International urogynecological consultation chapter 4.1: definition of outcomes for pelvic organ prolapse surgery

AbstractIntroduction and hypothesisThis manuscript of Chapter 4 of the International Urogynecological Consultation (IUC) on Pelvic Organ Prolapse (POP) reviews the literature and makes recommendations on the definition of success in the surgical treatment of pelvic organ prolapse.MethodsAn international group containing seven urogynecologists performed an exhaustive search of the literature using two PubMed searches and using PICO methodology. The first search was from 01/01/2012 –06/12/2022. A second search from inception to 7/24/2022 was done to access older references. Publications were eliminated if not relevant to the clinical definition of surgical success for the treatment of POP. All abstracts were reviewed for inclusion and any disagreements were adjudicated by ma jority consensus of the writing group. The resulting list of articles were used to inform a comprehensive review and creation of the definition of success in the surgical treatment of POP.OutcomesThe original search yielded 12,161 references of which 45 were used by the writing group. Ultimately, 68 references are included in the manuscript. For research purposes, surgical success should beprimarily defined by theabsence of bothersome patient bulge symptoms orretreatment for POP and a time frame ofat least 12  months follow-up should be used. Secondary outcomes, including anatomic measures of POP and related pelvic floor symptoms, should not contribute to a definition of success or failure. For clinical ...

Source: International Urogynecology Journal and Pelvic Floor Dysfunction - October 11, 2023 Category: OBGYN Source Type: research