Materiały źródłowe

• #1

  https://www.nhs.uk/conditions/pelvic-organ-prolapse/treatment/

  There are several treatment options available for pelvic organ prolapse. […] Treatment options include: lifestyle changes, pelvic floor exercises, hormone treatment, vaginal pessaries, surgery. […] If you have a mild prolapse and have been through the menopause, your doctor may recommend treatment with oestrogen to ease some of your symptoms, such as vaginal dryness or discomfort during sex. […] Vaginal pessaries allow you to get pregnant in the future. They can be used to ease the symptoms of moderate or severe prolapses and are a good option if you cannot or would prefer not to have surgery. […] If non-surgical options have not worked or the prolapse is more severe, surgery may be an option. […] There are several different surgical treatments for pelvic organ prolapse. […] For women with a prolapsed womb who have been through the menopause or do not wish to have any more children, a doctor may recommend surgery to remove the womb (hysterectomy).

• #2 Pelvic Organ Prolapse: Types, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/24046-pelvic-organ-prolapse

  Pelvic organ prolapse (POP) is a condition where weak muscles in your pelvis cause one or more organs (vagina, uterus, bladder and rectum) to sag. Your healthcare provider can recommend treatments to repair the prolapse and relieve your symptoms. […] There are nonsurgical and surgical options to treat pelvic organ prolapse. Your healthcare provider can discuss what your options are based on your situation. […] Your treatment plan will depend on how severe the prolapse is, where it is and how much your symptoms affect you. There are surgical and nonsurgical treatment options. […] Nonsurgical treatment focuses on managing your symptoms and improving your quality of life. […] Treatments for pelvic organ prolapse that dont involve surgery include: Vaginal pessary. This is a removable, silicone device that your provider can insert into your vagina to hold a sagging organ in place. Pelvic floor exercises (Kegel exercises). These are strengthening exercises for your pelvic floor.

• #3 Nonsurgical Treatment for Pelvic Organ Prolapse | NYU Langone Health

  https://nyulangone.org/conditions/pelvic-organ-prolapse/treatments/nonsurgical-treatment-for-pelvic-organ-prolapse

  At NYU Langone, treatment for pelvic organ prolapse is customized based on your age, existing health conditions, prior surgeries, how much the symptoms interfere with your life, and whether you plan to become pregnant. […] Nonsurgical treatments for pelvic organ prolapse can reduce the pain and pressure of mild-to-moderate prolapse and preserve fertility if the uterus is prolapsed. […] NYU Langone doctors may recommend that you use a vaginal pessary or do pelvic floor muscle exercises, either in combination or separately, depending on the type and severity of the prolapse. […] Often the first treatment recommended to women with pelvic organ prolapse, a vaginal pessary is a removable device made of rubber or silicone that is placed into the vagina to hold prolapsed, or fallen, organs in place.

• #4 Pelvic Organ Prolapse | AAFP

  https://www.aafp.org/pubs/afp/issues/2017/0801/p179.html

  Pelvic organ prolapse is the descent of one or more of the anterior vaginal wall, posterior vaginal wall, the uterus (cervix), or the apex of the vagina (vaginal vault or cuff scar after hysterectomy). […] Treatment options include observation, vaginal pessaries, and surgery. Most women can be successfully fit with a vaginal pessary. Available surgical options are reconstructive pelvic surgery with or without mesh augmentation and obliterative surgery. […] Most women should be offered a pessary as first-line treatment for pelvic organ prolapse. […] Women with pelvic organ prolapse may elect for observation, pelvic floor muscle training, pessary use, or surgery. The primary goal of any treatment is to improve symptoms and, for conservative management, to minimize prolapse progression. The choice of treatment is driven by patient preferences; however, patients with symptomatic prolapse should be made aware that pessary use is a viable nonsurgical option.

• #5 Pelvic organ prolapse – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/pelvic-organ-prolapse/diagnosis-treatment/drc-20562951

  Diagnosis of pelvic organ prolapse begins with a medical history and an exam of the pelvic organs. This can help your healthcare professional find the type of prolapse you may have. […] Treatment depends on your symptoms and how much they bother you. If your pelvic organ prolapse doesn’t bother you, your healthcare professional might suggest no treatment or treating the prolapse without surgery. If symptoms get worse and affect your quality of life, you might need surgery. […] Many people with prolapse also are in menopause. Menopause lowers estrogen levels. Too little estrogen can weaken vaginal tissue and lead to vaginal dryness. Talk with your healthcare professional about whether treatment with estrogen is right for you. The use of vaginal estrogen might be an option. […] Your healthcare professional may suggest pelvic floor exercises using biofeedback to strengthen muscles of the pelvic floor. Biofeedback involves the use of monitoring devices with sensors that are placed in the vagina and rectum or on the skin. As you do an exercise, a computer screen shows whether you’re using the right muscles. It also shows the strength of each squeeze, called a contraction. This helps you learn how to do the exercises correctly. Over time, making pelvic floor muscles stronger might help ease symptoms.

• #6 Pelvic organ prolapse | RCOG

  https://www.rcog.org.uk/for-the-public/browse-our-patient-information/pelvic-organ-prolapse/

  Pelvic floor muscle exercises: to strengthen your pelvic floor muscles you may be referred to a specialist womens health physiotherapist for a course of physiotherapy treatment (36 months). Pelvic floor exercises may not get rid of your prolapse but are likely to improve your symptoms. […] Vaginal hormone treatment (estrogen): if you have gone through the menopause, your doctor may recommend vaginal estrogen treatment in the form of tablets, cream or a ring that is inserted into your vagina. Estrogen treatment can help to reduce the discomfort you may experience from having a prolapse. […] Vaginal support pessary: a pessary is a plastic or silicone device that fits into your vagina to help support the pelvic organs. This can be an effective way of helping your symptoms. […] Whether you choose to have surgery will depend on how severe your symptoms are and how your prolapse affects your daily life. You may want to consider surgery if other options have not helped.

• #7 Pelvic organ prolapse – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/pelvic-organ-prolapse/diagnosis-treatment/drc-20562951

  Diagnosis of pelvic organ prolapse begins with a medical history and an exam of the pelvic organs. This can help your healthcare professional find the type of prolapse you may have. […] Treatment depends on your symptoms and how much they bother you. If your pelvic organ prolapse doesn’t bother you, your healthcare professional might suggest no treatment or treating the prolapse without surgery. If symptoms get worse and affect your quality of life, you might need surgery. […] Many people with prolapse also are in menopause. Menopause lowers estrogen levels. Too little estrogen can weaken vaginal tissue and lead to vaginal dryness. Talk with your healthcare professional about whether treatment with estrogen is right for you. The use of vaginal estrogen might be an option. […] Your healthcare professional may suggest pelvic floor exercises using biofeedback to strengthen muscles of the pelvic floor. Biofeedback involves the use of monitoring devices with sensors that are placed in the vagina and rectum or on the skin. As you do an exercise, a computer screen shows whether you’re using the right muscles. It also shows the strength of each squeeze, called a contraction. This helps you learn how to do the exercises correctly. Over time, making pelvic floor muscles stronger might help ease symptoms.

• #8 Physical Therapy for Incontinence & Prolapse | CU Urogynecology | CO

  https://urogyn.coloradowomenshealth.com/treatments/pelvic-floor-therapy.html

  Pelvic floor physical therapy offers a series of nonsurgical interventions. […] Pelvic floor therapy can help to rewire the brain and muscles to control the coordination of key muscle groups. […] Pelvic floor therapy can be used to address a variety of conditions such as pelvic organ prolapse. […] We offer multiple types of treatment options for someone who is suffering from a pelvic floor disorder. […] Physical therapists teach patients how to properly do Kegels and other exercises to contract and relax pelvic floor muscles. […] A physical therapist may use soft tissue mobilization techniques to help with muscle tightness, function and posture of the pelvic floor. […] A physical therapist can help patients learn how to extend the time between voiding. […] Biofeedback therapy involves placing a sensor near the pelvic floor muscles, which transmits the amount of force the woman is exerting to a computer.

• #9 Can physical therapy help prolapse?

  https://www.rvaholisticpt.com/post/can-physical-therapy-help-prolapse

  The short answer is yes! Absolutely! Pelvic Health physical therapy should be your first stop if you have a grade 1, 2 or 3 prolapse– in other words, if your organ is not completely falling out of your body– you should do physical therapy. A 2010 randomized controlled trial of women with grades I, II and II prolapse concluded „Pelvic floor muscle training is without adverse effects and can be used as treatment for prolapse (Brkken). […] A study by Braekken found improvement in stage I, II and III prolapse with the intervention of pelvic floor muscle exercise. […] The effectiveness of pelvic floor muscle training in women with prolapse has been demonstrated in several studies such as this (Saunders, Braeken) (yay!!), but there seems to be some women who respond really well to pelvic floor muscle strengthening and other women who do not.

