{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T23:52:22Z","timestamp":1791071542551,"version":"4.1.0"},"reference-count":51,"publisher":"Informa UK Limited","issue":"2","license":[{"start":{"date-parts":[[2020,6,1]],"date-time":"2020-06-01T00:00:00Z","timestamp":1590969600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Post Reprod Health"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:p>Pelvic organ prolapse describes the loss of support and subsequent descent of pelvic organs into the vagina. It is common, affecting up to 50% of parous women, and can be accompanied by a number of burdening symptoms. Prolapse has been thrown into the spotlight secondary to mesh-related complications. There are a number of effective treatment options to consider when managing pelvic organ prolapse and most do not require mesh. Patients\u2019 choice, comorbidities and likelihood of treatment success should be considered when making decisions about their care. Vaginal mesh surgery is currently on hold in the UK and even prior to this there has been a reduction both in the number of all prolapse surgeries and the number of women seeking surgery to manage their symptoms. This article reviews the current evidence for the management of pelvic organ prolapse, providing an update on the current state of mesh in prolapse surgery and summarises the key evidence points derived from the literature.<\/jats:p>","DOI":"10.1177\/2053369120937594","type":"journal-article","created":{"date-parts":[[2020,7,4]],"date-time":"2020-07-04T06:24:37Z","timestamp":1593843877000},"page":"79-85","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":28,"title":["Pelvic organ prolapse management"],"prefix":"10.1080","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8865-5356","authenticated-orcid":false,"given":"K","family":"Fleischer","sequence":"first","affiliation":[{"name":"Ashford and St Peter\u2019s NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G","family":"Thiagamoorthy","sequence":"additional","affiliation":[{"name":"Ashford and St Peter\u2019s NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"301","published-online":{"date-parts":[[2020,7,4]]},"reference":[{"key":"bibr1-2053369120937594","unstructured":"Abrams P, Cardozo L, Wagg A, et\u00a0al. Incontinence: 6th International consultation on incontinence, Tokyo, September 2016, https:\/\/www.ics.org\/education\/icspublications\/icibooks\/6thicibook (2016, 30 December 2019)."},{"key":"bibr2-2053369120937594","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-013-2169-9"},{"key":"bibr3-2053369120937594","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-019-0741-2"},{"key":"bibr4-2053369120937594","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181b2b1ae"},{"key":"bibr5-2053369120937594","doi-asserted-by":"publisher","DOI":"10.1177\/1754045313518040"},{"key":"bibr6-2053369120937594","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000255977.91296.5d"},{"key":"bibr7-2053369120937594","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2003.07.017"},{"key":"bibr8-2053369120937594","doi-asserted-by":"crossref","unstructured":"Bump RC, Mattiasson A, B\u00f8 K, et al. The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction.\n                      Am J Obstet Gynecol\n                      1996; 175: 10\u201317.","DOI":"10.1016\/S0002-9378(96)70243-0"},{"key":"bibr9-2053369120937594","doi-asserted-by":"publisher","DOI":"10.1097\/SPV.0000000000000794"},{"key":"bibr10-2053369120937594","doi-asserted-by":"publisher","DOI":"10.1111\/bju.14763"},{"key":"bibr11-2053369120937594","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)32109-2"},{"key":"bibr12-2053369120937594","first-page":"CD003882","author":"Hagen S","year":"2011","journal-title":"Cochrane database Syst Rev"},{"key":"bibr13-2053369120937594","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2014.06.049"},{"key":"bibr14-2053369120937594","doi-asserted-by":"crossref","unstructured":"Bugge C, Adams EJ, Gopinath D, et\u00a0al. Pessaries (mechanical devices) for pelvic organ prolapse in women.\n                      Cochrane Database Syst Rev\n                      . Epub ahead of print 28 February 2013. DOI: 10.1002\/14651858.CD004010.pub3","DOI":"10.1002\/14651858.CD004010.pub3"},{"key":"bibr15-2053369120937594","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2007.02.018"},{"key":"bibr16-2053369120937594","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-017-3372-x"},{"key":"bibr17-2053369120937594","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7292(02)00232-1"},{"key":"bibr18-2053369120937594","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0136265"},{"key":"bibr19-2053369120937594","doi-asserted-by":"crossref","unstructured":"Ismail SI, Bain C, Hagen S. Oestrogens for treatment or prevention of pelvic organ prolapse in postmenopausal women.\n                      Cochrane Database Syst Rev\n                      . Epub ahead of print 8 September 2010. DOI: 10.1002\/14651858.CD007063.pub2","DOI":"10.1002\/14651858.CD007063.pub2"},{"key":"bibr20-2053369120937594","doi-asserted-by":"publisher","DOI":"10.6118\/jmm.2018.24.3.183"},{"key":"bibr21-2053369120937594","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(97)00058-6"},{"key":"bibr22-2053369120937594","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2008.01.051"},{"key":"bibr23-2053369120937594","volume-title":"Clinical obstetrics and gynaecology","author":"Magowan BA","year":"2019","edition":"4"},{"key":"bibr24-2053369120937594","doi-asserted-by":"publisher","DOI":"10.1080\/13697137.2018.1551348"},{"key":"bibr25-2053369120937594","doi-asserted-by":"crossref","unstructured":"Mowat A, Maher D, Baessler K, et\u00a0al. Surgery for women with posterior compartment prolapse.