ISSN : 2146-3123
E-ISSN : 2146-3131

The Novel and Minimally Invasive Treatment Modalities for Female Pelvic Floor Muscle Dysfunction; Beyond the Traditional
Yiğit Akın1, Matthew Young2, Muhammad Elmussareh2, Nickolaus Charalampogiannis3, Ali Serdar Gözen3
1Department of Urology, İzmir Katip Çelebi University School of Medicine, İzmir, Turkey
2Clinic of Urology, Mid Yorkshire Hospitals NHS Trust, Wakefield, The United Kingdom
3Department of Urology, SLK-Kliniken Heilbronn, University of Heidelberg, Heilbronn, Germany
DOI : 10.4274/balkanmedj.2018.0869
Pages : 358-366

Abstract

Pelvic floor dysfunction is a clinical entity that is prevalent among female patients. Determining the exact underlying cause of pelvic floor dysfunction is difficult, and surgical intervention for this clinical entity may be challenging. Pelvic floor dysfunction can affect the quality of life of the patient by causing stress urinary incontinence, pelvic organ prolapse, or both. Well-defined surgical treatment options, minimally invasive approaches, and novel techniques for the treatment of pelvic floor dysfunction have been recently introduced. Here, we evaluated the management options available for patients with stress urinary incontinence and pelvic organ prolapse. We searched Medline and EMBASE databases for relevant articles by using the keywords “pelvic floor dysfunction,” “minimally invasive procedures,” “stress urinary incontinence,” “pelvic organ prolapse,” and “novel techniques”. Traditional treatment options for stress urinary incontinence and pelvic organ prolapse are beyond the scope of our review. Laparoscopic and robotic surgical treatments for pelvic floor dysfunction continue to evolve and develop. These minimally invasive techniques will soon replace open procedures. Alternative novel treatment modalities have also been developed from novel human-compatible materials and are emerging as successful treatments for stress urinary incontinence. The development of these various treatment options has implications for future surgical practice in the field of uro-gynecology.

Keywords : Minimally invasive surgery, pelvic floor, pelvic organ prolapse, stress urinary incontinence
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