title: [Urogynecology: from past to future].
abstract: Over the last decade, the field of urogynecologic surgery has been subject to deep changes. A thorough understanding of the injury mechanisms responsible for pelvic organ prolapse (POP) and urinary incontinence in women, greatly contributed to the development of innovative surgical techniques and changing therapeutic approaches. The variety of treatment options to correct POP and incontinence has greatly expanded, partly thanks to the development of several advanced surgical kits by biotechnology companies. This review describes the evolution of surgical techniques in the field of pelvic floor reconstruction during the last century and raises questions regarding the safety and efficacy of the various techniques available in this field. This paper summarizes the "state of the art" for POP and the incontinence surgery approach in Western countries. It also provides a number of general recommendations based on the authors personal experience [expert opinion]. Such recommendations with slight variations appear in position statements of professional societies worldwide.
authors.forename: Lior
authors.initials: L
authors.lastname: Lowenstein
authors.forename: Benjamin
authors.initials: B
authors.lastname: Feiner
authors.forename: Gil
authors.initials: G
authors.lastname: Levy
authors.forename: Eyal
authors.initials: E
authors.lastname: Goldschmidt
authors.forename: Yuval
authors.initials: Y
authors.lastname: Lavy
authors.forename: David
authors.initials: D
authors.lastname: Yochai
authors.forename: Anna
authors.initials: A
authors.lastname: Padoa
mesh_terms: D005260:Female; D006801:Humans; D062069:Inventions; D017773:Pelvic Floor / Q000601:surgery*; D056887:Pelvic Organ Prolapse / Q000473:pathology / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods / Q000639:trends; D018581:Technology Transfer; D014549:Urinary Incontinence / Q000473:pathology / Q000601:surgery*; D013519:Urogenital Surgical Procedures / Q000379:methods / Q000639:trends