Pelvic Organ Prolapse: Controversies in Surgical Treatment. [Review]

MedStar author(s):
Citation: Obstetrics & Gynecology Clinics of North America. 48(3):437-448, 2021 Sep.PMID: 34416930Institution: MedStar Washington Hospital CenterDepartment: Obstetrics and GynecologyForm of publication: Journal ArticleMedline article type(s): Journal Article | ReviewSubject headings: *Pelvic Organ Prolapse | *Urinary Incontinence | Female | Gynecologic Surgical Procedures | Humans | Hysterectomy | Pelvic Organ Prolapse/su [Surgery] | Postoperative ComplicationsYear: 2021ISSN:
  • 0889-8545
Name of journal: Obstetrics and gynecology clinics of North AmericaAbstract: This article discusses a few of the most prominent controversies currently confronting providers and patients when planning for surgical repair of pelvic organ prolapse including preoperative counseling and patient preparedness, preoperative urodynamics and concomitant anti-incontinence procedures, uterine preservation, total versus supracervical hysterectomy at the time of sacrocolpopexy, same-day discharge, and use of telemedicine for routine postoperative care. These current controversies reflect some of the larger questions and themes confronting the field at this time, and this discussion serves to highlight opportunities for further research and stimulate the constructive debate that moves the field forward. Copyright (c) 2021 Elsevier Inc. All rights reserved.All authors: Dieter AAOriginally published: Obstetrics & Gynecology Clinics of North America. 48(3):437-448, 2021 Sep.Fiscal year: FY2022Fiscal year of original publication: FY2022Digital Object Identifier: Date added to catalog: 2021-11-01
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Journal Article MedStar Authors Catalog Article 34416930 Available 34416930

This article discusses a few of the most prominent controversies currently confronting providers and patients when planning for surgical repair of pelvic organ prolapse including preoperative counseling and patient preparedness, preoperative urodynamics and concomitant anti-incontinence procedures, uterine preservation, total versus supracervical hysterectomy at the time of sacrocolpopexy, same-day discharge, and use of telemedicine for routine postoperative care. These current controversies reflect some of the larger questions and themes confronting the field at this time, and this discussion serves to highlight opportunities for further research and stimulate the constructive debate that moves the field forward. Copyright (c) 2021 Elsevier Inc. All rights reserved.

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