• #10 Uterine prolapse – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/uterine-prolapse/diagnosis-treatment/drc-20353464

  Pessaries come in many shapes and sizes. The device fits into the vagina and provides support to vaginal tissues displaced by pelvic organ prolapse. A health care provider can fit a pessary and help provide information about which type would work best. […] If you have uterine prolapse and it doesn’t bother you, treatment may not be needed. You might choose to wait and see what happens. But when prolapse symptoms bother you, your provider may suggest: […] Self-care measures might provide relief from symptoms or help prevent the prolapse from getting worse. Self-care measures include performing exercises to strengthen pelvic muscles. These are called Kegel exercises. You might also benefit from losing weight and treating constipation. […] A vaginal pessary is a silicone device inserted into the vagina. It helps prop up bulging tissues. A pessary must be removed regularly for cleaning.

• #11 Pelvic Organ Prolapse Treatment & Management: Medical Therapy, Surgical Therapy, Surgical Management of Anterior Vaginal Wall Prolapse

  https://emedicine.medscape.com/article/276259-treatment

  Nonsurgical (conservative) management of pelvic organ prolapse is recommended by both the Agency for Health Care Policy and Research and the American College of Obstetricians and Gynecologists and should be attempted before surgery is contemplated. Conservative management confers several advantages: it is safe and inexpensive, it is not usually associated with morbidity and mortality, it is minimally invasive, it can lead to a high patient satisfaction, and it may be used for patients awaiting surgery or patients who are not interested in surgical management. Pelvic muscle exercises (PMEs) and vaginal support devices (pessaries) are the main nonsurgical treatments for patients with pelvic organ prolapse. […] Vaginal support devices (pessaries) are manufactured from medical-grade silicone and are safe, cost-effective, and minimally invasive options for treating patients with pelvic organ prolapse. A study of pessary use showed that 75% of urogynecologists used pessaries as first-line therapy for prolapse.

• #12

  https://www.nhs.uk/conditions/pelvic-organ-prolapse/treatment/

  There are several treatment options available for pelvic organ prolapse. […] Treatment options include: lifestyle changes, pelvic floor exercises, hormone treatment, vaginal pessaries, surgery. […] If you have a mild prolapse and have been through the menopause, your doctor may recommend treatment with oestrogen to ease some of your symptoms, such as vaginal dryness or discomfort during sex. […] Vaginal pessaries allow you to get pregnant in the future. They can be used to ease the symptoms of moderate or severe prolapses and are a good option if you cannot or would prefer not to have surgery. […] If non-surgical options have not worked or the prolapse is more severe, surgery may be an option. […] There are several different surgical treatments for pelvic organ prolapse. […] For women with a prolapsed womb who have been through the menopause or do not wish to have any more children, a doctor may recommend surgery to remove the womb (hysterectomy).

• #13 Pelvic Organ Prolapse: Types, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/24046-pelvic-organ-prolapse

  Pelvic organ prolapse (POP) is a condition where weak muscles in your pelvis cause one or more organs (vagina, uterus, bladder and rectum) to sag. Your healthcare provider can recommend treatments to repair the prolapse and relieve your symptoms. […] There are nonsurgical and surgical options to treat pelvic organ prolapse. Your healthcare provider can discuss what your options are based on your situation. […] Your treatment plan will depend on how severe the prolapse is, where it is and how much your symptoms affect you. There are surgical and nonsurgical treatment options. […] Nonsurgical treatment focuses on managing your symptoms and improving your quality of life. […] Treatments for pelvic organ prolapse that dont involve surgery include: Vaginal pessary. This is a removable, silicone device that your provider can insert into your vagina to hold a sagging organ in place. Pelvic floor exercises (Kegel exercises). These are strengthening exercises for your pelvic floor.

• #14 Pelvic Organ Prolapse Treatment & Management: Medical Therapy, Surgical Therapy, Surgical Management of Anterior Vaginal Wall Prolapse

  https://emedicine.medscape.com/article/276259-treatment

  Nonsurgical (conservative) management of pelvic organ prolapse is recommended by both the Agency for Health Care Policy and Research and the American College of Obstetricians and Gynecologists and should be attempted before surgery is contemplated. Conservative management confers several advantages: it is safe and inexpensive, it is not usually associated with morbidity and mortality, it is minimally invasive, it can lead to a high patient satisfaction, and it may be used for patients awaiting surgery or patients who are not interested in surgical management. Pelvic muscle exercises (PMEs) and vaginal support devices (pessaries) are the main nonsurgical treatments for patients with pelvic organ prolapse. […] Vaginal support devices (pessaries) are manufactured from medical-grade silicone and are safe, cost-effective, and minimally invasive options for treating patients with pelvic organ prolapse. A study of pessary use showed that 75% of urogynecologists used pessaries as first-line therapy for prolapse.

• #15 Pelvic Organ Prolapse | AAFP

  https://www.aafp.org/pubs/afp/issues/2017/0801/p179.html

  Pessaries are devices that are placed in the vagina to restore normal pelvic anatomy and decrease prolapse symptoms. They are primarily made from medical-grade silicone. Two-thirds of patients with pelvic organ prolapse initially choose management with a pessary, and up to 77% will continue pessary use after one year. Pessaries are an option for all stages of prolapse, and they may prevent progression of prolapse and avert or delay the need for surgery. […] The most common complications of pessary use are vaginal discharge, irritation, ulceration, bleeding, pain, and odor. […] Obliterative and reconstructive surgeries for pelvic organ prolapse are available and may include hysterectomy or uterine conservation (hysteropexy). The decision for surgery must include a discussion of a patient’s goals and expectations based on cultural views such as body image and desire for future sexual function, including vaginal intercourse. […] Transvaginal mesh prolapse repairs have been intensely scrutinized. The U.S. Food and Drug Administration issued an advisory recommending that physicians discuss potential complications of vaginal mesh for prolapse with patients.

• #16 Pelvic Organ Prolapse | AAFP

  https://www.aafp.org/pubs/afp/issues/2017/0801/p179.html

  Pessaries are devices that are placed in the vagina to restore normal pelvic anatomy and decrease prolapse symptoms. They are primarily made from medical-grade silicone. Two-thirds of patients with pelvic organ prolapse initially choose management with a pessary, and up to 77% will continue pessary use after one year. Pessaries are an option for all stages of prolapse, and they may prevent progression of prolapse and avert or delay the need for surgery. […] The most common complications of pessary use are vaginal discharge, irritation, ulceration, bleeding, pain, and odor. […] Obliterative and reconstructive surgeries for pelvic organ prolapse are available and may include hysterectomy or uterine conservation (hysteropexy). The decision for surgery must include a discussion of a patient’s goals and expectations based on cultural views such as body image and desire for future sexual function, including vaginal intercourse. […] Transvaginal mesh prolapse repairs have been intensely scrutinized. The U.S. Food and Drug Administration issued an advisory recommending that physicians discuss potential complications of vaginal mesh for prolapse with patients.

• #17

  https://www.nhs.uk/conditions/pelvic-organ-prolapse/treatment/

  There are several treatment options available for pelvic organ prolapse. […] Treatment options include: lifestyle changes, pelvic floor exercises, hormone treatment, vaginal pessaries, surgery. […] If you have a mild prolapse and have been through the menopause, your doctor may recommend treatment with oestrogen to ease some of your symptoms, such as vaginal dryness or discomfort during sex. […] Vaginal pessaries allow you to get pregnant in the future. They can be used to ease the symptoms of moderate or severe prolapses and are a good option if you cannot or would prefer not to have surgery. […] If non-surgical options have not worked or the prolapse is more severe, surgery may be an option. […] There are several different surgical treatments for pelvic organ prolapse. […] For women with a prolapsed womb who have been through the menopause or do not wish to have any more children, a doctor may recommend surgery to remove the womb (hysterectomy).

