Editing Functional: Pelvic Organ Prolapse (section)

== Management ==

* ''' <span style="color:#ff0000">Anterior prolapse</span>'''
** '''<span style="color:#ff0000">Pessary</span>'''
** '''<span style="color:#ff0000">Prolapse repair</span>'''
* '''<span style="color:#ff0000">Apical prolapse</span>'''
** '''<span style="color:#ff0000">Sacrocolpopexy</span>'''
*** Sacral pain and osteomyelitis have been described after suspensions of the uterus, cervix, or vagina to the sacrum
*** CARE trial
**** Population: women with prolapse without pre-opertative SUI
**** Randomized to sacrocolpopexy +/- Burch colposuspension
**** Results:
***** Significantly higher incontinence rate at all points of follow-up in the women who did not undergo a Burch
* '''<span style="color:#ff0000">Posterior prolapse</span>'''
** <span style="color:#ff0000">'''Posterior (rectocele) repair'''</span>
**Levator ani, gluteal pain, and rectal penetration have been described after rectocele repairs performed with mesh augmentation
* '''In 2011, the FDA released a safety communication (FDA website) regarding mesh placed transvaginally specifically for the repair of pelvic prolapse.'''
** '''The communication specifically excluded slings and transabdominally placed mesh for prolapse repair'''