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波兰妇产科医师协会妇科泌尿学分会盆腔器官脱垂诊断评估指南

The Urogynecology Section of the Polish Society of Gynecologists and Obstetricians Guidelines for the diagnostic assessment of pelvic organ prolapse.

作者信息

Wlazlak Edyta, Kluz Tomasz, Rechberger Tomasz, Baranowski Wlodzimierz, Rogowski Artur, Grzybowska Magdalena E, Futyma Konrad, Stangel-Wojcikiewicz Klaudia, Pajak Paulina, Narojczyk-Swiesciak Elzbieta, Burzynski Bartlomiej, Maksym Radoslaw, Surkont Grzegorz

机构信息

Department of Operative Gynecology and Gynecologic Oncology, 1st Department of Gynecology and Obstetrics, Medical University of Lodz, Poland, Poland.

Department of Gynecology, Gynecology Oncology and Obstetrics, Institute of Medical Sciences, Medical College of Rzeszow University, Poland.

出版信息

Ginekol Pol. 2022;93(4):334-340. doi: 10.5603/GP.a2021.0217.

Abstract

OBJECTIVES

The aim of the team appointed by the Board of the Urogynecology Section of the Polish Society of Gynecologists and Obstetricians (PSGO) was to develop this interdisciplinary Guideline for the diagnostic assessment of pelvic organ prolapse (POP) in women, based on the available literature, expert knowledge and opinion, as well as everyday practice.

MATERIAL AND METHODS

A review of the literature, including current international guidelines and earlier PSGO recommendations (2010-2020) about POP, was conducted.

RESULTS

The steps of the diagnostic assessment for patients with POP, subdivided into initial and specialized diagnostics, have been presented. Indications for specialized diagnostic assessment have also been listed. In case of surgical treatment, the patient may be referred solely based on the initial diagnostics or after certain elements of the specialized diagnostics have been completed.

CONCLUSIONS

Due to inconclusive data, the scope of the diagnostic process for POP is individualized for each patient and depends on patient-reported symptoms, initial diagnostic findings, surgical history, management plan, availability of the equipment, and cost.

摘要

目的

由波兰妇产科医生协会(PSGO)妇科泌尿学分会董事会任命的团队的目标是,基于现有文献、专家知识和意见以及日常实践,制定本关于女性盆腔器官脱垂(POP)诊断评估的跨学科指南。

材料与方法

对文献进行了综述,包括当前国际指南以及PSGO此前(2010 - 2020年)关于POP的建议。

结果

介绍了POP患者诊断评估的步骤,分为初始诊断和专科诊断。还列出了专科诊断评估的指征。对于手术治疗,患者可能仅基于初始诊断被转诊,或者在完成专科诊断的某些要素之后被转诊。

结论

由于数据尚无定论,POP诊断过程的范围针对每位患者是个性化的,并且取决于患者报告的症状、初始诊断结果、手术史、管理计划、设备可用性和成本。

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