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Surgical management of pelvic organ prolapse in women.

Authors
  • Maher, C
  • Baessler, K
  • Glazener, C M A
  • Adams, E J
  • Hagen, S
Type
Published Article
Journal
The Cochrane database of systematic reviews
Publication Date
Jan 01, 2004
Issue
4
Identifiers
PMID: 15495076
Source
Medline
License
Unknown

Abstract

Abdominal sacrocolpopexy is associated with a lower rate of recurrent vault prolapse and dyspareunia than the vaginal sacrospinous colpopexy. These benefits must be balanced against a longer operating time, longer time to return to activities of daily living and increased cost of the abdominal approach. The use of a polyglactin mesh overlay at the time of anterior vaginal wall repair may reduce the risk of recurrent cystocele. Posterior vaginal wall repair may be better than transanal repair in the management of rectoceles in terms of recurrence of prolapse. Adequately powered randomised controlled clinical trials are urgently needed.

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