• #18 Pelvic organ prolapse – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/pelvic-organ-prolapse/diagnosis-treatment/drc-20562951

  Diagnosis of pelvic organ prolapse begins with a medical history and an exam of the pelvic organs. This can help your healthcare professional find the type of prolapse you may have. […] Treatment depends on your symptoms and how much they bother you. If your pelvic organ prolapse doesn’t bother you, your healthcare professional might suggest no treatment or treating the prolapse without surgery. If symptoms get worse and affect your quality of life, you might need surgery. […] Many people with prolapse also are in menopause. Menopause lowers estrogen levels. Too little estrogen can weaken vaginal tissue and lead to vaginal dryness. Talk with your healthcare professional about whether treatment with estrogen is right for you. The use of vaginal estrogen might be an option. […] Your healthcare professional may suggest pelvic floor exercises using biofeedback to strengthen muscles of the pelvic floor. Biofeedback involves the use of monitoring devices with sensors that are placed in the vagina and rectum or on the skin. As you do an exercise, a computer screen shows whether you’re using the right muscles. It also shows the strength of each squeeze, called a contraction. This helps you learn how to do the exercises correctly. Over time, making pelvic floor muscles stronger might help ease symptoms.

• #19 Pelvic organ prolapse | RCOG

  https://www.rcog.org.uk/for-the-public/browse-our-patient-information/pelvic-organ-prolapse/

  Pelvic floor muscle exercises: to strengthen your pelvic floor muscles you may be referred to a specialist womens health physiotherapist for a course of physiotherapy treatment (36 months). Pelvic floor exercises may not get rid of your prolapse but are likely to improve your symptoms. […] Vaginal hormone treatment (estrogen): if you have gone through the menopause, your doctor may recommend vaginal estrogen treatment in the form of tablets, cream or a ring that is inserted into your vagina. Estrogen treatment can help to reduce the discomfort you may experience from having a prolapse. […] Vaginal support pessary: a pessary is a plastic or silicone device that fits into your vagina to help support the pelvic organs. This can be an effective way of helping your symptoms. […] Whether you choose to have surgery will depend on how severe your symptoms are and how your prolapse affects your daily life. You may want to consider surgery if other options have not helped.

• #20 Pelvic Organ Prolapse Treatment & Management: Medical Therapy, Surgical Therapy, Surgical Management of Anterior Vaginal Wall Prolapse

  https://emedicine.medscape.com/article/276259-treatment

  An important adjunct is application of topical estrogen prior to pessary use, particularly if signs of hypoestrogenism (atrophic vaginitis) exist. Once the pessary is in place, continued vaginal estrogen cream application (ie, 1-2 times per week) or application of a vaginal estrogen ring once every 3 months is indicated, unless estrogen is contraindicated (ie, estrogen-dependent breast tumors). […] A study by Cheung et al found that prolapse symptoms and quality of life were improved in women with symptomatic stage I to stage III POP using a vaginal pessary in addition to pelvic floor exercises. […] The recommended management strategy for severe symptomatic pelvic organ prolapse for patients who failed or refused a trial of pessary management is surgery. A variety of surgical approaches are available to correct pelvic organ prolapse.

• #21 Pelvic Organ Prolapse Treatment & Management: Medical Therapy, Surgical Therapy, Surgical Management of Anterior Vaginal Wall Prolapse

  https://emedicine.medscape.com/article/276259-treatment

  An important adjunct is application of topical estrogen prior to pessary use, particularly if signs of hypoestrogenism (atrophic vaginitis) exist. Once the pessary is in place, continued vaginal estrogen cream application (ie, 1-2 times per week) or application of a vaginal estrogen ring once every 3 months is indicated, unless estrogen is contraindicated (ie, estrogen-dependent breast tumors). […] A study by Cheung et al found that prolapse symptoms and quality of life were improved in women with symptomatic stage I to stage III POP using a vaginal pessary in addition to pelvic floor exercises. […] The recommended management strategy for severe symptomatic pelvic organ prolapse for patients who failed or refused a trial of pessary management is surgery. A variety of surgical approaches are available to correct pelvic organ prolapse.

• #22 Surgery for Pelvic Organ Prolapse | ACOG

  https://www.acog.org/womens-health/faqs/surgery-for-pelvic-organ-prolapse

  How is pelvic organ prolapse treated? If you have POP symptoms, and they interfere with your normal activities, you may need treatment. Nonsurgical treatment options are usually tried first. If these options do not work and if your symptoms are severe, you may want to consider surgery. […] What are the nonsurgical treatments for pelvic organ prolapse? Often the first nonsurgical option tried is a pessary. This device is inserted into the vagina to support the pelvic organs. There are many types of pessaries available. Your health care professional can help find the right pessary that fits comfortably. Changes in diet and lifestyle may help relieve some symptoms. For example, limiting excessive fluid intake may help with urinary incontinence. Eating more fiber may help with bowel problems. Sometimes a medication that softens stools is prescribed. If you are overweight, it’s possible that weight loss may help improve prolapse symptoms. In some cases, Kegel exercises may be helpful.

• #23 5 Things I Wish All Women Knew About Pelvic Organ Prolapse | ACOG

  https://www.acog.org/womens-health/experts-and-stories/the-latest/5-things-i-wish-all-women-knew-about-pelvic-organ-prolapse

  Pelvic organ prolapse (POP) doesn’t get talked about much. One reason is that women often feel shame or confusion about the condition or its treatments. And a lot of women have never even heard of it. As an ob-gyn, I’m working to change all of this. […] Ob-gyns and urogynecologists, who specialize in pelvic floor disorders, can help. I treat women with POP regularly in my practice. Many come to me after sharing their symptoms with a mother, sister, or friend who went through the same thing and told them how they got help. […] Women should work with a urogynecologist or pelvic floor specialist to match treatment with their needs and wishes. And if POP isn’t bothering you, you may not need any treatment at all. […] There are a few things you can do that may help you feel or function better. These include adding fiber to your diet and drinking lots of water to make bowel movements easier, losing a few pounds if needed to take pressure off pelvic organs, doing exercises such as yoga and Pilates to build core strength.

• #24 5 Things I Wish All Women Knew About Pelvic Organ Prolapse | ACOG

  https://www.acog.org/womens-health/experts-and-stories/the-latest/5-things-i-wish-all-women-knew-about-pelvic-organ-prolapse

  Pelvic organ prolapse (POP) doesn’t get talked about much. One reason is that women often feel shame or confusion about the condition or its treatments. And a lot of women have never even heard of it. As an ob-gyn, I’m working to change all of this. […] Ob-gyns and urogynecologists, who specialize in pelvic floor disorders, can help. I treat women with POP regularly in my practice. Many come to me after sharing their symptoms with a mother, sister, or friend who went through the same thing and told them how they got help. […] Women should work with a urogynecologist or pelvic floor specialist to match treatment with their needs and wishes. And if POP isn’t bothering you, you may not need any treatment at all. […] There are a few things you can do that may help you feel or function better. These include adding fiber to your diet and drinking lots of water to make bowel movements easier, losing a few pounds if needed to take pressure off pelvic organs, doing exercises such as yoga and Pilates to build core strength.

• #25 Pelvic Organ Prolapse in Women: Symptoms and Treatments | Pantai Hospital

  https://www.pantai.com.my/medical-specialties/gynaecology/pelvic-organ-prolapse

  Pelvic organ prolapse is typically categorised on a scale ranging from 1 to 4 to indicate its severity, with 4 representing a severe prolapse. […] The treatment for pelvic organ prolapse is determined by various factors, including the type of prolapse, severity of symptoms, age, underlying health issues, and sexual activity status. […] If pelvic organ prolapse is not causing you significant discomfort, treatment may not be necessary. There are some self-help measures you can consider to potentially improve your well-being or functionality, such as: Increase dietary fibre and stay well-hydrated for more effortless bowel movements. Weight loss to alleviate pressure on the pelvic organs. Engage in exercises (yoga and Pilates) to build core strength. […] Other treatments include: Vaginal pessary: A silicone device that is inserted into the vagina to support pelvic organs. This can be used to alleviate the symptoms of moderate or severe prolapses, and they serve as an alternative for individuals who cannot or would prefer not to have surgery.

• #26 Pelvic Organ Prolapse Treatments | Northwestern Medicine

  https://www.nm.org/conditions-and-care-areas/womens-health/obgyn/pelvic-health/pelvic-organ-prolapse/treatments

  There are a variety of therapies from which a woman can choose to treat pelvic organ prolapse and eliminate bothersome symptoms. These treatments include non-surgical and surgical options. […] Pelvic floor physical therapy is aimed at rehabilitating the pelvic floor muscles to restore their normal function. […] A pessary is a small device that is inserted into the vagina to support the pelvic organs and eliminate the bulge caused by pelvic organ prolapse. […] Women with symptoms of pelvic organ prolapse may opt for surgical repair. These surgeries are performed by a urogynecologist to improve the anatomy of the pelvic floor. […] Apical suspensions: Prolapse of the top of the vagina is the most common type of prolapse, and apical suspension procedures restore support to the top of the vagina. […] Most women who have prolapse surgery performed laparoscopically, robotically, or vaginally will go home from the hospital on the day of surgery.

