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05.07.2016 | Review Article

Recurrent pelvic organ prolapse: International Urogynecological Association Research and Development Committee opinion

verfasst von: Sharif Ismail, Jonathan Duckett, Diaa Rizk, Olanrewaju Sorinola, Dorothy Kammerer-Doak, Oscar Contreras-Ortiz, Hazem Al-Mandeel, Kamil Svabik, Mitesh Parekh, Christian Phillips

Erschienen in: International Urogynecology Journal | Ausgabe 11/2016

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Abstract

Introduction and hypothesis

This committee opinion paper summarizes available evidence about recurrent pelvic organ prolapse (POP) to provide guidance on management.

Method

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.

Results

There is no agreed definition for recurrent POP and evidence in relation to its evaluation and management is limited.

Conclusion

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.

http://www.cebm.net/oxford-centre-evidence-based-medicine-levels-evidence-march-2009/accessed on 28.1.2016 at 09:00 GMT.

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Titel: Recurrent pelvic organ prolapse: International Urogynecological Association Research and Development Committee opinion
verfasst von: Sharif Ismail
Jonathan Duckett
Diaa Rizk
Olanrewaju Sorinola
Dorothy Kammerer-Doak
Oscar Contreras-Ortiz
Hazem Al-Mandeel
Kamil Svabik
Mitesh Parekh
Christian Phillips
Publikationsdatum: 05.07.2016
Verlag: Springer London
Erschienen in: International Urogynecology Journal / Ausgabe 11/2016
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-016-3076-7

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Recurrent pelvic organ prolapse: International Urogynecological Association Research and Development Committee opinion