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Should we use pessaries for pelvic organ prolapse?

机译:我们应该使用子宫托治疗盆腔器官脱垂吗?

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摘要

The true incidence of pelvic organ prolapse (POP) is difficult to determine, however, it is a common condition reported to affect 50% of parous women over 50 years of age. In their widely cited study, Olsen et al found a lifetime risk of 11% (by age 80 years) for women to undergo surgery for POP and urinary incontinence. The risk of recurrent POP after surgery is reported to be between 10-30%. Although non-life threatening, POP is an embarrassing condition that has been shown to negatively impact on various quality of life domains. Population modeling studies have projected a population of 9 billion by 2040 and also an increase in demand for services to care for female pelvic floor disorders. Currently non-surgical treatment modalities include expectant management, pelvic floor exercises and the use of support devices i.e. vaginal pessaries. Vaginal support devices date back to at least 1550 BC, and have remained the mainstay of treatment for POP until recent advances in pelvic floor reconstructive surgery.
机译:盆腔器官脱垂(POP)的真实发生率尚难以确定,但是,据报道,这是一种常见病,会影响50岁以上50%的产妇。在他们被广泛引用的研究中,Olsen等人发现女性接受POP和尿失禁手术的终生风险为11%(到80岁)。据报道,术后再次发生POP的风险在10%至30%之间。尽管不威胁生命,但持久性有机污染物是一种令人尴尬的状况,已证明会对各种生活质量产生负面影响。人口模型研究预测,到2040年将有90亿人口,而且对女性骨盆底疾病的护理服务需求也会增加。当前的非手术治疗方式包括预期管理,骨盆底运动和使用支撑装置,例如阴道子宫托。阴道支撑装置的历史可以追溯到至少公元前1550年,并且一直是POP治疗的主要手段,直到骨盆底重建手术的最新进展。

著录项

  • 作者

    Abdool, Zeelha;

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  • 年度 2009
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  • 正文语种 en
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