Surgical Decision-Making: Who Should Be Offered Sacrocolpopexy?
Overview
Urology
Affiliations
Introduction And Hypothesis: Women undergoing surgery for apical pelvic organ prolapse have several medically sound options for specific surgical approaches.
Methods: We review the principles of shared decision-making as they pertain to surgery for prolapse. We review the literature supporting the superior sacrocolpopexy as a durable treatment for prolapse and the factors that may differentiate it from other repairs in risk and benefit.
Results: We emphasize the importance of collaboration between patients and surgeons in surgical decision-making.
Conclusion: All medically appropriate patients who desire reconstructive surgery for prolapse should be offered sacrocolpopexy.