Abstract
Abstract
Objective:
Treatment for pelvic organ prolapse (POP) can be surgical. The vaginal approach is a shorter procedure than the abdominal approach, with quicker resumption of activity for the patient. Currently, pelvic surgeons face a choice of using transvaginal mesh or classical techniques to treat this pathology. The goal of this review is to present these techniques and their appropriate uses.
Materials and Methods:
This article discusses major reviews and recommendations of medical societies for POP and suggests individualized choices for treatment.
Results:
Current data indicate that nonautologous durable materials in surgery have well-established benefits but also have risks that are specific to the conditions and locations that they are used for to treat POP. Various graft-related complications have been described, including infection, chronic pain, dyspareunia, exposure in the vagina, and shrinkage and erosion into other organs.
Conclusions:
The success and failure of each approach needs to be assessed in the context of individual patients, their circumstances, and the surgeon's ability to use the approach.
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