Abstract

Pelvic organ prolapse accounts for 300,000 surgeries annually in the U.S., but little is known about the comparative efficacy of surgical techniques or the role of perioperative pelvic floor therapy. In the Operations and Pelvic Muscle Training in the Management of Apical Support Loss (OPTIMAL) trial, 374 women with vaginal prolapse and stress urinary incontinence were randomized first to perioperative behavioral therapy …

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