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Pelvic organ prolapse management

机译：骨盆器官脱垂管理

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Pelvic organ prolapse describes the loss of support and subsequent descent of pelvic organs into the vagina. It is common, affecting up to 50% of parous women, and can be accompanied by a number of burdening symptoms. Prolapse has been thrown into the spotlight secondary to mesh-related complications. There are a number of effective treatment options to consider when managing pelvic organ prolapse and most do not require mesh. Patients’ choice, comorbidities and likelihood of treatment success should be considered when making decisions about their care. Vaginal mesh surgery is currently on hold in the UK and even prior to this there has been a reduction both in the number of all prolapse surgeries and the number of women seeking surgery to manage their symptoms. This article reviews the current evidence for the management of pelvic organ prolapse, providing an update on the current state of mesh in prolapse surgery and summarises the key evidence points derived from the literature.
机译：盆腔器官脱垂指的是失去支撑，随后盆腔器官进入阴道。这是一种常见病，影响到多达50%的假释女性，并可能伴随着一些沉重的症状。脱垂已成为人们关注的焦点，继发于网片相关并发症。在治疗盆腔器官脱垂时有许多有效的治疗选择，并且大多数不需要网状物。在决定护理时，应考虑患者的选择、共病和治疗成功的可能性。阴道网片手术目前在英国被搁置，甚至在此之前，所有脱垂手术的数量和寻求手术治疗症状的女性数量都有所减少。本文回顾了骨盆器官脱垂治疗的最新证据，提供了脱垂手术中网状物的最新状态，并总结了文献中的关键证据点。

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