\n                      Cochrane Database Syst Rev\n                      . Epub ahead of print 5 March 2018. DOI: 10.1002\/14651858.CD012975","DOI":"10.1002\/14651858.CD012975"},{"key":"bibr26-2053369120937594","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3182a8a5e4"},{"key":"bibr27-2053369120937594","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1111\/tog.12220","volume":"18","author":"Jefferis H","year":"2016","journal-title":"Obstet Gynaecol"},{"key":"bibr28-2053369120937594","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(96)91489-0"},{"key":"bibr29-2053369120937594","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(81)90074-0"},{"key":"bibr30-2053369120937594","first-page":"679","volume":"44","author":"Marchionni M","year":"1999","journal-title":"J Reprod Med"},{"key":"bibr31-2053369120937594","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h3717"},{"key":"bibr32-2053369120937594","first-page":"CD012376","volume":"10","author":"Maher C","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr33-2053369120937594","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2016.08.035"},{"key":"bibr34-2053369120937594","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2014.1719"},{"key":"bibr35-2053369120937594","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.4919"},{"key":"bibr36-2053369120937594","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31827558dc"},{"key":"bibr37-2053369120937594","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-010-1249-3"},{"key":"bibr38-2053369120937594","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-009-0945-3"},{"key":"bibr39-2053369120937594","first-page":"tog.12622","author":"Offiah I","year":"2019","journal-title":"Obstet Gynaecol"},{"key":"bibr40-2053369120937594","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-015-2903-6"},{"key":"bibr41-2053369120937594","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-200203000-00003"},{"key":"bibr42-2053369120937594","doi-asserted-by":"publisher","DOI":"10.1007\/BF02427664"},{"key":"bibr43-2053369120937594","doi-asserted-by":"crossref","unstructured":"Campbell P, Jha S and Cutner A. Vaginal mesh in prolapse surgery.\n                      Obstet Gynaecol\n                      2018; 20: 49\u201356.","DOI":"10.1111\/tog.12454"},{"key":"bibr44-2053369120937594","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2012.11.008"},{"key":"bibr45-2053369120937594","doi-asserted-by":"crossref","unstructured":"Maher C, Feiner B, Baessler K, et\u00a0al. Transvaginal mesh or grafts compared with native tissue repair for vaginal prolapse.\n                      Cochrane Database Syst Rev\n                      . Epub ahead of print 9 February 2016. DOI: 10.1002\/14651858.CD012079","DOI":"10.1002\/14651858.CD012079"},{"key":"bibr46-2053369120937594","doi-asserted-by":"crossref","unstructured":"Maher C, Feiner B, Baessler K, et\u00a0al. Surgery for women with anterior compartment prolapse.\n                      Cochrane Database Syst Rev\n                      . Epub ahead of print 30 November 2016. DOI: 10.1002\/14651858.CD004014.pub6","DOI":"10.1002\/14651858.CD004014.pub6"},{"key":"bibr47-2053369120937594","doi-asserted-by":"publisher","DOI":"10.3310\/hta20950"},{"key":"bibr48-2053369120937594","unstructured":"Powis S, Mclean K. Extension of pause to the use of vaginal mesh, https:\/\/improvement.nhs.uk\/documents\/5122\/MESH_letter_-_Extension_of_pause_on_the_use_of_vaginal_mesh_29_March_2019.pdf (2019, 30 January 2020)."},{"key":"bibr49-2053369120937594","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-017-3476-3"},{"key":"bibr50-2053369120937594","unstructured":"NHS Digital. Retrospective review of surgery for urogynaecological prolapse and stress urinary incontinence using tape or mesh, https:\/\/files.digital.nhs.uk\/D2\/99117D\/Retrospective_Review_of_Surgery\u2026-_exe.pdf (2018, 30 January 2020)."},{"key":"bibr51-2053369120937594","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1111\/tog.12471","volume":"20","author":"Maher C.","year":"2018","journal-title":"Obstet Gynaecol"}],"container-title":["Post Reproductive Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2053369120937594","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2053369120937594","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2053369120937594","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T19:25:36Z","timestamp":1766517936000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2053369120937594"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6]]},"references-count":51,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2020,6]]}},"alternative-id":["10.1177\/2053369120937594"],"URL":"https:\/\/doi.org\/10.1177\/2053369120937594","relation":{},"ISSN":["2053-3691","2053-3705"],"issn-type":[{"value":"2053-3691","type":"print"},{"value":"2053-3705","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6]]}}}