Pelvic Organ Prolapse

Pelvic Organ Prolapse
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DOI:
10.1097/aog.0000000000003519
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发表时间:
2019-11-01
影响因子:
7.2
通讯作者:
--
中科院分区:
医学2区
文献类型:
--
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盆腔器官脱垂(POP)是女性常见的良性疾病。对于许多女性来说,它会导致阴道隆起和压力,排尿功能障碍,排便功能障碍和性功能障碍,这可能会对生活质量产生不利影响。美国女性有13%的终身风险接受POP手术(1)。虽然POP可以发生在年轻女性中,但POP症状的发病率高峰在70-79岁的女性中(2)。鉴于美国人口老龄化,预计到2050年,经历POP的女性人数将增加约50%(3)。美国妇产科医师学会和美国泌尿妇科学会的这份联合文件的目的是回顾目前对女性POP的了解,并概述与现有最佳科学证据一致的诊断和管理指南。
Pelvic organ prolapse (POP) is a common, benign condition in women. For many women it can cause vaginal bulge and pressure, voiding dysfunction, defecatory dysfunction, and sexual dysfunction, which may adversely affect quality of life. Women in the United States have a 13% lifetime risk of undergoing surgery for POP (1). Although POP can occur in younger women, the peak incidence of POP symptoms is in women aged 70-79 years (2). Given the aging population in the United States, it is anticipated that by 2050 the number of women experiencing POP will increase by approximately 50% (3). The purpose of this joint document of the American College of Obstetricians and Gynecologists and the American Urogynecologic Society is to review information on the current understanding of POP in women and to outline guidelines for diagnosis and management that are consistent with the best available scientific evidence.