• #27 Pelvic organ prolapse – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/pelvic-organ-prolapse/diagnosis-treatment/drc-20562951

  Using a pessary is a nonsurgical way to support prolapsed pelvic organs. These silicone devices come in various shapes and sizes. They’re put in the vagina to hold the pelvic organs in place. […] If your pelvic organ prolapse bothers you, surgery might help. The goals of surgery are to get rid of the vaginal bulge and improve some symptoms. […] Most often, the surgery corrects the prolapse and aims to put the pelvic organs back in place. This is called reconstructive surgery. The approach to surgery depends on where the prolapse is and whether there’s more than one area of prolapse. […] Prolapse surgery only repairs the tissue bulge. If the bulge doesn’t bother you, surgery isn’t needed. Surgery doesn’t repair the weakened tissues. So the prolapse might come back.

• #28 Surgery for Pelvic Organ Prolapse | ACOG

  https://www.acog.org/womens-health/faqs/surgery-for-pelvic-organ-prolapse

  What are the types of surgery for pelvic organ prolapse? In general, there are two types of surgery: 1) obliterative surgery and 2) reconstructive surgery. […] How does obliterative surgery treat pelvic organ prolapse? Obliterative surgery narrows or closes off the vagina to provide support for prolapsed organs. Vaginal sex is not possible after this procedure. Obliterative surgery has a high success rate and may be a good choice if you do not plan to have vaginal sex in the future and want an easily done procedure. […] How does reconstructive surgery treat pelvic organ prolapse? The goal of reconstructive surgery is to restore organs to their original position. This is the most common type of pelvic organ prolapse surgery. Some types of reconstructive surgery are done through an incision in the vagina. Others are done through an incision in the abdomen or with laparoscopy. A surgical robot may be used to help with laparoscopy.

• #29 Various Approaches and Treatments for Pelvic Organ Prolapse in Women

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6336571/

  Pelvic organ prolapse (POP) is bulging of one or more of the pelvic organs into the vagina and triggered by multiple causes. […] Management of POP is carried out when protrusion, urinary, bowel, or sexual dysfunction and other symptoms are associated with POP. Patients with asymptomatic POP usually do not require treatment. Conservative or surgical management is performed in symptomatic patients, and treatment choices depend on patient’s preferences. Conservative management is appropriate for patients who are at high risk of complications and recurrence after surgical management or who refuse to undergo surgical interventions. Treatment options include insertion of pessaries, pelvic floor muscle exercises, hormone therapy and others. […] Surgical management is performed in cases of failure of conservative management and patient choice. A variety of surgical options have been introduced to choose from depending on the use of graft and a vaginal or abdominal approach.

• #30 Surgery for Pelvic Organ Prolapse | ACOG

  https://www.acog.org/womens-health/faqs/surgery-for-pelvic-organ-prolapse

  What are the types of surgery for pelvic organ prolapse? In general, there are two types of surgery: 1) obliterative surgery and 2) reconstructive surgery. […] How does obliterative surgery treat pelvic organ prolapse? Obliterative surgery narrows or closes off the vagina to provide support for prolapsed organs. Vaginal sex is not possible after this procedure. Obliterative surgery has a high success rate and may be a good choice if you do not plan to have vaginal sex in the future and want an easily done procedure. […] How does reconstructive surgery treat pelvic organ prolapse? The goal of reconstructive surgery is to restore organs to their original position. This is the most common type of pelvic organ prolapse surgery. Some types of reconstructive surgery are done through an incision in the vagina. Others are done through an incision in the abdomen or with laparoscopy. A surgical robot may be used to help with laparoscopy.

• #31 Pelvic Organ Prolapse: Types, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/24046-pelvic-organ-prolapse

  Surgery may be an option if your symptoms dont improve with conservative treatments or if your provider believes surgery gives you the best quality of life moving forward. […] There are several different methods your surgeon may choose to fix pelvic organ prolapse. Two main types of surgeries are available: obliterative surgery and reconstructive surgery. […] Its typically more common to need surgery if you have a third or fourth stage prolapse. […] Yes, with treatment, it can go away. With mild POP, you can strengthen your muscles so that they hold the organs in their correct locations. Reconstructive surgeries strengthen the weaknesses in your pelvic walls so that your organs return to their original locations. […] Yes. With more severe prolapse, you may have to push the bulging organ back into place, especially when pooping or peeing. But, this fix is temporary. See your healthcare provider for treatment if a pelvic organ prolapse is this severe.

• #32 Surgery for Pelvic Organ Prolapse | ACOG

  https://www.acog.org/womens-health/faqs/surgery-for-pelvic-organ-prolapse

  What should I know about surgical mesh? Surgical mesh is used in some types of reconstructive surgery to reinforce or support prolapsed organs. Mesh can be made of animal material or from synthetic materials. There are risks and benefits to using mesh in POP surgery. Talk with your surgeon about the risks and benefits when deciding what type of reconstructive surgery to have. […] What are the types of reconstructive surgery? The types of reconstructive surgery include the following: Fixation or suspension using your own tissues (uterosacral ligament suspension and sacrospinous fixation) Also called „native tissue repair,” this surgery uses your own tissues to treat uterine or vaginal vault prolapse. It is done through an incision in the vagina. The prolapsed part is attached with stitches to a ligament or to a muscle in the pelvis. A procedure to prevent urinary incontinence may be done at the same time.

• #33 Surgery for Pelvic Organ Prolapse | ACOG

  https://www.acog.org/womens-health/faqs/surgery-for-pelvic-organ-prolapse

  Colporrhaphy Used to treat prolapse of the anterior (front) wall of the vagina and prolapse of the posterior (back) wall of the vagina. This type of surgery is done through the vagina. Stitches are used to strengthen the vagina so that it once again supports the bladder or the rectum. […] Sacrocolpopexy Used to treat vaginal vault prolapse and enterocele. It can be done with an abdominal incision or with laparoscopy. Surgical mesh is attached to the front and back walls of the vagina and then to the sacrum (tail bone). This lifts the vagina back into place. […] Sacrohysteropexy Used to treat uterine prolapse if you do not want a hysterectomy. Surgical mesh is attached to the cervix and then to the sacrum, lifting the uterus back into place. […] Surgery using vaginally placed mesh Vaginally placed mesh has a high risk of severe complications, including mesh erosion, pain, infection, and bladder or bowel injury. This type of surgery should be reserved for when the benefits may justify the risks. This may include if you have anterior prolapse that has come back after a previous surgery. It may also include those who have a medical condition that prevents them from having a longer operation done through an incision in the abdomen.

• #34 Surgery for Pelvic Organ Prolapse | ACOG

  https://www.acog.org/womens-health/faqs/surgery-for-pelvic-organ-prolapse

  What are the types of surgery for pelvic organ prolapse? In general, there are two types of surgery: 1) obliterative surgery and 2) reconstructive surgery. […] How does obliterative surgery treat pelvic organ prolapse? Obliterative surgery narrows or closes off the vagina to provide support for prolapsed organs. Vaginal sex is not possible after this procedure. Obliterative surgery has a high success rate and may be a good choice if you do not plan to have vaginal sex in the future and want an easily done procedure. […] How does reconstructive surgery treat pelvic organ prolapse? The goal of reconstructive surgery is to restore organs to their original position. This is the most common type of pelvic organ prolapse surgery. Some types of reconstructive surgery are done through an incision in the vagina. Others are done through an incision in the abdomen or with laparoscopy. A surgical robot may be used to help with laparoscopy.

• #35 Pelvic Organ Prolapse in Women: Symptoms and Treatments | Pantai Hospital

  https://www.pantai.com.my/medical-specialties/gynaecology/pelvic-organ-prolapse

  Pelvic floor exercises: Kegel exercises help strengthen the pelvic floor muscles and provide some form of relief to symptoms. Pelvic floor muscle exercises are also beneficial for women with both pelvic organ prolapse and urinary incontinence. […] Vaginal hormone treatment (oestrogen): It is recommended for menopausal women as tablets, cream or a ring that is inserted into the vagina to reduce discomfort. […] Surgery may be considered if non-surgical treatment does not improve symptoms of prolapse. However, surgical procedures should be delayed in women who still wish to have children, as childbirth after surgery may increase the chance of a prolapse returning. […] Obliterative surgery (colpocleisis): In this surgery, your doctor would close off the vaginal opening. It is typically considered for women with advanced prolapse after other interventions have proven ineffective and when they are confident that they no longer wish to engage in sexual activity in the future.

