecology Section of the Polish Society of Gynecologists and Obstetricians (PSGO) for the management of recurrent pelvic organ prolapse, based on the available literature, expert knowledge and opinion, as well as everyday practice. Material and methods: In 2005, 2006 and 2010, the panel of PSGO experts published guidelines for the diagnosis and treatment of patients with lower urinary tract symptoms (LUTS). This publication presents an update of those recommendations and concerns recurrent POP treatment. Main conclusion: The analysis of data revealed that sacrocolpopexy with the use of commercial sets or polypropylene hernia mesh is the method of choice for the surgical repair of recurrent vaginal vault prolapse. However, a significantly higher risk of surgical and postoperative complications after sacrocolpopexy, as compared to vaginal surgeries, should be considered when making treatment decisions. In other types of recurrent POP, the choice of surgery method should be tailored to the individual needs of each patient and may depend on the medical center.
Keywords
pelvic organ prolapse; recurrence; reoperation
About this articleTitle
Urogynecology Section of the Polish Society of Gynecologists and Obstetricians Guidelines on the management of recurrent pelvic organ prolapse
Journal
Issue
Article type
Guidelines / Expert consensus
Pages
173-176
Published online
2021-12-15
Page views
5714
Article views/downloads
785
DOI
Pubmed
Bibliographic record
Ginekol Pol 2022;93(2):173-176.
Keywords
pelvic organ prolapse
recurrence
reoperation
Authors
Wlodzimierz Baranowski
Klaudia Stangel-Wojcikiewicz
Magdalena E. Grzybowska
Andrzej Malinowski
Tomasz Rechberger
Edyta Wlazlak
Tomasz Kluz
Elzbieta Najorczyk-Swiesciak
Artur Rogowski
Grzegorz Surkont
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