Management of pelvic organ prolapse.

Korean J Urol

Department of Urology, CHA Bundang Medical Center, CHA University, Seongnam, Korea.

Published: November 2014

AI Article Synopsis

  • Pelvic organ prolapse negatively impacts quality of life, and its prevalence is rising due to an aging population.
  • The tension-free vaginal mesh kit is increasingly preferred as it offers similar success rates to traditional surgery and allows for quicker recovery, but concerns about its long-term safety and effectiveness persist.
  • The U.S. FDA advises that patients be fully informed about the potential risks and outcomes associated with tension-free vaginal mesh before deciding on surgery, with the primary goal being the restoration of anatomical normalcy.

Article Abstract

Quality of life is adversely affected by pelvic organ prolapse, the prevalence of which is increasing because of the persistently growing older population. Today, the tension-free vaginal mesh kit has grown in popularity owing to its comparable cure rate to traditional reconstructive surgery and the feasibility of an early return to normal life. However, significant debate remains over the long-term cure rate and the safety of tension-free vaginal mesh in the United States. The U.S. Food and Drug Administration recommends obtaining informed consent about the safety and cure rate when the patient chooses surgery using the tension-free vaginal mesh kit or meshes before surgery. The goal of surgery for pelvic organ prolapse is the restoration of anatomic defects. This review article provides an overview of basic surgical techniques and the results, advantages, and disadvantages of surgery for pelvic organ prolapse.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4231145PMC
http://dx.doi.org/10.4111/kju.2014.55.11.693DOI Listing

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