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Pelvic organ prolapse surgery less effective than expected
Date:5/15/2013

SALT LAKE CITY Research conducted by the Pelvic Floor Disorders Network, an initiative funded by the National Institutes of Health, has revealed that the long-term success rates of a surgery to treat pelvic organ prolapse are lower than expected. Nearly one-third of women develop anatomic or symptomatic treatment failure within five years of undergoing sacrocolpopexy for pelvic organ prolapse, according to a study published in the May 15 issue of JAMA.

"Each year, 225,000 women in the United States undergo surgery for pelvic organ prolapse, but little is known about long-term surgical outcomes," says Ingrid Nygaard, M.D., a urogynecologist and pelvic reconstructive surgeon at the University of Utah and first author on the study. "As our population ages, more and more women are going to be affected by pelvic organ prolapse, so it's critical to know whether these surgeries are effective."

Pelvic organ prolapse (POP) is a condition where the muscles and ligaments supporting a woman's pelvic organs stretch or weaken, causing these organs to slip out of place. Although POP can involve any pelvic organ, the most common organ affected is the bladder. POP is most often linked to childbirth, but can also develop after hysterectomy and tends to get worse with age. Common symptoms of POP include a feeling of pressure or fullness in the vagina and bladder- or bowel-related problems. There are no medications to treat POP, though many women gain relief by wearing a pessary, a silastic ring or cube that holds the bulge up, in the vagina. An estimated 7 percent to 19 percent of women undergo some type of surgical repair in their lifetime.

Abdominal sacrocolpopexy is considered to be the gold standard of surgical treatment for POP, and it involves placing a mesh via an abdominal approach to hold the vagina in its correct anatomical position. Nygaard and her colleagues in the Pelvic Floor Disorders Network (PFDN) studied women who underwent sac
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Contact: Phil Sahm
phil.sahm@hsc.utah.edu
801-581-2517
University of Utah Health Sciences
Source:Eurekalert

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