چاپ صفحه |  صفحه نخست سامانه |  چکیده مقاله |  نویسندگان |  دانلود مقاله | دانشگاه علوم پزشکی تبریز |
| Introduction: Pelvic organ prolapse (POP) is a common disease which present as symptomatic descent of the anterior or posterior vaginal wall prolapse, uterus or apical prolapse subsequent to hysterectomy, and entrocele. Since, social and cultural factors have impact on interval between symptoms incidence and seek for medical care, diagnosis method and treatment process, it was important to prepare a guideline for management of the Iranian women with POP. Methods and Materials: This guideline has drawn on the evidence based search strategy developed for study goals to provide a native guideline. Therefore, during a systematic search, all clinical guidelines relevant to the subject extracted. Of 85 study, 35 study with evidences grades, systematic reviews or high quality clinical trials selected and further grading performed. Current recommendations presented with due attention to best data available in the literature or based on a mixture of clinical experience and experts’ panels decisions. Summary of Recommendations: Pelvic floor muscle training recommended as the firs line treatment in patients with urinary incontinence or POP (GradeA). Physicians should recommend pessaries to all women seeking treatment for their prolapse (Grade A). Subtotal hysterectomy is not recommended to prevent further prolapse (Grade A). in term of recurrence, dyspareunia and stress urine incontinency (SUI), abdominal sacropexy is better than vaginal sacropexy, however, these results cannot be extended to reoperation rate and patients’ satisfaction (Grade: A). Since graft using fascia increases rate of recurrence, it should not be used ruing abdominal sacrocolpopexy (Grade: A). Round ligament suspension does not provide any effect on uterus or vaginal prolapse treatment (Grade: B). in patients who underwent first time anterior colporaphy, local tissue should be repaired instead of mesh usage (Grade: B). Anatomic outcomes of the polypropylene mesh are much better than anterior colporahy, however, enough data is not provided on its functional outcomes (GradeA). Levator ani muscle fixation should be prevented in sexually active women (Grade C). In women who suffer concurrent POP and SUI, both should be repaired in the same time (Grade A). |
| نویسنده | نفر چندم مقاله |
|---|---|
| پروین باستانی علمداری | اول |
| فاطمه ملاح | دوم |
| لیلی رسولی فرد | سوم |
| نام فایل | تاریخ درج فایل | اندازه فایل | دانلود |
|---|---|---|---|
| 4132-8928-1-SM.pdf | 1398/09/24 | 491081 | دانلود |
