A variety of nonsurgical and surgical treatment options exist for the treatment of pelvic organ prolapse.
While nonsurgical management is often selected as first-line treatment, many women eventually elect to undergo surgical management. Traditionally, prolapse repair often includes concomitant hysterectomy; however, women increasingly desire uterine preservation for a myriad of reasons. Multiple surgical procedures have been described to correct apical prolapse while preserving the uterus. Many studies suggest similar anatomic and functional outcomes compared to prolapse procedures with concomitant hysterectomy. Potential benefits include decreased operative time and avoidance of hysterectomy-specific complications, although there are several unique issues to consider if the uterus is retained. Surgeons must provide adequate counseling and preoperative evaluation before proceeding with uterine preservation.
Written by:
Kow N, Goldman HB, Ridgeway B. Are you the author?
Center of Urogynecology and Pelvic Floor Disorders, Obstetrics, Gynecology & Women's Health Institute, Cleveland Clinic and the Glickman Urological Institute, Cleveland Clinic, Cleveland, OH, USA.
Reference: Curr Urol Rep. 2013 May 23. Epub ahead of print.
doi: 10.1007/s11934-013-0336-7
PubMed Abstract
PMID: 23700096
UroToday.com Trauma & Reconstruction Section
