Diagnosis and Therapy of Female Pelvic Organ Prolapse. Guideline of the DGGG, SGGG and OEGGG (S2e-Level, AWMF Registry Number 015/006, April 2016)

K. Baeßler; T. Aigmüller; S. Albrich; C. Anthuber; D. Finas; T. Fink; C. Fünfgeld; B. Gabriel; U. Henscher; F. H. Hetzer; M. Hübner; B. Junginger; K. Jundt; S. Kropshofer; A. Kuhn; L. Logé; G. Nauman; U. Peschers; T. Pfiffer; O. Schwandner; A. Strauss; R. Tunn; V. Viereck

doi:10.1055/s-0042-119648

GebFra - DGGG-Gesellschaftsausgaben, Inhaltsverzeichnis

Geburtshilfe Frauenheilkd 2016; 76(12): 1287-1301
DOI: 10.1055/s-0042-119648

Guideline

GebFra Science

Georg Thieme Verlag KG Stuttgart · New York

Diagnosis and Therapy of Female Pelvic Organ Prolapse. Guideline of the DGGG, SGGG and OEGGG (S2e-Level, AWMF Registry Number 015/006, April 2016)

Diagnostik und Therapie des weiblichen Descensus genitalis. Leitlinie der DGGG, SGGG und OEGGG (S2e-Level, AWMF-Registernummer 015/006, April 2016)

K. Baeßler

¹Beckenbodenzentrum, Charité Universitätsmedizin, Berlin, Germany

,

T. Aigmüller

²Universitätsklinik für Gynäkologie und Geburtshilfe, Med Uni Graz, Austria

,

S. Albrich

³Praxis “Frauenärzte Fünf Höfe” München, München, Germany

,

C. Anthuber

⁴Klinikum Starnberg, Starnberg, Germany

,

D. Finas

⁵Evangelisches Krankenhaus Bielefeld EvKB, Bielefeld, Germany

,

T. Fink

⁶Sana Klinikum Berlin Lichtenberg, Berlin, Germany

,

C. Fünfgeld

⁷Klinik Tettnang, Tettnang, Germany

,

B. Gabriel

⁸St. Josefʼs Hospital Wiesbaden, Wiesbaden, Germany

,

U. Henscher

⁹Praxis für Physiotherapie, Hannover, Germany

,

F. H. Hetzer

¹⁰Spital Linth, Uznach, Switzerland

,

M. Hübner

¹¹Universitätsfrauenklinik Tübingen, Tübingen, Germany

,

B. Junginger

¹Beckenbodenzentrum, Charité Universitätsmedizin, Berlin, Germany

,

K. Jundt

¹²Frauenarztpraxis am Pasinger Bahnhof, München, Germany

,

S. Kropshofer

¹³Tirolkliniken, Innsbruck, Austria

,

A. Kuhn

¹⁴Inselspital Bern, Bern, Switzerland

,

L. Logé

¹⁵Sana Klinikum Hof GmbH, Hof, Germany

,

G. Nauman

¹⁶Helios Klinikum Erfurt, Erfurt, Germany

,

U. Peschers

¹⁷Fachkliniken München AG, München, Germany

,

T. Pfiffer

¹⁸Asklepios Klinik Hamburg Harburg, Hamburg, Germany

,

O. Schwandner

¹⁹Krankenhaus Barmherzige Brüder, Regensburg, Germany

,

A. Strauss

²⁰Christian-Albrechts-Universität zu Kiel, Kiel, Germany

,

R. Tunn

²¹St. Hedwig Krankenhaus, Berlin, Germany

,

V. Viereck

²²Kantonsspital Frauenfeld, Frauenfeld, Switzerland

› Institutsangaben

Abstract

Aims: The aim was to establish an official interdisciplinary guideline, published and coordinated by the German Society of Gynecology and Obstetrics (DGGG). The guideline was developed for use in German-speaking countries. In addition to the Germany Society of Gynecology and Obstetrics, the guideline has also been approved by the Swiss Society of Gynecology and Obstetrics (SGGG) and the Austrian Society of Gynecology and Obstetrics (OEGGG). This is a guideline published and coordinated by the DGGG. The aim is to provide evidence-based recommendations obtained by evaluating the relevant literature for the diagnostic, conservative and surgical treatment of women with female pelvic organ prolapse with or without stress incontinence.

Methods: We conducted a systematic review together with a synthesis of data and meta-analyses, where feasible. MEDLINE, Embase, Cinahl, Pedro and the Cochrane Register were searched for relevant articles. Reference lists were hand-searched, as were the abstracts of the Annual Meetings of the International Continence Society and the International Urogynecological Association. We included only abstracts of randomized controlled trials that were presented and discussed in podium sessions. We assessed original data on surgical procedures published since 2008 with a minimum follow-up time of at least 12 months. If the studies included descriptions of perioperative complications, this minimum follow-up period did not apply.

Recommendations: The guideline encompasses recommendations for the diagnosis and treatment of female pelvic organ prolapse. Recommendations for anterior, posterior and apical pelvic organ prolapse with or without concomitant stress urinary incontinence, uterine preservation options, and the pros and cons of mesh placements during surgery for pelvic organ prolapse are presented. The recommendations are based on an extensive and systematic review and evaluation of the current literature and include the experiences and specific conditions in Germany, Austria and Switzerland.

Key words

pelvic organ prolapse - stress urinary incontinence - pelvic floor - surgical therapy - physiotherapy - pessary treatment

Volltext

Referenzen

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