Pelvic Organ Prolapse

Patients with pelvic organ prolapse (POP) are 6 times more likely to experience overactive bladder and/or urgency urinary incontinence (UUI). Given the high prevalence of concomitant urinary symptoms, evaluating the effect of surgical prolapse repair on urinary urgency is critical for surgical counseling.

Our team has recently published an article that thoroughly explores the evolution and advantages of laparoscopic techniques in the surgical management of pelvic organ prolapse (POP). The transition from traditional methods—such as transvaginal surgery and native tissue restoration—to laparoscopic approaches marks a significant advancement in gynecological surgery, impacting both surgical outcomes and patient quality of life.

Various strategies are employed to manage stress urinary incontinence (SUI) during pelvic organ prolapse (POP) surgery. This study was aimed at facilitating shared decision-making by evaluating SUI symptom changes, staged SUI procedures, and their prognostic factors following POP surgery without concomitant SUI intervention.

There is a growing interest in combined pelvic organ prolapse (POP) and rectal prolapse (RP) surgery for concomitant pelvic floor prolapse despite a paucity of data regarding complications and clinical outcomes of combined repair.

Patients with pelvic organ prolapse (POP) often have accompanying lower urinary tract symptoms. Symptoms such as stress urinary incontinence(SUI-UD) and detrusor overactivty(DO) would co-exist in a number of patients.

Pelvic organ prolapse (POP) surgery may unmask occult stress urinary incontinence (OSUI) in otherwise asymptomatic patients. Preoperative urodynamic studies (UDSs) with prolapse reduction may, by potentially unmasking OSUI, assist surgical decision making.

Our aim was to investigate the efficacy of the EndoFast Reliant™ system, which is a novel trocarless mesh technology for the treatment of pelvic organ prolapse (POP).

This was a retrospective cohort study including 31 female patients with POP who underwent vaginal repair.

Women with pelvic organ prolapse (POP) are at risk of developing stress urinary incontinence (SUI) following prolapse surgery. Combining POP repair with anti-incontinence surgery reduces the incontinence rate but leads to overtreatment.

We retrospectively reviewed the postoperative outcomes of patients who underwent tension-free vaginal mesh (TVM) surgery in our institution.

In total, 195 TVM surgeries were performed at the Shimane University School of Medicine from January 2010 to May 2016 in patients with Pelvic Organ Prolapse-Quantification (POP-Q) stage II or higher.

Preoperative urodynamic studies (UDS) are frequently performed before pelvic organ prolapse (POP) surgery to assess urethral and bladder function. The primary goal of this study is to examine how preoperative UDS are utilized and what value these studies have in patient treatment and/or counseling.