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Narrative review of the epidemiology, diagnosis and pathophysiology of pelvic organ prolapse
The exact prevalence of pelvic organ prolapse is difficult to establish. The anatomical changes do not always consist with the severity or the symptoms associated with prolapse. There are many risk factors associated with pelvic organ prolapse and this review aims to identify the epidemiology and pa...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Sociedade Brasileira de Urologia
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6968909/ https://www.ncbi.nlm.nih.gov/pubmed/31851453 http://dx.doi.org/10.1590/S1677-5538.IBJU.2018.0581 |
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author | Weintraub, Adi Y. Glinter, Hannah Marcus-Braun, Naama |
author_facet | Weintraub, Adi Y. Glinter, Hannah Marcus-Braun, Naama |
author_sort | Weintraub, Adi Y. |
collection | PubMed |
description | The exact prevalence of pelvic organ prolapse is difficult to establish. The anatomical changes do not always consist with the severity or the symptoms associated with prolapse. There are many risk factors associated with pelvic organ prolapse and this review aims to identify the epidemiology and pathophysiology while looking at the known risk factors for pelvic organ prolapse. PubMed search involved a number of terms including: epidemiology, risk factors, reoccurrence indicators, management and evaluation. Several risk factors have been associated with pelvic organ prolapse, all contribute to weakening of the pelvic floor connective tissue/collagen, allowing the pelvic organs to prolapse through the vaginal walls. Among the risk factors are genetic background, childbirth and mode of delivery, previous hysterectomy, menopausal state and the ratio between Estrogen receptors. The “Integral theory” of Petros and the “Levels of Support” model of Delancey enable us to locate the defect, diagnose and treat pelvic organ prolapse. The currently available demographic data is not reliable enough to properly estimate the true extent of pelvic organ prolapse in the population. However, standardization of the diagnosis and treatment may significantly improve our ability to estimate the true incidence and prevalence of this condition in the coming years. |
format | Online Article Text |
id | pubmed-6968909 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Sociedade Brasileira de Urologia |
record_format | MEDLINE/PubMed |
spelling | pubmed-69689092020-08-03 Narrative review of the epidemiology, diagnosis and pathophysiology of pelvic organ prolapse Weintraub, Adi Y. Glinter, Hannah Marcus-Braun, Naama Int Braz J Urol Review Article The exact prevalence of pelvic organ prolapse is difficult to establish. The anatomical changes do not always consist with the severity or the symptoms associated with prolapse. There are many risk factors associated with pelvic organ prolapse and this review aims to identify the epidemiology and pathophysiology while looking at the known risk factors for pelvic organ prolapse. PubMed search involved a number of terms including: epidemiology, risk factors, reoccurrence indicators, management and evaluation. Several risk factors have been associated with pelvic organ prolapse, all contribute to weakening of the pelvic floor connective tissue/collagen, allowing the pelvic organs to prolapse through the vaginal walls. Among the risk factors are genetic background, childbirth and mode of delivery, previous hysterectomy, menopausal state and the ratio between Estrogen receptors. The “Integral theory” of Petros and the “Levels of Support” model of Delancey enable us to locate the defect, diagnose and treat pelvic organ prolapse. The currently available demographic data is not reliable enough to properly estimate the true extent of pelvic organ prolapse in the population. However, standardization of the diagnosis and treatment may significantly improve our ability to estimate the true incidence and prevalence of this condition in the coming years. Sociedade Brasileira de Urologia 2020-01-13 /pmc/articles/PMC6968909/ /pubmed/31851453 http://dx.doi.org/10.1590/S1677-5538.IBJU.2018.0581 Text en https://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Article Weintraub, Adi Y. Glinter, Hannah Marcus-Braun, Naama Narrative review of the epidemiology, diagnosis and pathophysiology of pelvic organ prolapse |
title | Narrative review of the epidemiology, diagnosis and pathophysiology of pelvic organ prolapse |
title_full | Narrative review of the epidemiology, diagnosis and pathophysiology of pelvic organ prolapse |
title_fullStr | Narrative review of the epidemiology, diagnosis and pathophysiology of pelvic organ prolapse |
title_full_unstemmed | Narrative review of the epidemiology, diagnosis and pathophysiology of pelvic organ prolapse |
title_short | Narrative review of the epidemiology, diagnosis and pathophysiology of pelvic organ prolapse |
title_sort | narrative review of the epidemiology, diagnosis and pathophysiology of pelvic organ prolapse |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6968909/ https://www.ncbi.nlm.nih.gov/pubmed/31851453 http://dx.doi.org/10.1590/S1677-5538.IBJU.2018.0581 |
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