Clinical Management of Pelvic Organ Prolapse

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Obstetrics & Gynecology".

Deadline for manuscript submissions: 23 January 2025 | Viewed by 703

Special Issue Editor


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Guest Editor
Department of General Gynecology and Gynecologic Oncology, Medical University of Vienna, Währinger Gürtel 18-20, 1090 Vienna, Austria
Interests: pelvic floor surgery; native tissue repair; basic science in urogynecology; incontinence treatment; objective outcome parameters and success definition in PFDs; risk factors for PFDs; urinary microbiota
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Special Issue Information

Dear Colleagues,

Pelvic organ prolapse (POP) is a common problem that increases with women's age and can affect the quality of life of concerned women significantly. Treatment options for patients with symptomatic POP include, alongside pessary placement, surgical repair, and around 13% of women undergo surgery at some point in their lives for the management of prolapse. Surgical treatments can be either reconstructive or obliterative, whereas reconstructive procedures for apical defects can be divided into procedures with and without uterine conservation. While vaginal hysterectomy (VH) with apical fixation has long been established as the most commonly performed procedure for POP, uterine-preserving techniques have gained popularity in recent years, with a majority of women preferring these types of techniques.

Personalized approaches to treatment as well as the definition of various risk factors for PFDs such as pelvic organ prolapse or urinary incontinence over the last few decades have led to significant improvements in treatment and preventive strategies in this group of patients. The aim of this Special Issue with the title “Clinical Management of Pelvic Organ Prolapse” is to collect and publish original articles as well as reviews demonstrating advances in the therapeutic field of urogynecology.

Dr. Barbara Bodner-Adler
Guest Editor

Manuscript Submission Information

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Keywords

  • pelvic organ prolapse
  • pessary treatment
  • uterus-preserving prolapse surgery
  • clinical management
  • clinical treatment

Published Papers (1 paper)

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Research

11 pages, 463 KiB  
Article
Impact on Sexual Function and Wish for Subsequent Pregnancy after Uterus-Preserving Prolapse Surgery in Premenopausal Women
by Greta Lisa Carlin, Julia Hummel Jiménez, Sören Lange, Florian Heinzl, Marianne Koch, Wolfgang Umek and Barbara Bodner-Adler
J. Clin. Med. 2024, 13(14), 4105; https://doi.org/10.3390/jcm13144105 - 13 Jul 2024
Viewed by 568
Abstract
(1) Background: Pelvic organ prolapse (POP) affects millions of women globally, impacting their quality of life and potentially influencing family planning decisions. This study aimed to assess the impact of uterus-preserving prolapse surgery on the sexual function, desire for children, and pregnancy outcomes [...] Read more.
(1) Background: Pelvic organ prolapse (POP) affects millions of women globally, impacting their quality of life and potentially influencing family planning decisions. This study aimed to assess the impact of uterus-preserving prolapse surgery on the sexual function, desire for children, and pregnancy outcomes in premenopausal women with symptomatic POP. (2) Methods: A survey study was conducted among patients who underwent sacrospinous hysteropexy at a tertiary hospital between 2001 and 2021. Telephone interviews were performed to gather data on sexual function, desire for children, and satisfaction with surgical outcomes. (3) Results: The study included 33 premenopausal women, revealing diverse factors influencing sexual activity and desire for children following surgery. While most of the participants expressed a desire for children after surgery, sexually inactive individuals were more likely to report an unfulfilled desire for children. Fear of incontinence during sexual activity emerged as a significant concern for the sexually inactive participants. (4) Conclusions: The study highlights the need for comprehensive counselling and tailored interventions to address the multifaceted needs of women with POP. Further research is warranted to highlight the long-term implications of uterus-preserving surgeries on women’s health and well-being. Full article
(This article belongs to the Special Issue Clinical Management of Pelvic Organ Prolapse)
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