Obstetrics & Gynecology

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Obstetrics & Gynecology:
doi: 10.1097/AOG.0b013e31824c0806
Clinical Expert Series

Nonsurgical Management of Pelvic Organ Prolapse

Culligan, Patrick J. MD

Continued Medical Education
Expert Discussion
Spanish Translation
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Abstract

Although surgical management of symptomatic pelvic organ prolapse (POP) is common and often necessary, conservative treatments such as pessaries, pelvic floor muscle training, or both can usually result in symptomatic improvement. When treating patients with POP, health care practitioners should focus primarily on identification and alleviation of POP-related symptoms. It is appropriate to offer nonsurgical management to most people with POP. This article reviews the objective and subjective evaluation and nonsurgical management of POP, emphasizing a simple, practical approach to pessary fitting and management.

© 2012 The American College of Obstetricians and Gynecologists

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