Current management of pelvic organ prolapse in aging women: EMAS clinical guide.

Giannini, Andrea; Russo, Eleonora; Cano, Antonio; Chedraui, Peter; Goulis, Dimitrios G; Lambrinoudaki, Irene; Lopes, Patrice; Mishra, Gita; Mueck, Alfred; Rees, Margaret; Senturk, Levent M; Stevenson, John C; Stute, Petra; Tuomikoski, Pauliina; Simoncini, Tommaso (2018). Current management of pelvic organ prolapse in aging women: EMAS clinical guide. Maturitas, 110, pp. 118-123. Elsevier 10.1016/j.maturitas.2018.02.004

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Management of pelvic organ prolapse (POP) is a common and challenging task. Nowadays older women are more active than they were in the past, and the development of POP disrupts quality of life and impairs social and personal activities. The menopausal transition is a time of vulnerability, during which many women start experiencing symptoms and signs of POP. The role of hormonal changes or of hormonal therapies in influencing the development or progression of POP has been explored extensively. The management of POP requires considerable clinical skills. Correct diagnosis and characterization of the prolapse and an identification of the individual woman's most bothersome symptoms are the hallmark of appropriate initial management. Therapy is multimodal and often multidisciplinary, and requires a competence in pelvic medicine and surgery. The integration of hormonal, non-hormonal and surgical strategies is important and needs to be adjusted to changing circumstances on an individualized basis. When surgery is required, optimal management requires clinicians who are familiar with the advantages and disadvantages of all the available strategies and who are able to use these strategies in a tailored manner. Complex cases should be sent to specialist referral centers. Management of POP should be integrated into the practice of healthcare professionals dealing in menopause.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Gynaecology

UniBE Contributor:

Stute, Petra

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0378-5122

Publisher:

Elsevier

Language:

English

Submitter:

Monika Zehr

Date Deposited:

19 Mar 2019 12:27

Last Modified:

19 Mar 2019 12:35

Publisher DOI:

10.1016/j.maturitas.2018.02.004

PubMed ID:

29444759

Uncontrolled Keywords:

Aging Management Pelvic organ prolapse Urinary incontinence

BORIS DOI:

10.7892/boris.125892

URI:

https://boris.unibe.ch/id/eprint/125892

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