• #36 Surgery for Pelvic Organ Prolapse | ACOG

  https://www.acog.org/womens-health/faqs/surgery-for-pelvic-organ-prolapse

  What are the types of surgery for pelvic organ prolapse? In general, there are two types of surgery: 1) obliterative surgery and 2) reconstructive surgery. […] How does obliterative surgery treat pelvic organ prolapse? Obliterative surgery narrows or closes off the vagina to provide support for prolapsed organs. Vaginal sex is not possible after this procedure. Obliterative surgery has a high success rate and may be a good choice if you do not plan to have vaginal sex in the future and want an easily done procedure. […] How does reconstructive surgery treat pelvic organ prolapse? The goal of reconstructive surgery is to restore organs to their original position. This is the most common type of pelvic organ prolapse surgery. Some types of reconstructive surgery are done through an incision in the vagina. Others are done through an incision in the abdomen or with laparoscopy. A surgical robot may be used to help with laparoscopy.

• #37 Pelvic Organ Prolapse Treatment & Management: Medical Therapy, Surgical Therapy, Surgical Management of Anterior Vaginal Wall Prolapse

  https://emedicine.medscape.com/article/276259-treatment

  The purpose of anterior vaginal repair, or anterior colporrhaphy, is to plicate the vaginal muscularis fascia overlying the bladder (pubocervical fascia) to diminish the bladder and anterior vaginal protrusion. Anterior colporrhaphy is indicated especially for patients with a central vaginal defect. […] Posterior vaginal repair (posterior colporrhaphy) is performed to repair the posterior vaginal defect, usually a rectocele. […] The main abdominal operations performed for apical vaginal prolapse and uterine prolapse are abdominal sacral colpopexy and total abdominal hysterectomy with high uterosacral ligament suspension. […] Vaginal surgery is preferred by many surgeons because the patient may have a shorter recovery time and it may take less intraoperative time compared with abdominal surgery.

• #38 Various Approaches and Treatments for Pelvic Organ Prolapse in Women

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6336571/

  Most patients with symptomatic POP undergo a reconstructive procedure. An obliterative procedure is an alternative for those who cannot tolerate extensive surgery, are at old ages, and no longer desire preservation of coital function. […] Surgical mesh is the standard treatment in abdominal sacral colpopexy or hysteropexy. It has been proven that the use of surgical mesh reduces hernia recurrence rate in comparison to hernia repair without surgical mesh. […] In recent years, subtotal hysterectomy, para-vaginal repair and mesh induced sacrocolpopexy have been performed via robotic-assisted surgery, and these procedures contribute to reduce recurrence.

• #39 Pelvic Organ Prolapse Treatment | Gynecology | Henry Ford Health – Detroit, MI

  https://www.henryford.com/services/gynecology/pelvic-disorders/prolapse/treatment

  A less invasive surgical procedure is robotic sacrocolpopexy. This surgical system uses tiny, 1- to 2-centimeter incisions. Robotic sacrocolpopexy allows doctors to operate with greater precision and control. […] For most women, robotic sacrocolpopexy offers benefits over traditional open surgery, including: Less blood loss and need for transfusions, Less pain, Less risk of infection, Less scarring, Shorter hospital stay, Shorter recovery time, Quicker return to normal activities.

• #40 Surgery for Pelvic Organ Prolapse | ACOG

  https://www.acog.org/womens-health/faqs/surgery-for-pelvic-organ-prolapse

  What should I know about surgical mesh? Surgical mesh is used in some types of reconstructive surgery to reinforce or support prolapsed organs. Mesh can be made of animal material or from synthetic materials. There are risks and benefits to using mesh in POP surgery. Talk with your surgeon about the risks and benefits when deciding what type of reconstructive surgery to have. […] What are the types of reconstructive surgery? The types of reconstructive surgery include the following: Fixation or suspension using your own tissues (uterosacral ligament suspension and sacrospinous fixation) Also called „native tissue repair,” this surgery uses your own tissues to treat uterine or vaginal vault prolapse. It is done through an incision in the vagina. The prolapsed part is attached with stitches to a ligament or to a muscle in the pelvis. A procedure to prevent urinary incontinence may be done at the same time.

• #41 Various Approaches and Treatments for Pelvic Organ Prolapse in Women

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6336571/

  Most patients with symptomatic POP undergo a reconstructive procedure. An obliterative procedure is an alternative for those who cannot tolerate extensive surgery, are at old ages, and no longer desire preservation of coital function. […] Surgical mesh is the standard treatment in abdominal sacral colpopexy or hysteropexy. It has been proven that the use of surgical mesh reduces hernia recurrence rate in comparison to hernia repair without surgical mesh. […] In recent years, subtotal hysterectomy, para-vaginal repair and mesh induced sacrocolpopexy have been performed via robotic-assisted surgery, and these procedures contribute to reduce recurrence.

• #42 Various Approaches and Treatments for Pelvic Organ Prolapse in Women

  https://pmc.ncbi.nlm.nih.gov/articles/PMC6336571/

  Most patients with symptomatic POP undergo a reconstructive procedure. An obliterative procedure is an alternative for those who cannot tolerate extensive surgery, are at old ages, and no longer desire preservation of coital function. […] Surgical mesh is the standard treatment in abdominal sacral colpopexy or hysteropexy. It has been proven that the use of surgical mesh reduces hernia recurrence rate in comparison to hernia repair without surgical mesh. […] In recent years, subtotal hysterectomy, para-vaginal repair and mesh induced sacrocolpopexy have been performed via robotic-assisted surgery, and these procedures contribute to reduce recurrence.

• #43 Surgery for Pelvic Organ Prolapse | ACOG

  https://www.acog.org/womens-health/faqs/surgery-for-pelvic-organ-prolapse

  Colporrhaphy Used to treat prolapse of the anterior (front) wall of the vagina and prolapse of the posterior (back) wall of the vagina. This type of surgery is done through the vagina. Stitches are used to strengthen the vagina so that it once again supports the bladder or the rectum. […] Sacrocolpopexy Used to treat vaginal vault prolapse and enterocele. It can be done with an abdominal incision or with laparoscopy. Surgical mesh is attached to the front and back walls of the vagina and then to the sacrum (tail bone). This lifts the vagina back into place. […] Sacrohysteropexy Used to treat uterine prolapse if you do not want a hysterectomy. Surgical mesh is attached to the cervix and then to the sacrum, lifting the uterus back into place. […] Surgery using vaginally placed mesh Vaginally placed mesh has a high risk of severe complications, including mesh erosion, pain, infection, and bladder or bowel injury. This type of surgery should be reserved for when the benefits may justify the risks. This may include if you have anterior prolapse that has come back after a previous surgery. It may also include those who have a medical condition that prevents them from having a longer operation done through an incision in the abdomen.

• #44 Pelvic Organ Prolapse (POP) | FDA

  https://www.fda.gov/medical-devices/urogynecologic-surgical-mesh-implants/pelvic-organ-prolapse-pop

  Surgery to repair POP can be done through either the vagina or abdomen, using stitches (sutures) alone or with the addition of surgical mesh. Surgical options include restoring the normal position of the vagina, repairing the tissue around the vagina, permanently closing the vaginal canal with or without removing the uterus (colpocleiesis). […] It is also possible that women with POP may experience problems with urine leakage (incontinence). During surgery, a procedure to prevent or decrease urine leakage (which may also use surgical mesh) may be performed. […] The FDA identified serious complications associated with the use of urogynecologic surgical mesh. Detailed information on its safety and effectiveness can be found in: Urogynecologic Surgical Mesh: UPDATE ON THE SAFETY AND EFFECTIVENESS OF Transvaginal PLACEMENT for Pelvic Organ Prolapse.

• #45 Pelvic Organ Prolapse: A Female Disorder that Can Be Treated and Resolved | Patient Care

  https://weillcornell.org/news/pelvic-organ-prolapse-a-female-disorder-that-can-be-treated-and-resolved

  Surgery for more advanced or recurrent prolapse may involve a hysterectomythe permanent removal of the uterusand the return of a womans other pelvic organs to their rightful place. […] The FDA, the Society for Urodynamics and Female Reconstructive Surgery (SUFU) and the American Urogynecologic Society (AUGS) consider mesh very safe and effective when used appropriately. […] Many of them find their issues with incontinence or prolapse embarrassing. They may also assume that these things just happen, and that they have to simply deal with them, when the truth is that rehabilitation or a simple procedure can solve many of these problems.

