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Hysterectomy for Pelvic Organ Prolapse: Indications and Techniques

JEPPSON, PETER C. MD; SUNG, VIVIAN W. MD, MPH

Clinical Obstetrics & Gynecology: March 2014 - Volume 57 - Issue 1 - p 72–82
doi: 10.1097/GRF.0000000000000002
Hysterectomy 2014: Indications and Techniques

Pelvic organ prolapse (POP) is the third most common indication for hysterectomy. Although the techniques for hysterectomy do not differ for prolapsed versus nonprolapsed uteri, there are special considerations when performing a hysterectomy for POP. It is important to remember that a hysterectomy is not sufficient treatment for POP; subsequently after the uterus is removed attention should be paid to correcting the vaginal prolapse. A midurethral sling should be considered for all patients undergoing vaginal prolapse surgery to prevent or treat urinary incontinence.

Division of Urogynecology and Reconstructive Pelvic Surgery, Warren Alpert Medical School of Brown University, Women & Infants Hospital, Providence, Rhode Island

The authors declare that they have nothing to disclose.

Correspondence: Vivian W. Sung, MD, MPH, Division of Urogynecology and Reconstructive Pelvic Surgery, Warren Alpert Medical School of Brown University, Women & Infants Hospital, Providence, RI. E-mail: vsung@WIHRI.org

© 2014 by Lippincott Williams & Wilkins.