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September 17, 2019

Pelvic Organ Prolapse: Reconsidering Treatment, Innovation, and Failure

Author Affiliations
  • 1Division of Female Pelvic Medicine and Reconstructive Surgery, Rush University Medical Center, Chicago, Illinois
JAMA. 2019;322(11):1047-1048. doi:10.1001/jama.2019.12245

Clinically important pelvic organ prolapse occurs when a woman has symptoms associated with some measurable anatomic change in pelvic anatomy.1 Assessing the outcomes of pelvic floor repair is challenging because the diagnosis becomes important to a patient only after symptoms, such as an uncomfortable bulge or difficulty emptying the bladder, are present. Thus, the management and assessment of pelvic organ prolapse involves collaboration between clinicians and patients to determine the patient’s perceptions and values involving risk, symptom tolerance, and goals for treatment.