• #46

  https://www.nhs.uk/conditions/pelvic-organ-prolapse/treatment/

  There are several treatment options available for pelvic organ prolapse. […] Treatment options include: lifestyle changes, pelvic floor exercises, hormone treatment, vaginal pessaries, surgery. […] If you have a mild prolapse and have been through the menopause, your doctor may recommend treatment with oestrogen to ease some of your symptoms, such as vaginal dryness or discomfort during sex. […] Vaginal pessaries allow you to get pregnant in the future. They can be used to ease the symptoms of moderate or severe prolapses and are a good option if you cannot or would prefer not to have surgery. […] If non-surgical options have not worked or the prolapse is more severe, surgery may be an option. […] There are several different surgical treatments for pelvic organ prolapse. […] For women with a prolapsed womb who have been through the menopause or do not wish to have any more children, a doctor may recommend surgery to remove the womb (hysterectomy).

• #47 Uterine Prolapse: Stages, Symptoms, Treatment & Surgery

  https://my.clevelandclinic.org/health/diseases/16030-uterine-prolapse

  A pessary is a rubber or plastic doughnut-shaped device that fits around or under the lower part of your uterus (cervix). This device helps prop up your uterus and hold it in place. […] Uterine prolapse may be treated by removing your uterus in a surgical procedure called a hysterectomy. This may be done through a cut (incision) made in your vagina (vaginal hysterectomy) or through your abdomen (abdominal hysterectomy). Hysterectomy is major surgery, and removing your uterus means pregnancy is no longer possible. […] This procedure involves putting your uterus back into its normal position. Uterine suspension may be done by reattaching the pelvic ligaments to the lower part of your uterus to hold it in place. The surgery can be done through your vagina or through your abdomen depending on the technique your provider uses. […] Healthcare providers typically recommend treatment when uterine prolapse becomes bothersome.

• #48 Uterine Prolapse: Stages, Symptoms, Treatment & Surgery

  https://my.clevelandclinic.org/health/diseases/16030-uterine-prolapse

  A pessary is a rubber or plastic doughnut-shaped device that fits around or under the lower part of your uterus (cervix). This device helps prop up your uterus and hold it in place. […] Uterine prolapse may be treated by removing your uterus in a surgical procedure called a hysterectomy. This may be done through a cut (incision) made in your vagina (vaginal hysterectomy) or through your abdomen (abdominal hysterectomy). Hysterectomy is major surgery, and removing your uterus means pregnancy is no longer possible. […] This procedure involves putting your uterus back into its normal position. Uterine suspension may be done by reattaching the pelvic ligaments to the lower part of your uterus to hold it in place. The surgery can be done through your vagina or through your abdomen depending on the technique your provider uses. […] Healthcare providers typically recommend treatment when uterine prolapse becomes bothersome.

• #49 Uterine Prolapse Treatment Without Hysterectomy – Urogynecology & Pelvic Health | UCLA Health

  https://www.uclahealth.org/medical-services/womens-pelvic-health/patient-education/uterine-prolapse-treatment-without-hysterectomy

  Can The Uterine Prolapse Be Treated Without Hysterectomy? A Resounding YES! Many gynecologists feel the best way to treat a falling uterus is to remove it, with a surgery called a hysterectomy, and then attach the apex of the vagina to healthy portions of the ligaments up inside the body. […] Some gynecologists have expressed the opinion that proper repair of the ligaments is all that is needed to correct uterine prolapse, and that the lengthier, more involved and riskier hysterectomy is not medically necessary. To that end, an operation has been recently developed that uses the laparoscope to repair those supporting ligaments and preserve the uterus. […] This same uterine preserving procedure may also be accomplished though the vagina making a small entry into the abdomen behind the cervix and reattaching the ligaments to the uterus and cervix. This would be called a vaginal-uterosacral hysteropexy and leaves no abdominal scars.

• #50 Pelvic organ prolapse cure closer – Hudson Institute of Medical Research

  https://www.hudson.org.au/news/pelvic-organ-prolapse-cure-comes-closer/

  New ways to prevent and cure pelvic organ prolapse (POP) are a big step closer, thanks to major funding for pioneering research at Hudson Institute. […] Their project aims to transform the field of female pelvic floor health on two fronts: prevention and cure of POP. […] They propose that 3D printed (3DP) grafts can improve pelvic reconstructive surgery outcomes and nanostructured hydrogels can reverse birth induced injury and prevent POP in the future, using 3D printing, nanotechnology and cellular bioprinting to advance Australian health outcomes, practice and policy. […] A key to their research is the use of 3D printing, nanotechnology and cellular bioprinting in POP surgery, which is where the other award recipient, Dr Kallyanashis Paul, comes in. […] His research proposes a paradigm shift in pelvic reconstructive practice by introducing absorbable 3D bioprinted grafts boosted with a patients own cells, aiming to drastically reduce the post-surgical immune response and prevent adverse reactions.

• #51 Pelvic organ prolapse cure closer – Hudson Institute of Medical Research

  https://www.hudson.org.au/news/pelvic-organ-prolapse-cure-comes-closer/

  New ways to prevent and cure pelvic organ prolapse (POP) are a big step closer, thanks to major funding for pioneering research at Hudson Institute. […] Their project aims to transform the field of female pelvic floor health on two fronts: prevention and cure of POP. […] They propose that 3D printed (3DP) grafts can improve pelvic reconstructive surgery outcomes and nanostructured hydrogels can reverse birth induced injury and prevent POP in the future, using 3D printing, nanotechnology and cellular bioprinting to advance Australian health outcomes, practice and policy. […] A key to their research is the use of 3D printing, nanotechnology and cellular bioprinting in POP surgery, which is where the other award recipient, Dr Kallyanashis Paul, comes in. […] His research proposes a paradigm shift in pelvic reconstructive practice by introducing absorbable 3D bioprinted grafts boosted with a patients own cells, aiming to drastically reduce the post-surgical immune response and prevent adverse reactions.

• #52 World-first treatment approach for pelvic organ prolapse – Hudson Institute of Medical Research

  https://www.hudson.org.au/news/a-world-first-treatment-approach-for-pelvic-organ-prolapse/

  Hudson Institute researchers have pioneered 3D bioprinted degradable meshes with stem cells for the treatment of pelvic organ prolapse (POP), in the hope of providing a safe, effective solution for millions of women worldwide. […] Despite its high global prevalence affecting up to 60 percent of mothers over the age of 50 there is currently no optimal treatment for the condition. […] Hudson Institute researchers recognised the need for a degradable mesh that prevents a negative immune response in women with POP. […] The world-first study, conducted in pre-clinical models, demonstrated a suppressed negative foreign body response to the mesh within one week. […] There is a huge unmet need for new POP treatments said Dr Mukherjee. […] An effective mesh that prevents negative health complications could allow women to perform daily activities without anxiety or embarrassment of incontinence and body image. […] Future studies will focus on longer term testing, to ensure these promising results can eventually be translated into clinical practice.

• #53 Pelvic organ prolapse cure closer – Hudson Institute of Medical Research

  https://www.hudson.org.au/news/pelvic-organ-prolapse-cure-comes-closer/

  New ways to prevent and cure pelvic organ prolapse (POP) are a big step closer, thanks to major funding for pioneering research at Hudson Institute. […] Their project aims to transform the field of female pelvic floor health on two fronts: prevention and cure of POP. […] They propose that 3D printed (3DP) grafts can improve pelvic reconstructive surgery outcomes and nanostructured hydrogels can reverse birth induced injury and prevent POP in the future, using 3D printing, nanotechnology and cellular bioprinting to advance Australian health outcomes, practice and policy. […] A key to their research is the use of 3D printing, nanotechnology and cellular bioprinting in POP surgery, which is where the other award recipient, Dr Kallyanashis Paul, comes in. […] His research proposes a paradigm shift in pelvic reconstructive practice by introducing absorbable 3D bioprinted grafts boosted with a patients own cells, aiming to drastically reduce the post-surgical immune response and prevent adverse reactions.

• #54 Surgery for Pelvic Organ Prolapse | ACOG

  https://www.acog.org/womens-health/faqs/surgery-for-pelvic-organ-prolapse

  What is involved in recovery after surgery to treat pelvic organ prolapse? Recovery time varies depending on the type of surgery. You usually need to take a few weeks off from work. For the first few weeks, you should avoid vigorous exercise, lifting, and straining. You should also avoid sex for several weeks after surgery. It is not known whether anything can be done to keep prolapse from coming back after surgery. Avoiding activities that increase pressure inside the abdomen may be helpful, such as managing your weight, avoiding constipation, and not lifting heavy objects. If you have new symptoms, let your health care professional know.

