Regular review: Management of genital prolapse

摘要

Doctors should consider the patient's history of rectal prolapse, bladder and bowel function, and sexual activity. It is important to treat predisposing factors such as obesity, obstructive airway disease, constipation, and pelvic masses. Although prolapse can occur in the anterior, middle, or posterior compartments, the pelvic floor should be considered as a single unit in the treatment of prolapse. When surgery is needed, doctors should check for potential stress incontinence. There is a lack of good data on the prevention and treatment of prolapse, and in particular more research is needed on the role of pelvic floor exercises and on the pros and cons of vaginal, abdominal, and laparoscopic routes of surgery.