Diagnosis and Therapy of Female Pelvic Organ Prolapse. Guideline of the DGGG, SGGG and OEGGG (S2e-Level, AWMF Registry Number 015/006, April 2016)

Baeßler, Kaven; Aigmüller, T; Albrich, Stefan; Anthuber, C.; Finas, D.; Fink, Thomas; Fünfgeld, Christian; Gabriel, Boris; Henscher, Ulla; Hetzer, Franc; Hübner, Markus; Junginger, Baerbel; Jundt, Katharina; Kropshofer, Stephan; Kühn, Annette; Loge, Ludovic; Nauman, Gina; Peschers, Ursula; Pfiffer, Tatiana; Schwandner, O.; Strauß, Alexander; Tunn, Ralf; Viereck, Volker

doi:10.1055/s-0042-119648

Cited by 37 publications

(27 citation statements)

References 145 publications

(128 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Ein Deszensus des vorderen Kompartiments geht oft mit einem apikalen Defekt der Vaginalwand (mittleres Kompartiment) einher, sodass eine gleichzeitige Korrektur im mittleren Kompartiment in Betracht gezogen werden sollte [12,13].…”

Section: ) Vorderes Kompartimentunclassified

“…Aufgrund der Verbreiterung der alloplastischen Netzimplantate in den letzten Jahrzehnten hat jedoch diese Methode trotz ihrer guten und langfristigen Erfolgsraten [12] an Bedeutung verloren. Zurzeit wird die paravaginale Defektkorrektur in Zusammenhang mit anderen Korrekturen durchgeführt, z.…”

Section: B) Vaginale Abdominale Oder Laparoskopische Paravaginale Dunclassified

“…Die kumulativen Erfolgsraten beider Methoden werden mit 86 bzw. 70 % jeweils angegeben, mit Überlegenheit der "klassischen" hinteren Scheidenplastik mit medianer Fasziennaht [12].…”

Section: ) Hinteres Kompartimentunclassified

“…Die Adaptation der beidseits lateral liegenden Levatorenschenkel als Widerlager in der Medianlinie, war früher Standard, zählt allerdings heute aufgrund von ähnlichen Erfolgsraten bei höheren postoperativen Dyspareunie-Raten als obsolet [12,18]. ▶ Abb.…”

Section: ) Hinteres Kompartimentunclassified

“…Daher kann bei primären Defektkorrekturen des hinteren Kompartiments die routinemäßige Anwendung von synthetischen Netzen nicht empfohlen werden [12,19]. In direkten Vergleichsstudien mit der laparoskopischen Sakrokolpopexie zeigen sich ähnliche Erfolgsraten [22].…”

Section: B) Vaginale Netzinterpositionunclassified

See 4 more Smart Citations

Chirurgische Therapie des urogenitalen Deszensus

et al. 2018

View full text Add to dashboard Cite

Female pelvic organ prolapse is a widely prevalent condition and is associated with variable morbidity. It encompasses a number of clinical conditions, including subvesical obstruction, overactive bladder symptoms, sexual dysfunction and urinary und fecal incontinence. The prevalence of pelvic insufficiency is estimated to be between 30 and 50 %. As life expectancy is increasing and the elderly population is growing, there will be an increased incidence of the condition and growing demand for pelvic floor treatment in the future. The incidence of recurrent pelvic floor prolapse is also growing. The goal of surgical management is the restoration of pelvic anatomy and bladder, vaginal and bowel function, resolution of patient symptoms and improvement in quality of life. The objective of this review is to present the main surgical procedures for different subtypes of genital prolapse and to evaluate their outcomes and complications. During the last ten years, technologies for the minimally invasive approach have advanced and robotic assisted sacrocolpopexy is now equivalent to classical vaginal and transabdominal procedures.

show abstract

Section: ) Vorderes Kompartimentunclassified

Section: B) Vaginale Abdominale Oder Laparoskopische Paravaginale Dunclassified

“…Die kumulativen Erfolgsraten beider Methoden werden mit 86 bzw. 70 % jeweils angegeben, mit Überlegenheit der "klassischen" hinteren Scheidenplastik mit medianer Fasziennaht [12].…”

Section: ) Hinteres Kompartimentunclassified

Section: B) Vaginale Netzinterpositionunclassified

See 3 more Smart Citations

Chirurgische Therapie des urogenitalen Deszensus

et al. 2018

View full text Add to dashboard Cite

show abstract

Evaluation of guidelines on the use of vaginal mesh implants for pelvic organ prolapse using the AGREE II instrument

