Evidence-Based Treatment of Women with Pelvic Floor Disorders

Appropriate care of women with pelvic floor disorders (PFDs; primarily urinary incontinence and pelvic organ prolapse), involves assessing how bothersome the symptoms are, providing education about the condition and its treatment options, and starting with the most conservative and least invasive management methods. Pelvic floor muscle therapy (PFMT) and pessaries are safe options that can be effective. With ≥25% of women experiencing one or more PFD during their life, surgical treatment is not unusual; lifetime risk for surgery is 20% and, of these surgeries, risk for reoperation is 30%. Midurethral mesh slings are the gold standard for surgical management of stress urinary incontinence (SUI; Female Pelvic Med Reconstr Surg 2014; 20:125). …