Northwestern Feinberg School of Medicine, 250 E. Superior St. Suite 05-2113, Chicago, IL, 60611, USA.
Department of Obstetrics and Gynecology, Duke University Health System, Raleigh, NC, USA.
Int Urogynecol J. 2021 Aug;32(8):2011-2019. doi: 10.1007/s00192-021-04875-y. Epub 2021 Jun 30.
This segment of Chapter 1 of the International Urogynecology Consultation (IUC) on pelvic organ prolapse (POP) reviews the literature on the clinical definition of POP with the intent of creating standard terminology.
An international group containing nine urogynecologists and one university-based medical librarian performed a search of the literature using pre-specified search terms in PubMed, Embase, and Scopus. Publications were eliminated if not relevant to the clinical definition of POP, and those articles remaining were evaluated for quality using the Specialist Unit for Review Evidence (SURE). The resulting list of articles was used to inform a comprehensive review and creation of the clinical definition of POP.
The original search yielded 31,931 references, of which 167 were used by the writing group. Ultimately, 78 are referenced in the manuscript.
The clinical definition of POP for this review of the literature is: "anatomical prolapse with descent of at least one of the vaginal walls to or beyond the vaginal hymen with maximal Valsalva effort WITH the presence either of bothersome characteristic symptoms, most commonly the sensation of vaginal bulge, or of functional or medical compromise due to prolapse without symptom bother."
这是国际尿妇科咨询（IUC）关于盆腔器官脱垂（POP）的第 1 章的一部分，回顾了关于 POP 临床定义的文献，旨在制定标准术语。
一个由九名尿妇科医生和一名基于大学的医学图书馆员组成的国际小组使用预先指定的搜索词在 PubMed、Embase 和 Scopus 中进行了文献搜索。如果与 POP 的临床定义不相关，则排除相关出版物，对其余的文章使用 Specialist Unit for Review Evidence (SURE) 进行质量评估。由此产生的文章列表用于提供全面的审查和创建 POP 的临床定义。
最初的搜索产生了 31931 条参考文献，其中 167 条被写作组使用。最终，有 78 篇在稿件中引用。
本文献综述中 POP 的临床定义是：“在最大 Valsalva 努力下，阴道壁之一或多个至少下降到或超过阴道处女膜，伴有令人困扰的特征性症状，最常见的是阴道膨出感，或由于脱垂而出现功能或医学上的损害，而无症状困扰。”
