Prolapse Syndromes Therapy

G.Willy Davila

Herniation of a pelvic floor organ through the levator hiatus or into an adjacent compartment is a very commonly found anatomic disturbance. Our understanding of the etiologic basis for development of these herniations has improved as our knowledge of pelvic support anatomy has increased.We encourage all pelvic floor surgeons to utilize cadaveric specimens in attaining a better understanding of pelvic floor anatomy.The use of fresh frozen cadavers has allowed clinicians to better identify causes of genital prolapse, as well as increase their understanding of the mechanism of action for reparative surgery.

All pelvic floor anatomic and functional defects should be addressed at one surgical setting, whenever possible. It is therefore important for the pelvic surgeon to have a clear understanding of the identification of pelvic support defects, their underlying anatomic defects, and preferred surgical repair techniques. Although there are nonsurgical means for addressing pelvic organ prolapse, surgical therapy remains the primary means of addressing these problems, even in the elderly patient.

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