Tsiapakidou

Nygaard

Pape

et al. 2021

Intl J Gynecology & Obste

View full text Add to dashboard Cite

Objective To systematically evaluate the content and quality of national and international guidelines on vaginal mesh procedures for pelvic organ prolapse (POP). Methods We searched PubMed, Medline, Web of Science, and ScienceDirect from inception to March 2020 and organizations’ websites. The quality of the guidelines was assessed independently by six appraisers using the Appraisal of Guidelines for Research and Evaluation (AGREE II) instrument. Results Five guidelines were included. Most guidelines recommended individualized treatments, clinical observation, and conservative treatment for asymptomatic women discouraging the use of mesh. Vaginal pessary and pelvic floor muscle training are unanimously considered effective treatments. Only two guidelines recommended weight loss. Each guideline recommended patient counseling supported by data on success rates and complications. Most guidelines highlighted the importance of a specialist experienced surgeon, multidisciplinary teams, and national/international registries. All guidelines highlighted potential benefits of the use of mesh and reported possible complications. The overall quality rating ranged between 4.2 and 6.3, suggestive of moderate to high quality. The highest mean score (92.5%) pertained to “Scope and Purpose” and “Clarity of Presentation”, and the lowest to “Editorial Independence” (18%). Three out of five guidelines were “strongly recommended” by the appraisers. Conclusion Although most guidelines were of moderate to high quality, methodological applicability, stakeholder involvement, and editorial independence were domains with low scores.

show abstract

Literature review, surgical decision making algorithm, and AGREE II‐S comparison of national and international recommendations and guidelines in pelvic organ prolapse surgery

Pecorella,

Morciano,

Sparic

et al. 2024

Intl J Gynecology & Obste

View full text Add to dashboard Cite

The average lifespan has increased over time due to improvements in quality of life, leading to an aging population that stays healthy for longer. Pelvic organ prolapse (POP), whether uterine or vaginal, is a problem that severely impairs quality of life and imposes significant restrictions. The present study provides the reader with a summary of the many surgical techniques used in POP surgery, comparing international guidelines, offering an algorithm that is simple to understand, and allows the reader to quickly choose the table that includes the best surgical therapy for each individual. Using relevant keywords, the writers searched the PubMed and Scopus databases for relevant publications from 2000 to April 2023. Studies with cases of oncologic disorders or prior hysterectomy performed for another reason were not included in the analysis. Ten distinct international guidelines are highlighted and examined in the present study. We used the Appraisal of Guidelines for Research and Evaluation II‐S (AGREE II‐S) method to assess their quality, and incorporated the results into the conclusion. Worldwide, anterior colporrhaphy is the preferred method of treating anterior compartment abnormalities, and mesh is virtually always used when recurrence occurs (which happens in about half of the cases). Worldwide, posterior colporrhaphy is commonly used to repair posterior compartment abnormalities. Only a few national guidelines (the Iranian guideline, Acta Obstetricia et Gynecologica Scandinavica [AOGS], and the German‐speaking countries) permit the use of mesh or xenograft in cases of recurrence. There is agreement on the abdominal approach (sacrocolpopexy) with mesh for treating apical deformities. Sacrospinous‐hysteropexy is the standard method used to guide the vaginal approach; mesh is typically used to aid in this process. There are just three recommendations that do not include vaginal operations: HSE, AOGS, and Iran. Of obliteration techniques, colpocleisis is unquestionably the best. In conclusion, our analysis highlights the significance of customized methods in POP surgery, taking into account the requirements and preferences of each patient. To choose the best surgical therapy, criteria and patient features must be carefully considered.

show abstract

Diagnosis and Therapy of Female Pelvic Organ Prolapse. Guideline of the DGGG, SGGG and OEGGG (S2e-Level, AWMF Registry Number 015/006, April 2016)

Cited by 37 publications

References 145 publications

Chirurgische Therapie des urogenitalen Deszensus

Chirurgische Therapie des urogenitalen Deszensus

Evaluation of guidelines on the use of vaginal mesh implants for pelvic organ prolapse using the AGREE II instrument

Literature review, surgical decision making algorithm, and AGREE II‐S comparison of national and international recommendations and guidelines in pelvic organ prolapse surgery

Contact Info

Product

Resources

About