A Survey of Surgical Techniques Used for the Correction of Statics Disorders of Pelvic Floor

Czech version

Authors: M. Krčmář ¹; M. Halaška ¹; J. Záhumenský ¹; O. Šottner ¹; M. Dvorská ¹; M. Halaška ²; L. Krofta ³; K. Švabík ⁴
Authors‘ workplace: Gynekologicko-porodnická klinika FN Bulovka, Praha, přednosta prof. MUDr. M. Halaška, DrSc. ¹; Gynekologicko-porodnická klinika FN Motol, Praha, přednosta doc. MUDr. L. Rob, CSc. ²; Ústav pro péči o matku a dítě, Praha, přednosta: doc. MUDr. J. Feyereisl, CSc. ³; Gynekologicko-porodnická klinika VFN, Praha, přednosta prof. MUDr. A. Martan, DrSc. ⁴
Published in: Ceska Gynekol 2006; 71(6): 464-468
Category: Original Article

Overview

Objective:
To present an overview of current procedures used in female pelvic floor reconstructive surgery.

Subject:
Review article.

Setting:
Teaching Hospital Bulovka, 1st Faculty of Medicine, Charles University, Prague.

Subject and Method:
Pelvic organ prolapse (POP) in women including associated disorders belong to the top problems in current urogynecology. During the last decade a substantial progress in elucidation of detail morphology and function of each pelvic floor compartments had been made. These new findings could be rapidly implemented into clinical medicine, mainly as application of new mesh implants. The results of reconstructive operations are variable, one of the reason is the existence of many operation techniques. This review article represents a short overview of those methods.

Conclusion:
Wide range of current operation procedures must be re-evaluated respecting the existence of new techniques based on recent anatomical studies.

Key words:
descent, pelvic floor, prolapse, compartment, implant, mesh, operation, POP - Pelvic Organ Prolapse