TY  - BOOK
AU  - Iglesia, Cheryl B
TI  - Pelvic Organ Prolapse. [Review]
SN  - 0002-838X
PY  - 2017///
KW  - *Pelvic Organ Prolapse/di [Diagnosis]
KW  - Female
KW  - Humans
KW  - Pelvic Organ Prolapse/et [Etiology]
KW  - Pelvic Organ Prolapse/su [Surgery]
KW  - Pelvic Organ Prolapse/th [Therapy]
KW  - MedStar Washington Hospital Center
KW  - Obstetrics and Gynecology/Female Pelvic Medicine and Reconstructive Surgery
KW  - Journal Article
KW  - Review
N1  - Available online from MWHC library: 1998 - present, Available in print through MWHC library: 1998 - 2006
N2  - Pelvic organ prolapse is the descent of one or more of the anterior vaginal wall, posterior vaginal wall, the uterus (cervix), or the apex of the vagina (vaginal vault or cuff scar after hysterectomy). Prevalence increases with age. The cause of prolapse is multifactorial but is primarily associated with pregnancy and vaginal delivery, which lead to direct pelvic floor muscle and connective tissue injury. Hysterectomy, pelvic surgery, and conditions associated with sustained episodes of increased intra-abdominal pressure, including obesity, chronic cough, constipation, and repeated heavy lifting, also contribute to prolapse. Most patients with pelvic organ prolapse are asymptomatic. Symptoms become more bothersome as the bulge protrudes past the vaginal opening. Initial evaluation includes a history and systematic pelvic examination including assessment for urinary incontinence, bladder outlet obstruction, and fecal incontinence. Treatment options include observation, vaginal pessaries, and surgery. Most women can be successfully fit with a vaginal pessary. Available surgical options are reconstructive pelvic surgery with or without mesh augmentation and obliterative surgery
ER  -