Recurrent pelvic organ prolapse: International Urogynecological Association Research and Development Committee opinion
| Autor: | Christian Phillips, Jonathan Duckett, Dorothy Kammerer-Doak, Olanrewaju Sorinola, Mitesh Parekh, Oscar Contreras-Ortiz, Diaa E. E. Rizk, Hazem Al-Mandeel, Sharif Ismail, Kamil Svabik |
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| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Consensus genetic structures Urology 030232 urology & nephrology Conservative Treatment Pelvic Organ Prolapse 03 medical and health sciences 0302 clinical medicine Recurrence medicine Humans Risks and benefits Randomized Controlled Trials as Topic Pelvic organ 030219 obstetrics & reproductive medicine Pelvic floor business.industry Obstetrics and Gynecology Evidence-based medicine Patient counseling Surgery body regions Conservative treatment medicine.anatomical_structure Family medicine Practice Guidelines as Topic Female business |
| Zdroj: | International Urogynecology Journal. 27:1619-1632 |
| ISSN: | 1433-3023 0937-3462 |
| DOI: | 10.1007/s00192-016-3076-7 |
| Popis: | This committee opinion paper summarizes available evidence about recurrent pelvic organ prolapse (POP) to provide guidance on management. A working subcommittee from the International Urogynecological Association (IUGA) Research and Development Committee was formed. The literature regarding recurrent POP was reviewed and summarized by individual members of the subcommittee. Recommendations were graded according to the 2009 Oxford Levels of Evidence. The summary was reviewed by the Committee. There is no agreed definition for recurrent POP and evidence in relation to its evaluation and management is limited. The assessment of recurrent POP should entail looking for possible reason(s) for failure, including persistent and/or new risk factors, detection of all pelvic floor defects and checking for complications of previous surgery. The management requires individual evaluation of the risks and benefits of different options and appropriate patient counseling. There is an urgent need for an agreed definition and further research into all aspects of recurrent POP. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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