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Pelvic organ prolapse: Effective treatments

Practice tips

Finally, here are some precautions and words of advice about the following POP procedures:

  • Neither synthetic nor biologic grafts should be used to augment posterior repairs as these do not improve outcomes.
  • Transvaginal repair of rectocele is superior to the transanal repair techniques.
  • Synthetic mesh augmentation of the anterior vaginal wall may improve anatomic outcomes, but this comes at a cost (more reoperations and higher rate of complications). Thus, surgeons performing these procedures should have specialized training and the patient should have a unique indication and must undergo proper consent as recommended by ACOG.

Dr. Siddighi is editor-in-chief of the Ob/Gyn Board Master and director of female pelvic medicine and reconstructive surgery and director of grand rounds at Loma Linda University Health in California. Ob.Gyn. News and Ob/Gyn Board Master are owned by the same parent company, Frontline Medical Communications.

Reference

1. Obstet Gynecol. 2017 Apr;129(4):e56-e72.