Female Pelvic Med Reconstr Surg. 2019 Nov/Dec;25(6):397-408. doi: 10.1097/SPV.0000000000000794.
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 quality of life. Women in the United States have a 13% lifetime risk of undergoing surgery for POP. Although POP can occur in younger women, the peak incidence of POP symptoms is in women aged 70 to 79 years. 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%. 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。对许多女性而言,它可导致阴道膨出和坠胀感、排尿功能障碍、排便功能障碍及性功能障碍,进而可能对生活质量产生不利影响。美国女性一生中接受盆腔器官脱垂手术的风险为13%。虽然盆腔器官脱垂可发生于年轻女性,但盆腔器官脱垂症状的发病率高峰在70至79岁的女性中。鉴于美国人口老龄化,预计到2050年,出现盆腔器官脱垂的女性数量将增加约50%。美国妇产科医师学会和美国妇科泌尿学会这份联合文件的目的是回顾有关目前对女性盆腔器官脱垂认识的信息,并概述与现有最佳科学证据一致的诊断和管理指南。