Geburtshilfe Frauenheilkd 2016; 76(12): 1287-1301
DOI: 10.1055/s-0042-119648
Guideline
GebFra Science
Georg Thieme Verlag KG Stuttgart · New York

Diagnosis and Therapy of Female Pelvic Organ Prolapse. Guideline of the DGGG, SGGG and OEGGG (S2e-Level, AWMF Registry Number 015/006, April 2016)

Diagnostik und Therapie des weiblichen Descensus genitalis. Leitlinie der DGGG, SGGG und OEGGG (S2e-Level, AWMF-Registernummer 015/006, April 2016)
K. Baeßler
1  Beckenbodenzentrum, Charité Universitätsmedizin, Berlin, Germany
,
T. Aigmüller
2  Universitätsklinik für Gynäkologie und Geburtshilfe, Med Uni Graz, Austria
,
S. Albrich
3  Praxis “Frauenärzte Fünf Höfe” München, München, Germany
,
C. Anthuber
4  Klinikum Starnberg, Starnberg, Germany
,
D. Finas
5  Evangelisches Krankenhaus Bielefeld EvKB, Bielefeld, Germany
,
T. Fink
6  Sana Klinikum Berlin Lichtenberg, Berlin, Germany
,
C. Fünfgeld
7  Klinik Tettnang, Tettnang, Germany
,
B. Gabriel
8  St. Josefʼs Hospital Wiesbaden, Wiesbaden, Germany
,
U. Henscher
9  Praxis für Physiotherapie, Hannover, Germany
,
F. H. Hetzer
10  Spital Linth, Uznach, Switzerland
,
M. Hübner
11  Universitätsfrauenklinik Tübingen, Tübingen, Germany
,
B. Junginger
1  Beckenbodenzentrum, Charité Universitätsmedizin, Berlin, Germany
,
K. Jundt
12  Frauenarztpraxis am Pasinger Bahnhof, München, Germany
,
S. Kropshofer
13  Tirolkliniken, Innsbruck, Austria
,
A. Kuhn
14  Inselspital Bern, Bern, Switzerland
,
L. Logé
15  Sana Klinikum Hof GmbH, Hof, Germany
,
G. Nauman
16  Helios Klinikum Erfurt, Erfurt, Germany
,
U. Peschers
17  Fachkliniken München AG, München, Germany
,
T. Pfiffer
18  Asklepios Klinik Hamburg Harburg, Hamburg, Germany
,
O. Schwandner
19  Krankenhaus Barmherzige Brüder, Regensburg, Germany
,
A. Strauss
20  Christian-Albrechts-Universität zu Kiel, Kiel, Germany
,
R. Tunn
21  St. Hedwig Krankenhaus, Berlin, Germany
,
V. Viereck
22  Kantonsspital Frauenfeld, Frauenfeld, Switzerland
› Author Affiliations
Further Information

Publication History

received 22 October 2016
revised 22 October 2016

accepted 22 October 2016

Publication Date:
21 December 2016 (online)

  

Abstract

Aims: The aim was to establish an official interdisciplinary guideline, published and coordinated by the German Society of Gynecology and Obstetrics (DGGG). The guideline was developed for use in German-speaking countries. In addition to the Germany Society of Gynecology and Obstetrics, the guideline has also been approved by the Swiss Society of Gynecology and Obstetrics (SGGG) and the Austrian Society of Gynecology and Obstetrics (OEGGG). This is a guideline published and coordinated by the DGGG. The aim is to provide evidence-based recommendations obtained by evaluating the relevant literature for the diagnostic, conservative and surgical treatment of women with female pelvic organ prolapse with or without stress incontinence.

Methods: We conducted a systematic review together with a synthesis of data and meta-analyses, where feasible. MEDLINE, Embase, Cinahl, Pedro and the Cochrane Register were searched for relevant articles. Reference lists were hand-searched, as were the abstracts of the Annual Meetings of the International Continence Society and the International Urogynecological Association. We included only abstracts of randomized controlled trials that were presented and discussed in podium sessions. We assessed original data on surgical procedures published since 2008 with a minimum follow-up time of at least 12 months. If the studies included descriptions of perioperative complications, this minimum follow-up period did not apply.

Recommendations: The guideline encompasses recommendations for the diagnosis and treatment of female pelvic organ prolapse. Recommendations for anterior, posterior and apical pelvic organ prolapse with or without concomitant stress urinary incontinence, uterine preservation options, and the pros and cons of mesh placements during surgery for pelvic organ prolapse are presented. The recommendations are based on an extensive and systematic review and evaluation of the current literature and include the experiences and specific conditions in Germany, Austria and Switzerland.

Supporting Information