• #55

  https://www.nhs.uk/conditions/pelvic-organ-prolapse/treatment/

  Occasionally, an operation that closes part or all of the vagina may be an option. […] Your doctor should have an in-depth discussion with you about the risks and benefits of the 4 different types of surgery, including mesh surgery, before you decide together whether one of them could be an option. […] Possible side effects of all 4 types of surgery, including mesh surgery, include: risks associated with anaesthesia, bleeding, which may require a blood transfusion, damage to the surrounding organs, such as your bladder or bowel, an infection you may be given antibiotics to take during and after surgery to reduce the risk, changes to your sex life, such as discomfort during intercourse but this should improve over time, vaginal discharge and bleeding, experiencing more prolapse symptoms, which may require further surgery, a blood clot (DVT) forming in 1 of your veins, such as in your leg you may be given medicine to help reduce this risk after surgery. […] You’ll probably need to stay in hospital overnight or for a few days following prolapse surgery.

• #56 Surgery for Pelvic Organ Prolapse | ACOG

  https://www.acog.org/womens-health/faqs/surgery-for-pelvic-organ-prolapse

  What is involved in recovery after surgery to treat pelvic organ prolapse? Recovery time varies depending on the type of surgery. You usually need to take a few weeks off from work. For the first few weeks, you should avoid vigorous exercise, lifting, and straining. You should also avoid sex for several weeks after surgery. It is not known whether anything can be done to keep prolapse from coming back after surgery. Avoiding activities that increase pressure inside the abdomen may be helpful, such as managing your weight, avoiding constipation, and not lifting heavy objects. If you have new symptoms, let your health care professional know.

• #57 Pelvic Organ Prolapse Treatments | Northwestern Medicine

  https://www.nm.org/conditions-and-care-areas/womens-health/obgyn/pelvic-health/pelvic-organ-prolapse/treatments

  There are a variety of therapies from which a woman can choose to treat pelvic organ prolapse and eliminate bothersome symptoms. These treatments include non-surgical and surgical options. […] Pelvic floor physical therapy is aimed at rehabilitating the pelvic floor muscles to restore their normal function. […] A pessary is a small device that is inserted into the vagina to support the pelvic organs and eliminate the bulge caused by pelvic organ prolapse. […] Women with symptoms of pelvic organ prolapse may opt for surgical repair. These surgeries are performed by a urogynecologist to improve the anatomy of the pelvic floor. […] Apical suspensions: Prolapse of the top of the vagina is the most common type of prolapse, and apical suspension procedures restore support to the top of the vagina. […] Most women who have prolapse surgery performed laparoscopically, robotically, or vaginally will go home from the hospital on the day of surgery.

• #58

  https://www.nhs.uk/conditions/pelvic-organ-prolapse/treatment/

  Occasionally, an operation that closes part or all of the vagina may be an option. […] Your doctor should have an in-depth discussion with you about the risks and benefits of the 4 different types of surgery, including mesh surgery, before you decide together whether one of them could be an option. […] Possible side effects of all 4 types of surgery, including mesh surgery, include: risks associated with anaesthesia, bleeding, which may require a blood transfusion, damage to the surrounding organs, such as your bladder or bowel, an infection you may be given antibiotics to take during and after surgery to reduce the risk, changes to your sex life, such as discomfort during intercourse but this should improve over time, vaginal discharge and bleeding, experiencing more prolapse symptoms, which may require further surgery, a blood clot (DVT) forming in 1 of your veins, such as in your leg you may be given medicine to help reduce this risk after surgery. […] You’ll probably need to stay in hospital overnight or for a few days following prolapse surgery.

• #59

  https://www2.hse.ie/conditions/pelvic-organ-prolapse/treatment/

  An operation that closes part or all your vagina (colpocleisis) may be an option. […] Your surgeon will explain the risks of your surgery in more detail, but possible side effects include: damage to the surrounding organs, such as your bladder or bowel, changes to your sex life, such as discomfort during sex – but this should improve over time, vaginal discharge and bleeding, more prolapse symptoms, which may need further surgery, menopausal symptoms if your ovaries are removed. […] You will probably need to stay in hospital overnight or for a few days after your surgery.

• #60

  https://www.nhs.uk/conditions/pelvic-organ-prolapse/treatment/

  Occasionally, an operation that closes part or all of the vagina may be an option. […] Your doctor should have an in-depth discussion with you about the risks and benefits of the 4 different types of surgery, including mesh surgery, before you decide together whether one of them could be an option. […] Possible side effects of all 4 types of surgery, including mesh surgery, include: risks associated with anaesthesia, bleeding, which may require a blood transfusion, damage to the surrounding organs, such as your bladder or bowel, an infection you may be given antibiotics to take during and after surgery to reduce the risk, changes to your sex life, such as discomfort during intercourse but this should improve over time, vaginal discharge and bleeding, experiencing more prolapse symptoms, which may require further surgery, a blood clot (DVT) forming in 1 of your veins, such as in your leg you may be given medicine to help reduce this risk after surgery. […] You’ll probably need to stay in hospital overnight or for a few days following prolapse surgery.

• #61

  https://www2.hse.ie/conditions/pelvic-organ-prolapse/treatment/

  An operation that closes part or all your vagina (colpocleisis) may be an option. […] Your surgeon will explain the risks of your surgery in more detail, but possible side effects include: damage to the surrounding organs, such as your bladder or bowel, changes to your sex life, such as discomfort during sex – but this should improve over time, vaginal discharge and bleeding, more prolapse symptoms, which may need further surgery, menopausal symptoms if your ovaries are removed. […] You will probably need to stay in hospital overnight or for a few days after your surgery.

• #62 Pelvic Organ Prolapse Treatment & Management: Medical Therapy, Surgical Therapy, Surgical Management of Anterior Vaginal Wall Prolapse

  https://emedicine.medscape.com/article/276259-treatment

  Anterior colporrhaphy carries a risk of direct injury to the bladder, urethra, and ureters. […] The success rate of anterior colporrhaphy is operator dependent, and the reported failure rates range from 0-20%. […] The use of augmentation grafts in pelvic reconstructive surgery has revolutionized this operative field. […] Newer techniques may involve the use of synthetic mesh (eg, polypropylene mesh) to strengthen the vaginal repair during anterior colporrhaphy procedures. Success rates range from 75% to 100% at 2-3 years’ follow-up with the use of a synthetic material at the time of anterior vaginal repair.

• #63 Pelvic organ prolapse | RCOG

  https://www.rcog.org.uk/for-the-public/browse-our-patient-information/pelvic-organ-prolapse/

  Pelvic organ prolapse is common, affecting 1 in 10 women over the age of 50 years. Mild prolapse often causes no symptoms and treatment is not always necessary. […] Treatment choices for prolapse include physiotherapy, support pessaries or surgery. […] Your choice of treatment will depend on how the prolapse affects your quality of life. Not everyone with prolapse needs surgery or any other form of treatment. […] Treatment for prolapse aims to support the pelvic organs and helps to ease your symptoms. It does not always cure the problem completely and prolapse may return. […] Your options for treatment will depend on the type and degree of prolapse you have and your individual circumstances, such as age, general health, whether you are sexually active and whether you have completed your family.

• #64 Pelvic Organ Prolapse: Types, Causes & Treatment

  https://my.clevelandclinic.org/health/diseases/24046-pelvic-organ-prolapse

  Pelvic organ prolapse (POP) is a condition where weak muscles in your pelvis cause one or more organs (vagina, uterus, bladder and rectum) to sag. Your healthcare provider can recommend treatments to repair the prolapse and relieve your symptoms. […] There are nonsurgical and surgical options to treat pelvic organ prolapse. Your healthcare provider can discuss what your options are based on your situation. […] Your treatment plan will depend on how severe the prolapse is, where it is and how much your symptoms affect you. There are surgical and nonsurgical treatment options. […] Nonsurgical treatment focuses on managing your symptoms and improving your quality of life. […] Treatments for pelvic organ prolapse that dont involve surgery include: Vaginal pessary. This is a removable, silicone device that your provider can insert into your vagina to hold a sagging organ in place. Pelvic floor exercises (Kegel exercises). These are strengthening exercises for your pelvic floor.

