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dc.contributor.authorOverby, Zachariaheng
dc.contributor.authorPersons, Robert K.eng
dc.contributor.authorCarrillo, Misty J.eng
dc.date.issued2014eng
dc.description.abstractQ. What is the best nonsurgical therapy for pelvic organ prolapse? Evidence-based answer: Pelvic floor muscle training (PFMT) and pessaries are equally effective in treating symptoms of pelvic organ prolapse (POP). PFMT transiently improves patient satisfaction and reduces urinary incontinence more than pessaries do (strength of recommendation [SOR]: B, a randomized controlled trial [RCT]). PFMT moderately improves prolapse symptoms and severity, especially following 6 months of supervised intervention (SOR: B, a systematic review of randomized trials with some methodologic flaws). Two pessaries (ring with support and Gellhorn) reduce symptoms in as many as 60% of patients (SOR: B, a systematic review of randomized trials). Untreated postmenopausal women with mild grades of uterine prolapse are unlikely to develop more severe prolapse; 25% to 50% improve spontaneously (SOR: C, a prospective cohort study with methodologic flaws).eng
dc.identifier.urihttp://hdl.handle.net/10355/43606eng
dc.languageEnglisheng
dc.publisherFamily Physicians Inquiries Networkeng
dc.relation.ispartofcollectionClinical Inquiries, 2014 (MU)eng
dc.relation.ispartofcommunityUniversity of Missouri-Columbia. School of Medicine. Department of Family and Community Medicine. Family Physicians Inquiries Network.eng
dc.relation.ispartofseriesJournal of family practice, 63, no. 08 (August 2014): 471, 479.eng
dc.rightsOpenAccess.eng
dc.rights.licenseThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License.eng
dc.subjectpelvic organ prolapse ; nonsurgical therapy ; pfmt ; pop ; pessarieseng
dc.titleWhat is the best nonsurgical therapy for pelvic organ prolapse?eng
dc.typeArticleeng


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