Manejo Conservador do Prolapso Genital

Prolapso genital é definido como a descida de um ou mais dos seguintes componentes:

• parede vaginal anterior;
• parede vaginal posterior;
• útero (colo uterino);
• ou cúpula vaginal nas pacientes histerectomizadas.

O tratamento conservador deve ser visto como a opção de primeira linha para mulheres com prolapso genital, já que o tratamento cirúrgico apresenta risco de complicações e recorrência.​

Download da apresentação em: <https://www.arca.fiocruz.br/handle/icict/56063>

Referências citadas

• An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic organ prolapse (POP)
  Haylen BT, Maher CF, Barber MD, Camargo S, Dandolu V, Digesu A, Goldman HB, Huser M, Milani AL, Moran PA, Schaer GN, Withagen MI. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic organ prolapse (POP). Int Urogynecol J. 2016 Apr;27(4):655-84. doi: 10.1007/s00192-016-3003-y. PubMed PMID: 26984443.
• Lifetime risk of undergoing surgery for pelvic organ prolapse
  Smith FJ, Holman CD, Moorin RE, Tsokos N. Lifetime risk of undergoing surgery for pelvic organ prolapse. Obstet Gynecol. 2010 Nov;116(5):1096-100. doi: 10.1097/AOG.0b013e3181f73729. PubMed PMID: 20966694.
• Lifetime risk of stress urinary incontinence or pelvic organ prolapse surgery
  Wu JM, Matthews CA, Conover MM, Pate V, Jonsson Funk M. Lifetime risk of stress urinary incontinence or pelvic organ prolapse surgery. Obstet Gynecol. 2014 Jun;123(6):1201-6. doi: 10.1097/AOG.0000000000000286. PubMed PMID: 24807341; PubMed Central PMCID: PMC4174312.
• Cost of pelvic organ prolapse surgery in the United States
  Subak LL, Waetjen LE, van den Eeden S, Thom DH, Vittinghoff E, Brown JS. Cost of pelvic organ prolapse surgery in the United States. Obstet Gynecol. 2001 Oct;98(4):646-51. PubMed PMID: 11576582.
• Epidemiology of pelvic floor dysfunction
  Sung VW, Hampton BS. Epidemiology of pelvic floor dysfunction. Obstet Gynecol Clin North Am. 2009 Sep;36(3):421-43. doi: 10.1016/j.ogc.2009.08.002. Review. PubMed PMID: 19932408.
• Epidemiology of genital prolapse: observations from the Oxford Family Planning Association Study
  Mant J, Painter R, Vessey M. Epidemiology of genital prolapse: observations from the Oxford Family Planning Association Study. Br J Obstet Gynaecol. 1997 May;104(5):579-85. PubMed PMID: 9166201.
• Obesity and pelvic organ prolapse: a systematic review and meta-analysis of observational studies
  Giri A, Hartmann KE, Hellwege JN, Velez Edwards DR, Edwards TL. Obesity and pelvic organ prolapse: a systematic review and meta-analysis of observational studies. Am J Obstet Gynecol. 2017 Jul;217(1):11-26.e3. doi:10.1016/j.ajog.2017.01.039. Epub 2017 Feb 7. Review. PubMed PMID: 28188775.
• Pelvic organ prolapse in the Women’s Health Initiative: gravity and gravidity
  Hendrix SL, Clark A, Nygaard I, Aragaki A, Barnabei V, McTiernan A. Pelvic organ prolapse in the Women’s Health Initiative: gravity and gravidity. Am J Obstet Gynecol. 2002 Jun;186(6):1160-6. PubMed PMID: 12066091.
• Pelvic Organ Support Study (POSST): the distribution, clinical definition, and epidemiologic condition of pelvic organ support defects
  Swift S, Woodman P, O’Boyle A, Kahn M, Valley M, Bland D, Wang W, Schaffer J. Pelvic Organ Support Study (POSST): the distribution, clinical definition, and epidemiologic condition of pelvic organ support defects. Am J Obstet Gynecol. 2005 Mar;192(3):795-806. PubMed PMID: 15746674.
• Pelvic Organ Prolapse
  Iglesia CB, Smithling KR. Pelvic Organ Prolapse. Am Fam Physician. 2017 Aug 1;96(3):179-185. Review. PubMed PMID: 28762694.
• The efficacy of pelvic floor muscle training for pelvic organ prolapse: a systematic review and meta-analysis
  Li C, Gong Y, Wang B. The efficacy of pelvic floor muscle training for pelvic organ prolapse: a systematic review and meta-analysis. Int Urogynecol J. 2016 Jul;27(7):981-92. doi: 10.1007/s00192-015-2846-y. Epub 2015 Sep 25. Review. PubMed PMID: 26407564.

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