[Vaginal pelvic floor reconstruction techniques].

Abstract

Pelvic organ prolapse (POP) is a common condition affecting women. It results from weakening of the pelvic floor muscles and connective tissues and is particularly common among postmenopausal women. This weakening can lead to descent of the pelvic organs, including the bladder, uterus, and rectum, into or beyond the vaginal canal, causing significant discomfort and impairment of quality of life. Vaginal prolapse surgery is a key therapeutic approach for severe cases of POP, aiming to restore pelvic anatomy and improve functional outcomes. Surgical interventions for vaginal prolapse can be broadly categorized into native tissue repair, mesh-augmented procedures, and obliterative techniques, each with distinct indications, benefits, and risks. While traditional colporrhaphy remains a widely used technique, the introduction of synthetic meshes has improved anatomical success rates, albeit with concerns regarding complications such as erosion and dyspareunia. This article provides an overview of current surgical techniques for vaginal prolapse repair, evaluating their outcomes and complications as well as recent developments in the field. Understanding these aspects is crucial for optimizing patient-centered treatment strategies and ensuring long-term success.