Pelvic organ prolapse

What Will I Learn?
  • 1. Understand (the different types of) POP
  • 2. Discuss and understand the biological rationale of physiotherapy for these different types of POP their prognostics for success or failure
  • 3. Insight and knowledge of the current level of evidence for physiotherapy for POP and its place in the algorithm of treatment options

Curriculum for this course
01:15:00 Hours
  • Pelvic organ prolapse 01:15:00
  • Webinar pdf
  • Braekken, 2010, Can pelvic floor muscle training reverse pelvic organ prolapse and reduce prolapse symptoms? An assessor-blinded, randomized, controlled trial
  • Bump, 2014, The POP-Q system: two decades of progress and debate
  • Dalpiaz, 2006, Role of Perineal Ultrasound in the Evaluation of Urinary Stress Incontinence and Pelvic Organ Prolapse: A Systematic Review
  • Delancey, 2007, Comparison of Levator Ani Muscle Defects and Function in Women With and Without Pelvic Organ Prolapse
  • Hagen, 2011, Conservative prevention and management of pelvic organ prolapse in women (Review)
  • Hagen, 2014, Individualised pelvic fl oor muscle training in women with pelvic organ prolapse (POPPY): a multicentre randomised controlled trial
  • Hagen, 2017, Pelvic fl oor muscle training for secondary prevention of pelvic organ prolapse (PREVPROL): a multicentre randomised controlled trial
  • Lakeman, 2012, Peri-operative physiotherapy to prevent recurrent symptoms and treatment following prolapse surgery: supported by evidence or not?
  • Li, 2015, The efficacy of pelvic floor muscle training for pelvic organ prolapse: a systematic review and meta-analysis
  • Mastwyk, 2019, The impact of pelvic organ prolapse and/or continence surgery on pelvic floor muscle function in women: A systematic review
  • Suggested level: minimal basic knowledge advised
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Pelvic organ prolapse (POP) is a common condition characterized by symptomatic descent of the uterus, bladder, and bowel from the normal anatomic position. Approximately 50 % of all parous women suffer from a varying degree of POP. Treatment options for POP include surgery and physiotherapy. However, reports on POP surgery  indicate increased risks of postoperative complications and POP recurrence. Physiotherapy, incorporating pelvic floor muscle training (PFMT), pessaries, and lifestyle intervention, are often recommended especially in smaller POP or in case the progressive POP is not ammendable for corrective surgery. In this webinar we aim to provide the biological rationale for the development of different kinds of POP, when and how to use physiotherapy as first option for POP treatment, the current state of scientific evidence and the short and long-term effects of physiotherapy for POP.

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