• #65 5 Things I Wish All Women Knew About Pelvic Organ Prolapse | ACOG

  https://www.acog.org/womens-health/experts-and-stories/the-latest/5-things-i-wish-all-women-knew-about-pelvic-organ-prolapse

  They are experts in pelvic floor health and function. Together you can discuss all the treatment options for POP. […] Remember, POP is a medical condition with treatment that should be covered by insurance (even surgery). […] The fourth trimester, or the weeks after pregnancy, is a great opportunity to talk with your ob-gyn about any changes in your pelvic muscles. […] It’s also a good time for care that may help prevent POP. This could mean seeing a pelvic floor therapist, changing your diet to help with constipation or weight loss, or using a pessary.

• #66 Uterine prolapse – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/uterine-prolapse/diagnosis-treatment/drc-20353464

  Surgery may be needed to repair uterine prolapse. Minimally invasive surgery, called laparoscopic surgery, or vaginal surgery might be an option. […] Talk with your health care provider about all your treatment options to be sure you understand the risks and benefits of each. […] Kegel exercises can strengthen pelvic floor muscles. A strong pelvic floor provides better support for pelvic organs. This might relieve symptoms that can happen with uterine prolapse. […] For uterine prolapse, you may see a doctor who specializes in conditions affecting the female reproductive system. This type of doctor is called a gynecologist. Or you may see a doctor who specializes in pelvic floor problems and reconstructive surgery. This type of doctor is called a urogynecologist.

• #67 Surgery for Pelvic Organ Prolapse | ACOG

  https://www.acog.org/womens-health/faqs/surgery-for-pelvic-organ-prolapse

  What is involved in recovery after surgery to treat pelvic organ prolapse? Recovery time varies depending on the type of surgery. You usually need to take a few weeks off from work. For the first few weeks, you should avoid vigorous exercise, lifting, and straining. You should also avoid sex for several weeks after surgery. It is not known whether anything can be done to keep prolapse from coming back after surgery. Avoiding activities that increase pressure inside the abdomen may be helpful, such as managing your weight, avoiding constipation, and not lifting heavy objects. If you have new symptoms, let your health care professional know.

• #68 Pelvic organ prolapse | RCOG

  https://www.rcog.org.uk/for-the-public/browse-our-patient-information/pelvic-organ-prolapse/

  There are many different types of surgery for prolapse. Your gynaecologist can advise which surgery is best for you. […] Surgery for prolapse is usually performed through the vagina but may involve keyhole surgery or a cut in your abdomen (tummy). […] No surgery can be guaranteed to permanently cure your prolapse, but most offer a good chance of improving your symptoms. […] Approximately 25-30 in 100 women having surgery for prolapse will develop another prolapse in the future.

• #69 Prolapsed uterus | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/prolapsed-uterus

  Vaginal pessaries can be an effective way of reducing the symptoms of a prolapse, but they will not be appropriate for everyone. Together with pelvic floor exercises, they may provide a non-surgical solution to manage a uterine prolapse. […] In moderate to severe cases, the prolapse may have to be surgically repaired. […] Surgery may fail and the prolapse can recur if the original cause of the prolapse, such as obesity, coughing or straining, is not addressed.

• #70 Pelvic organ prolapse in females: Epidemiology, risk factors, clinical manifestations, and management – UpToDate

  https://www.uptodate.com/contents/pelvic-organ-prolapse-in-females-epidemiology-risk-factors-clinical-manifestations-and-management

  Pelvic organ prolapse (POP), the herniation of the pelvic organs to or beyond the vaginal walls, is a common condition. Many individuals with prolapse experience symptoms that impact daily activities, sexual function, and exercise. The presence of POP can have a detrimental impact on body image and sexuality. Treatment of POP requires significant health care resources; the annual cost of ambulatory care of pelvic floor disorders in the United States from 2005 to 2006 was almost $300 million and surgical repair of prolapse was the most common inpatient procedure performed in women older than 70 years from 1979 to 2006. The health care impact of prolapse is likely to expand based upon estimates of an increasing prevalence in the growing population of older adult women. […] The epidemiology, risk factors, clinical manifestations, and general principles of management are reviewed here. Diagnostic evaluation and management options for POP are discussed separately. […] Management options include expectant management, conservative management (such as vaginal pessary, pelvic floor muscle exercises, and estrogen therapy), and surgical treatment.

• #71 Treatments – Voices for PFD

  https://www.voicesforpfd.org/pelvic-organ-prolapse/treatments/

  Seeking medical help does not mean that you have to have surgery right away. Non-surgical treatments for prolapse are safe and effective. Many women start with non-surgical treatment and go on to surgery only if their symptoms from prolapse are not under control. […] With most types of pelvic organ prolapse, you have the following conservative (non-surgical) treatment options: watch for now, lifestyle modifications, pelvic floor physical therapy and/or using a pessary, a vaginal support device. […] Depending on your treatment preference, the severity of your symptoms, and your general health, POP surgery may be recommended. There are different types of POP surgeries. […] Work with your Urogynecologist, Urologist, or other provider to develop the most appropriate treatment plan that takes into consideration your overall health, lifestyle, and personal goals.

• #72 5 Things I Wish All Women Knew About Pelvic Organ Prolapse | ACOG

  https://www.acog.org/womens-health/experts-and-stories/the-latest/5-things-i-wish-all-women-knew-about-pelvic-organ-prolapse

  They are experts in pelvic floor health and function. Together you can discuss all the treatment options for POP. […] Remember, POP is a medical condition with treatment that should be covered by insurance (even surgery). […] The fourth trimester, or the weeks after pregnancy, is a great opportunity to talk with your ob-gyn about any changes in your pelvic muscles. […] It’s also a good time for care that may help prevent POP. This could mean seeing a pelvic floor therapist, changing your diet to help with constipation or weight loss, or using a pessary.

• #73 Treatments – Voices for PFD

  https://www.voicesforpfd.org/pelvic-organ-prolapse/treatments/

  Seeking medical help does not mean that you have to have surgery right away. Non-surgical treatments for prolapse are safe and effective. Many women start with non-surgical treatment and go on to surgery only if their symptoms from prolapse are not under control. […] With most types of pelvic organ prolapse, you have the following conservative (non-surgical) treatment options: watch for now, lifestyle modifications, pelvic floor physical therapy and/or using a pessary, a vaginal support device. […] Depending on your treatment preference, the severity of your symptoms, and your general health, POP surgery may be recommended. There are different types of POP surgeries. […] Work with your Urogynecologist, Urologist, or other provider to develop the most appropriate treatment plan that takes into consideration your overall health, lifestyle, and personal goals.

• #74 Pelvic organ prolapse cure closer – Hudson Institute of Medical Research

  https://www.hudson.org.au/news/pelvic-organ-prolapse-cure-comes-closer/

  New ways to prevent and cure pelvic organ prolapse (POP) are a big step closer, thanks to major funding for pioneering research at Hudson Institute. […] Their project aims to transform the field of female pelvic floor health on two fronts: prevention and cure of POP. […] They propose that 3D printed (3DP) grafts can improve pelvic reconstructive surgery outcomes and nanostructured hydrogels can reverse birth induced injury and prevent POP in the future, using 3D printing, nanotechnology and cellular bioprinting to advance Australian health outcomes, practice and policy. […] A key to their research is the use of 3D printing, nanotechnology and cellular bioprinting in POP surgery, which is where the other award recipient, Dr Kallyanashis Paul, comes in. […] His research proposes a paradigm shift in pelvic reconstructive practice by introducing absorbable 3D bioprinted grafts boosted with a patients own cells, aiming to drastically reduce the post-surgical immune response and prevent adverse reactions.

• #75 World-first treatment approach for pelvic organ prolapse – Hudson Institute of Medical Research

  https://www.hudson.org.au/news/a-world-first-treatment-approach-for-pelvic-organ-prolapse/

  Hudson Institute researchers have pioneered 3D bioprinted degradable meshes with stem cells for the treatment of pelvic organ prolapse (POP), in the hope of providing a safe, effective solution for millions of women worldwide. […] Despite its high global prevalence affecting up to 60 percent of mothers over the age of 50 there is currently no optimal treatment for the condition. […] Hudson Institute researchers recognised the need for a degradable mesh that prevents a negative immune response in women with POP. […] The world-first study, conducted in pre-clinical models, demonstrated a suppressed negative foreign body response to the mesh within one week. […] There is a huge unmet need for new POP treatments said Dr Mukherjee. […] An effective mesh that prevents negative health complications could allow women to perform daily activities without anxiety or embarrassment of incontinence and body image. […] Future studies will focus on longer term testing, to ensure these promising results can eventually be translated into clinical practice.

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