Conservative management of pelvic organ prolapse in women

Abstract

Despite there now being reports of three eligible trials in this update, the evidence available is not significant to guide practice. There is some encouragement from a feasibility study that pelvic floor muscle training, delivered by a physiotherapist to symptomatic women in an outpatient setting, may reduce severity of prolapse. Further evidence from larger, better quality randomised control trials is however still necessary.

An effective and safe innovation for the management of vault prolapse

“…Conservative measures include pelvic floor exercises and different type of pessaries.There is no evidence to suggest whether pelvic floor exercises are helpful in vault prolapse[5]. Conservative measures may be used to treat this condition in women unfit for surgery or those who require symptomatic relief while awaiting surgery[4].…”

An effective and safe innovation for the management of vault prolapse

“…Conservative measures include pelvic floor exercises and different type of pessaries.There is no evidence to suggest whether pelvic floor exercises are helpful in vault prolapse[5]. Conservative measures may be used to treat this condition in women unfit for surgery or those who require symptomatic relief while awaiting surgery[4].…”

Psychometric properties of the pelvic organ prolapse symptom score

“…The question format and response set were modelled on those used by the ICIQ group to standardise outcome measures in pelvic floor dysfunction research and clinical practice 6 . The items were developed from reviewing the literature in the course of undertaking a number of prolapse‐related Cochrane systematic reviews 9–11 and from discussion with gynaecologists, physiotherapists and women with prolapse. Some of the items are similar to those in other instruments since they target universally acknowledged symptoms associated with prolapse (e.g.…”

Osteopathische Ansätze bei Dysmenorrhö und Uterusretroversion/-flexion

“…Statistische Erhebungen zeigen, dass nahezu 70 % der Uterussenkungen höheren Grades mit einer retroversen Uterusposition einhergehen [9]. Die daraus resultierenden Beschwerden beeinträchtigen die Lebensqualität der Betroffenen oftmals erheblich [14]. Der klinisch bedeutsamste Befund dieser Arbeit liegt in der statistisch hochsignifikanten Reduktion der vegetativen und funktionellen Symptome, gemessen mittels MDQT, innerhalb der Verumgruppe (n = 5).…”

An effective and safe innovation for the management of vault prolapse

“…Conservative measures include pelvic floor exercises and different type of pessaries.There is no evidence to suggest whether pelvic floor exercises are helpful in vault prolapse[5]. Conservative measures may be used to treat this condition in women unfit for surgery or those who require symptomatic relief while awaiting surgery[4].…”

Psychometric properties of the pelvic organ prolapse symptom score

“…The question format and response set were modelled on those used by the ICIQ group to standardise outcome measures in pelvic floor dysfunction research and clinical practice 6 . The items were developed from reviewing the literature in the course of undertaking a number of prolapse‐related Cochrane systematic reviews 9–11 and from discussion with gynaecologists, physiotherapists and women with prolapse. Some of the items are similar to those in other instruments since they target universally acknowledged symptoms associated with prolapse (e.g.…”

Osteopathische Ansätze bei Dysmenorrhö und Uterusretroversion/-flexion

“…Statistische Erhebungen zeigen, dass nahezu 70 % der Uterussenkungen höheren Grades mit einer retroversen Uterusposition einhergehen [9]. Die daraus resultierenden Beschwerden beeinträchtigen die Lebensqualität der Betroffenen oftmals erheblich [14]. Der klinisch bedeutsamste Befund dieser Arbeit liegt in der statistisch hochsignifikanten Reduktion der vegetativen und funktionellen Symptome, gemessen mittels MDQT, innerhalb der Verumgruppe (n = 5).…”

An effective and safe innovation for the management of vault prolapse

“…Conservative measures include pelvic floor exercises and different type of pessaries.There is no evidence to suggest whether pelvic floor exercises are helpful in vault prolapse[5]. Conservative measures may be used to treat this condition in women unfit for surgery or those who require symptomatic relief while awaiting surgery[4].…”

Psychometric properties of the pelvic organ prolapse symptom score

“…The question format and response set were modelled on those used by the ICIQ group to standardise outcome measures in pelvic floor dysfunction research and clinical practice 6 . The items were developed from reviewing the literature in the course of undertaking a number of prolapse‐related Cochrane systematic reviews 9–11 and from discussion with gynaecologists, physiotherapists and women with prolapse. Some of the items are similar to those in other instruments since they target universally acknowledged symptoms associated with prolapse (e.g.…”

Osteopathische Ansätze bei Dysmenorrhö und Uterusretroversion/-flexion

“…Statistische Erhebungen zeigen, dass nahezu 70 % der Uterussenkungen höheren Grades mit einer retroversen Uterusposition einhergehen [9]. Die daraus resultierenden Beschwerden beeinträchtigen die Lebensqualität der Betroffenen oftmals erheblich [14]. Der klinisch bedeutsamste Befund dieser Arbeit liegt in der statistisch hochsignifikanten Reduktion der vegetativen und funktionellen Symptome, gemessen mittels MDQT, innerhalb der Verumgruppe (n = 5).…”