Obstet Gynecol. 2017 Nov;130(5):e234-e250. doi: 10.1097/AOG.0000000000002399.
Pelvic organ prolapse (POP) is a common, benign condition in women. For many women it can cause vaginal bulge and pressure, voiding dysfunction, defecatory dysfunction, and sexual dysfunction, which may adversely affect qual-ity of life. Women in the United States have a 13% lifetime risk of undergoing surgery for POP (1). Although POP can occur in younger women, the peak incidence of POP symptoms is in women aged 70-79 years (2). Given the aging population in the United States, it is anticipated that by 2050 the number of women experiencing POP will increase by approximately 50% (3). The purpose of this joint document of the American College of Obstetricians and Gynecologists and the American Urogynecologic Society is to review information on the current understanding of POP in women and to outline guidelines for diagnosis and management that are consistent with the best available scientific evidence.
盆腔器官脱垂（POP）是女性常见的良性疾病。对于许多女性来说，它会导致阴道膨出和压力、排尿功能障碍、排便功能障碍和性功能障碍，从而对生活质量产生不利影响。美国女性一生中进行 POP 手术的风险为 13%（1）。尽管 POP 可能发生在年轻女性中，但 POP 症状的发病高峰在 70-79 岁的女性中（2）。考虑到美国人口老龄化，预计到 2050 年，经历 POP 的女性人数将增加约 50%（3）。美国妇产科医师学会和美国泌尿妇科协会的这份联合文件旨在审查当前对女性 POP 的认识，并概述与最佳现有科学证据一致的诊断和管理指南。
