Choi Kyung Hwa, Hong Jae Yup
Department of Urology, CHA Bundang Medical Center, CHA University, Seongnam, Korea.
Korean J Urol. 2014 Nov;55(11):693-702. doi: 10.4111/kju.2014.55.11.693. Epub 2014 Nov 10.
Quality of life is adversely affected by pelvic organ prolapse, the prevalence of which is increasing because of the persistently growing older population. Today, the tension-free vaginal mesh kit has grown in popularity owing to its comparable cure rate to traditional reconstructive surgery and the feasibility of an early return to normal life. However, significant debate remains over the long-term cure rate and the safety of tension-free vaginal mesh in the United States. The U.S. Food and Drug Administration recommends obtaining informed consent about the safety and cure rate when the patient chooses surgery using the tension-free vaginal mesh kit or meshes before surgery. The goal of surgery for pelvic organ prolapse is the restoration of anatomic defects. This review article provides an overview of basic surgical techniques and the results, advantages, and disadvantages of surgery for pelvic organ prolapse.
盆腔器官脱垂会对生活质量产生不利影响，由于老年人口持续增长，其患病率正在上升。如今，无张力阴道网片套件因其与传统重建手术相当的治愈率以及早期恢复正常生活的可行性而越来越受欢迎。然而，在美国，关于无张力阴道网片的长期治愈率和安全性仍存在重大争议。美国食品药品监督管理局建议，在患者选择使用无张力阴道网片套件或网片进行手术前，应就安全性和治愈率获得知情同意。盆腔器官脱垂手术的目标是修复解剖缺陷。这篇综述文章概述了盆腔器官脱垂手术的基本技术以及手术的结果、优点和缺点。
