Nonsurgical Management of Pelvic Organ Prolapse
- 1 April 2012
- journal article
- review article
- Published by Ovid Technologies (Wolters Kluwer Health) in Obstetrics & Gynecology
- Vol. 119 (4), 852-860
- https://doi.org/10.1097/aog.0b013e31824c0806
Abstract
Although surgical management of symptomatic pelvic organ prolapse (POP) is common and often necessary, conservative treatments such as pessaries, pelvic floor muscle training, or both can usually result in symptomatic improvement. When treating patients with POP, health care practitioners should focus primarily on identification and alleviation of POP-related symptoms. It is appropriate to offer nonsurgical management to most people with POP. This article reviews the objective and subjective evaluation and nonsurgical management of POP, emphasizing a simple, practical approach to pessary fitting and management.Keywords
This publication has 15 references indexed in Scilit:
- Prospective evaluation of outcome of vaginal pessaries versus surgery in women with symptomatic pelvic organ prolapseInternational Urogynecology Journal, 2010
- Factors influencing long-term pessary useInternational Urogynecology Journal, 2010
- Forecasting the Prevalence of Pelvic Floor Disorders in U.S. WomenObstetrics & Gynecology, 2009
- A randomized controlled trial of pelvic floor muscle training for stages I and II pelvic organ prolapseInternational Urogynecology Journal, 2008
- Apport du traitement conservateur dans la prise en charge du prolapsus urogénital de bas grade. Le devenir après deux ansAnnales de Réadaptation et de Médecine Physique, 2008
- Short forms of two condition-specific quality-of-life questionnaires for women with pelvic floor disorders (PFDI-20 and PFIQ-7)American Journal of Obstetrics and Gynecology, 2005
- Risk factors associated with an unsuccessful pessary fitting trial in women with pelvic organ prolapseAmerican Journal of Obstetrics and Gynecology, 2004
- Procedures for pelvic organ prolapse in the United States, 1979-1997American Journal of Obstetrics and Gynecology, 2003
- The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunctionAmerican Journal of Obstetrics and Gynecology, 1996
- Pelvic muscle relaxation: Assessment and managementJournal of Nurse-Midwifery, 1990