Open Access

HOW I DO IT

Management of pelvic organ prolapse

Faisal Ahmed, Tiffany Sotelo

Pelvic Floor Center, George Washington University Hospital, Washington, DC, USA
Address correspondence to Dr. Tiffany Sotelo, GWU Medical Faculty Associates, 2150 Pennsylvania Avenue, NW, Washington, DC 20037 USA

Canadian Journal of Urology 2011, 18(6), 6050-6053.

Abstract

Symptomatic pelvic organ prolapse can afflict up to 10% of women. Urinary incontinence, voiding dysfunction or difficulty possibly related to bladder outlet obstruction are common symptoms. Infrequently hydronephrosis or defecatory dysfunction can be seen. The management of pelvic organ prolapse (POP) should start with adequate assessment of all pelvic floor complaints. If a patient is not symptomatic, surgical intervention is usually not indicated. While the use of a variety of graft materials are available today including porcine, dermal and synthetic grafts, that are used in some surgical approaches to pelvic organ prolapse, other more conservative approaches may prove beneficial to many patients. This article describes our approach to the patient with pelvic organ prolapse.

---

Keywords

---