Pelvic floor reconstructive surgery: which aspects remain controversial?

Abstract:

PURPOSE OF REVIEW:The article focuses on recently published original and review papers on current controversial aspects of pelvic reconstructive surgery. RECENT FINDINGS:A detailed Medline search was performed on records published in the previous 12 months. Controversial areas concerning which important work has been recently published include (a) prophylactic treatment of stress urinary incontinence, (b) the use of prosthetic materials (particularly for anterior segment reconstruction), (c) laparoscopic surgery. The considerations of the recent International Consultation on Incontinence are also reported. Other controversial areas in the field of pelvic reconstructive surgery such as the question of uterine preservation during the surgery for uterovaginal prolapse provided no significant new data in the period of this review. SUMMARY:In this evolving field, there is still poor standardization of what constitutes anatomical and functional cure. The transvaginal approach is the most promising of all techniques, and new techniques are evolved mainly in this area. There continues to be a need for multicenter prospective randomized trials providing level I evidence. Recurrence rates, particularly in the anterior wall, are still unacceptably high. Evidence is urgently needed to decide whether the use of prosthetic materials may provide the answer, if so, which material and which method?

journal_name

Curr Opin Urol

authors

Natale F,Weir JM,Cervigni M

doi

10.1097/01.mou.0000250280.29743.54

subject

Has Abstract

pub_date

2006-11-01 00:00:00

pages

407-12

issue

6

eissn

0963-0643

issn

1473-6586

pii

00042307-200611000-00005

journal_volume

16

pub_type

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