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International Journal of Colorectal Disease

, Volume 34, Issue 1, pp 189–192 | Cite as

Complex pelvic organ prolapse: decision-making algorithm

  • Gabriele Naldini
  • Bernardina Fabiani
  • Alessandro Sturiale
  • Tommaso Simoncini
Short Communication

Abstract

Purpose

The pelvic floor is considered as a single anatomical and functional unit, consisting of several structures that suspend the pelvic organs maintaining their function. For this reason, a multi-compartmental prolapse is a common disease that needs a multidisciplinary pelvic floor team in order to be treated. The aim of the authors is to suggest a treatment algorithm to better approach complex pelvic organ prolapse.

Methods

A multidisciplinary pelvic floor team was set up 7 years ago. Starting from the literature review integrated with a team experience, a decision-making algorithm was drawn up. It was used to guide all the shared treatment for the complex pelvic floor disorders.

Results

An accurate preoperative assessment with a shared diagnosis among the specialist is the base to follow the proposed algorithm. It leads to combine different surgical procedures considering advantages and disadvantages which may have an influence on the final outcome.

Conclusions

The proposed algorithm provides an integrated surgical view of complex pelvic floor disorders. It shows how is it feasible to associate surgical treatments of different compartments to obtain good pelvic floor anatomical and functional results and leading to an improvement of the patients’ quality of life.

Keywords

Pelvic floor Complex prolapse Rectal prolapse Rectocele Hysterocele Cystocele 

Notes

Authors’ contribution

Gabriele Naldini, Bernardina Fabiani, and Tommaso Simoncini contribute to the conception and design of the study. Gabriele Naldini, Bernardina Fabiani, and Alessandro Sturiale contribute to the acquisition of literature data and revision, and to the final approval to the version to be published.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Proctological and Perineal Surgical UnitCisanello University HospitalPisaItaly
  2. 2.Department of Experimental and Clinical Medicine, Division of Obstetrics and GynecologyUniversity HospitalPisaItaly

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