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This is a Literature Review study.

Pelvic Organ Prolapse: Current Challenges and Future Perspectives

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Narrative review highlights personalized treatment strategies and emphasizes patient-reported outcomes in pelvic organ prolapse management.

Pelvic organ prolapse affects millions of women, with only 18–50% seeking treatment due to lack of awareness.
Monitoring without intervention is valid for asymptomatic patients, with studies showing stability in 40% over 60 months.
Pessary treatment achieves above 90% fitting success, presenting a viable non-surgical management option.
Native tissue repair is now recommended as the first-line surgical option, favoring patient preferences and outcomes.

Padoa et al. (2025) studied this question.

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Narrative review highlights personalized treatment strategies and emphasizes patient-reported outcomes in pelvic organ prolapse management.