Abstract
The current treatment for urinary incontinence and pelvic organ prolapse includes
a wide range of innovative options for conservative and surgical therapies. Initial
treatment for pelvic floor dysfunction consists of individualized topical estrogen
therapy and professional training in passive and active pelvic floor exercises with
biofeedback, vibration plates, and a number of vaginal devices. The method of choice
for the surgical repair of stress urinary incontinence consists of placement of a
suburethral sling. A number of different methods are available for the surgical treatment
of pelvic organ prolapse using either a vaginal or an abdominal/endoscopic approach
and autologous tissue or alloplastic materials for reconstruction. This makes it possible
to achieve optimal reconstruction both in younger women, many of them affected by
postpartum trauma, and in older women later in their lives. Treatment includes assessing
the patientʼs state of health and anesthetic risk
profile. It is important to determine a realistically achievable patient preference
after explaining the individualized concept and presenting the alternative surgical
options.
Key words
stress incontinence - suburethral sling - pelvic organ prolapse - sacrocolpopexy -
vaginal uterine fixation
