Current surgical treatment options of pelvic organ prolapse

The last 25 years witnessed great changes in the reconstructive surgical procedures on the female pelvic floor. This development hadpredominantly been spurred on by an increasing number of relapses after traditional surgery had been performed. Positive results thatwere accomplished while using the mesh in laparoscopic hernia and stress incontinence surgeries also built a foundation for implantingthe mesh in pelvic organ prolapse (POP) surgery. As a result, this technology has today been used routinely in correcting the POPs. Afterit was introduced, the amount of anatomical relapse cases has decreased although it cannot be asserted with full confidence that performingsuch surgeries bears no risks. POP must be classified as a complicated hernial case, and it is imperative to evaluate not only thepost-curative anatomical effect but also the functional one. Therefore, this article's objective is to present a basis for rational analysis ofindividual surgical procedures used in conjunction with the reconstructive POP interventions and to map the future progress pertainingto this predicament. Statements published in this article have been based on a personal experience in practice.

Keywords: surgery of pelvic organ prolapse, pop, vaginal surgery, polypropylen mesch, endopelvic fascia, incontinence