Management of recurrent pelvic organ prolapse.

Abstract

Recurrent pelvic organ prolapse (POP) is not clearly defined and its management is not as well understood as primary POP (Ismail et al, Int Urogynecol J, 2016, 27:1619-1632). Management of recurrent POP entails consideration of patient-specific risk factors, duration of time since the primary repair was performed, degree of patient bother, patient-specific goals, and review of complications of the initial POP surgery. In addition to patient considerations, the planned surgical procedure must be determined. Evidence for procedure selection in recurrent POP is limited. Vaginal mesh repairs were introduced to reduce the recurrence of POP; however, it is unclear if the use of mesh in vaginal repair of recurrent POP would lead to better outcomes.