Cic edizioni internazionali
Giornale Italiano di ostetricia e ginecologia

The prolapse of the pelvic organs between past and present

Review article, 9 - 15
doi: 10.11138/giog/2017.39.1.009
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The incidence of pelvic organ prolapse is difficult to quantify; it is assumed that about 30% of women is suffering from pelvic organ prolapse. However, the possibility of being subject to an operation for incontinence or prolapse, it is estimated around 11%. Pelvic organ prolapse has significant negative effects on a woman’s quality of life. Worldwide, vaginal hysterectomy is the leading treatment method for patients with symptomatic utero-vaginal prolapse. Several studies are showing that vaginal sacrospinous hysteropexy and laparoscopic hysteropexy are safe and effective alternatives in treating uterine descent. But currently there are no comparative studies, numerically significant, to be able to define if it’s better a correction of the pelvic floor, that foresees the maintenance of the uterus or its removal.
Method. In our department, in a period of 4 years, we have handled 53 corrections of utero vaginal prolapse with the laparoscopic technique defined P.O.P.S. The treated prolapses have been among 3° and the 4° degree by the classification of Baden-Walker, with or
without stress urinary incontinence. The follow up of the result of the intervention has been done respectively to 2-6 and 12 months of distance from surgery.
Conclusions. Although it has already been said currently there are not comparative and significant studies to recognize what the better therapeutic option is, according to our experience, the suspension of the pelvic organs by laparoscopic surgery, it gives a good solution, particularly in comparison with the vaginal hysterectomy.