Abstract
The purpose of this review is to update readers on recent controversies and current evidence regarding surgical procedures for the treatment of female pelvic organ prolapse. Topics discussed include the role of patient selection and individualized care that involves the patient in surgical decision-making. Perioperative decisions reflect rapidly advancing technology, innovations in surgical technique, surgical training, and surgeon’s own unique preferences, all of which provide an opportunity for improved outcomes and also require deliberate attention to unanticipated patient safety concerns. Pelvic reconstructive surgery for pelvic organ prolapse requires an appreciation for complex pelvic anatomy and advanced surgical training. In a field focused on patient-centered quality of life outcomes, it is imperative to involve the patient in the decision-making process while also balancing differences in surgeons’ skills, biases, and available technology. These topics are explored in detail and offered a thoughtful approach to surgical management.
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