© 2018

Management of Pelvic Organ Prolapse

Current Controversies

  • Vincenzo Li Marzi
  • Maurizio Serati


  • Provides a comprehensive and up-to-date overview of the surgical treatment of pelvic organ prolapse

  • Discusses continuing controversies in the field

  • Offers assistance in diagnostic work-up and treatment selection


Table of contents

  1. Front Matter
    Pages i-xii
  2. General Remarks

    1. Front Matter
      Pages 1-1
    2. Paulo Palma, Elisabetta Costantini
      Pages 3-18
    3. Andrea Braga, Giorgio Caccia
      Pages 19-30
    4. Enrico Finazzi Agrò, Daniele Bianchi
      Pages 31-40
  3. Diagnostic Work-up

    1. Front Matter
      Pages 41-41
    2. Fabio Del Deo, Antonio Grimaldi, Marco Torella
      Pages 43-59
    3. Andrea Braga, Martina Milanesi, Giulio Del Popolo
      Pages 61-67
  4. Treatment Options

    1. Front Matter
      Pages 69-69
    2. Antonella Biroli, Gian Franco Lamberti
      Pages 71-79
    3. Elena Cattoni, Paola Sorice, Linda Leidi-Bulla
      Pages 81-94
    4. Michele Meschia
      Pages 95-106
    5. Andrea Minervini, Giampaolo Siena, Riccardo Campi, Christian Wagner, Gianni Vittori, Filippo Annino et al.
      Pages 107-122
    6. Vincenzo Li Marzi, Jacopo Frizzi, Riccardo Campi, Sergio Serni
      Pages 123-138
    7. Maurizio Serati, Paola Sorice
      Pages 145-150
  5. Outcome and Follow-up

    1. Front Matter
      Pages 151-151
    2. Rhiannon Bray, Alex Digesu
      Pages 153-166
    3. Sharif I. M. F. Ismail, Diaa E. E. Rizk
      Pages 167-172
  6. Back Matter
    Pages 173-178

About this book


This book provides a comprehensive and up-to-date overview of the surgical treatment of pelvic organ prolapse, focusing especially on issues that continue to arouse controversy. In the first section, leading experts present detailed information on the surgical anatomy, pathophysiology, and epidemiology of prolapse and also the impact of concomitant functional disorders. The second section focuses on diagnostic work-up and the third is dedicated to the various treatment options aimed at resolution of the condition. The closing chapters discuss outcome measures and analyze the effects of prolapse surgery on urinary, bowel, and sexual symptoms. 

In 1966 Richard TeLinde stated that, “Every honest surgeon of extensive and long experience will have to admit that he is not entirely and absolutely satisfied with his long-term results of all his operations for prolapse and allied conditions.”  Although many uncertainties in the field have since been resolved, some major issues still require clarification. Often it can be difficult to find the right balance between treatment effectiveness in the long term and risk reduction, including with respect to complications. This book will help trainees and less experienced surgeons to make appropriate treatment choices and achieve optimal outcomes.


Functional disorders Fascial surgery Hysterosacropexy Pelvic floor muscle training Posterior repair Transvaginal mesh repair Treatment complications Urodynamic assessment Vaginal atrophy Vaginal pessary Vaginal prolapse

Editors and affiliations

  • Vincenzo Li Marzi
    • 1
  • Maurizio Serati
    • 2
  1. 1.Department of UrologyCareggi University HospitalFlorenceItaly
  2. 2.Urogynecology UnitUniversity of InsubriaVareseItaly

About the editors

Vincenzo Li Marzi is a urologist experienced in renal transplantation, female urology, functional urology, and the treatment of urinary stones. Dr. Li Marzi graduated from the School of Medicine at the University of Pisa, Italy and then completed his specialization at the Post-graduate School of Urology, University of Florence in 1998. He gained fellowship experience at the Renal Transplantation Center at Fundacio Puigvert, Barcelona, Spain and the Lahey Clinic, Boston, Massachusetts, USA. Since 2001 he has worked at A.O.U. Careggi in Florence, initially in the Spinal Unit and then in the Department of Urology. Dr Li Marzi is contract professor of functional urology within the residency program in Urology of the university of Florence. Currently he is  member of the Executive Board of the Italian Society of Urodynamics (SIUD) and, from 2015  society treasurer.  He serves as reviewer for European Urology and European Urology Focus. He is the author of more than 150 national and international publications.

Maurizio Serati is Assistant Professor of Obstetrics and Gynecology in the Faculty of Medicine, University of Insubria, Varese, Italy. Dr. Serati graduated with a Bachelor of Medicine and Surgery, cum laude, from the University of Insubria in 1998 and subsequently completed his specialization, cum laude, at the university’s Postgraduate school of Obstetrics and Gynecology in 2005. In total, he has performed more than 1500 major operations. Dr. Serati is a member of the editorial/executive boards for a number of journals and scientific organizations, including European Urology, the European Journal of Obstetrics and Gynecology, the Italian Society of Urodynamics, and the International Continence Society. He is also a reviewer for many leading journals and is the author of more than 120 articles in peer-reviewed journals cited in PubMed.

Bibliographic information

  • Book Title Management of Pelvic Organ Prolapse
  • Book Subtitle Current Controversies
  • Editors Vincenzo Li Marzi
    Maurizio Serati
  • Series Title Urodynamics, Neurourology and Pelvic Floor Dysfunctions
  • Series Abbreviated Title Urodynamics, Neurourology and Pelvic Floor Dysfunctions
  • DOI
  • Copyright Information Springer International Publishing AG, part of Springer Nature 2018
  • Publisher Name Springer, Cham
  • eBook Packages Medicine Medicine (R0)
  • Hardcover ISBN 978-3-319-59194-0
  • Softcover ISBN 978-3-030-09642-7
  • eBook ISBN 978-3-319-59195-7
  • Series ISSN 2510-4047
  • Series E-ISSN 2510-4055
  • Edition Number 1
  • Number of Pages XII, 178
  • Number of Illustrations 13 b/w illustrations, 42 illustrations in colour
  • Topics Urology
  • Buy this book on publisher's site
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“This pocketbook provides the reader with a good overview of POP management and related controversies. Urologists and gynaecologists will also find it contains explicit figures and practical advice.” (European Urology Today, Vol. 30 (05), October-December, 2018)​