1st Department of Obstetrics & Gynecology, Medical School, 68989National and Kapodistrian University of Athens, "Alexandra" Hospital, Athens, Greece.
Surg Innov. 2022 Feb;29(1):80-87. doi: 10.1177/15533506211014848. Epub 2021 Apr 28.
: The regenerative efficacy of platelet-derived products has been recently investigated in the treatment of pelvic floor disorders (PFDs). We aimed to synthesize the current evidence of platelet-rich plasma (PRP) products used in urogynaecological disorders including vaginal atrophy, pelvic organ prolapse (POP), urinary incontinence, vaginal fistulas and vaginal mesh exposure. : A meticulous search of the currently available literature on the use of PRP for the management of PFDs was performed using 3 electronic databases. : PRP could be a feasible alternative modality for the management of vaginal atrophy with favourable outcomes in vaginal atrophy parameters and patients' satisfaction, especially when hormone therapy is contraindicated. In patients with POP, an increase in collagen concentration after PRP application was observed while the use of PRP resulted in improvement of stress urinary incontinence symptoms. A considerable proportion of vesicovaginal fistulas were treated after application of PRP-based injections. : There is only limited evidence of the use of PRP for PFDs. Platelet-rich plasma appears to be a promising, easy to apply, cost-effective and feasible alternative therapeutic modality for the management of various urogynaecological disorders. Future randomized trials are needed to confirm the efficacy of PRP in the treatment of urogynaecological disorders.
: 血小板衍生产品的再生功效最近在治疗盆底功能障碍(PFD)中得到了研究。我们旨在综合目前关于富血小板血浆(PRP)产品在尿生殖妇科疾病中的应用的证据,包括阴道萎缩、盆腔器官脱垂(POP)、尿失禁、阴道瘘和阴道网片暴露。: 使用 3 个电子数据库,对目前关于 PRP 治疗 PFD 的可用文献进行了细致的搜索。: PRP 可能是治疗阴道萎缩的一种可行的替代方法,在阴道萎缩参数和患者满意度方面有良好的结果,尤其是在激素治疗禁忌的情况下。在 POP 患者中,观察到 PRP 应用后胶原蛋白浓度增加,而 PRP 的应用导致压力性尿失禁症状改善。相当一部分膀胱阴道瘘在应用基于 PRP 的注射后得到治疗。: 目前仅有有限的证据表明 PRP 可用于治疗 PFD。PRP 似乎是一种有前途的、易于应用、具有成本效益且可行的替代治疗方法,可用于治疗各种尿生殖妇科疾病。需要进行未来的随机试验来证实 PRP 在治疗尿生殖妇科疾病中的疗效。