Despite the impact of obstetric anal sphincter injuries (OASIS), the condition is under-diagnosed and under-treated. Urogynecologist Katie Propst, MD, calls for increased data and training.
With a growing population of aging patients, urogynecologists are looking for evidence-based strategies to enhance patient recovery after pelvic floor surgeries.
The OPTIMAL trial found that sacrospinous ligament fixation (SSLF) and uterosacral ligament vaginal vault suspension (ULS) were equally safe and effective in treating vaginal prolapse at two years’ follow-up. Adding perioperative behavioral therapy with pelvic floor muscle training into the mix failed to improve either incontinence symptoms or prolapse outcomes.
New Cleveland Clinic texts on single-port, laparoscopic and robotic surgery, on urogynecology and pelvic floor medicine and on office-based gynecologic procedures are available.