Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Evaluation & Counseling of Patients with POP

Female Pelvic Med Reconstr Surg; 2017 Sep/Oct; Carberry, et al

Women with prolapse should have an examination to quantify the loss of anatomic support and should be evaluated for associated bladder, bowel, and prolapse symptoms, as well as associated bother. This according to a new best practice statement from the American Urogynecologic Society (AUGS) covering the evaluation and counseling of patients with pelvic organ prolapse (POP). According to the statement, for patients presenting with POP:

  • Determine the duration and severity of pelvic symptoms and associated bother.
  • Ask specifically about urinary, bowel, sexual symptoms, and previous treatments.
  • Treatment options should be tailored to meet the patient’s medical health and personal functional goals.
  • In most cases, women should be informed of the range of treatment options, included observation as well as nonsurgical and surgical management.

Citation:

AUGS Guidelines and Statements Committee. Female Pelvic Med Reconstr Surg. 2017;23(5):281-287. doi:10.1097/SPV.0000000000000424.