title: Recurrent pelvic organ prolapse: International Urogynecological Association Research and Development Committee opinion.
abstract: OBJECTIVE
  This committee opinion paper summarizes available evidence about recurrent pelvic organ prolapse (POP) to provide guidance on management.
  
  
  METHODS
  A working subcommittee from the International Urogynecological Association (IUGA) Research and Development Committee was formed. The literature regarding recurrent POP was reviewed and summarized by individual members of the subcommittee. Recommendations were graded according to the 2009 Oxford Levels of Evidence. The summary was reviewed by the Committee.
  
  
  RESULTS
  There is no agreed definition for recurrent POP and evidence in relation to its evaluation and management is limited.
  
  
  CONCLUSIONS
  The assessment of recurrent POP should entail looking for possible reason(s) for failure, including persistent and/or new risk factors, detection of all pelvic floor defects and checking for complications of previous surgery. The management requires individual evaluation of the risks and benefits of different options and appropriate patient counseling. There is an urgent need for an agreed definition and further research into all aspects of recurrent POP.
authors.affiliation: Department of Obstetrics and Gynecology, Royal Sussex County Hospital, Brighton and Sussex University Hospitals NHS Trust and Brighton and Sussex Medical School, Brighton, BN2 5BE, East Sussex, UK. sharif212121@hotmail.com.
authors.forename: Sharif
authors.initials: S
authors.lastname: Ismail
authors.affiliation: Department of Obstetrics and Gynecology, Medway Hospital NHS Trust, Medway Maritime Hospital, Gillingham and University of Kent, Canterbury, Kent, UK.|University of Greenwich, London, UK.
authors.forename: Jonathan
authors.initials: J
authors.lastname: Duckett
authors.affiliation: Department of Obstetrics and Gynecology, College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Kingdom of Bahrain.
authors.forename: Diaa
authors.initials: D
authors.lastname: Rizk
authors.affiliation: South Warwickshire NHS Foundation Trust, University of Warwick, Coventry, England, UK.
authors.forename: Olanrewaju
authors.initials: O
authors.lastname: Sorinola
authors.affiliation: Women's Pelvic Specialty Care P.C., University of New Mexico Hospital, Albuquerque, NM, USA.
authors.forename: Dorothy
authors.initials: D
authors.lastname: Kammerer-Doak
authors.affiliation: Faculty of Medicine, University of Buenos Aires, Buenos Aires, Argentina.
authors.forename: Oscar
authors.initials: O
authors.lastname: Contreras-Ortiz
authors.affiliation: Department of Obstetrics and Gynecology, King Khalid University Hospital and College of Medicine, King Saud University, Riyadh, Saudi Arabia.
authors.forename: Hazem
authors.initials: H
authors.lastname: Al-Mandeel
authors.affiliation: Department of Obstetrics and Gynecology, Charles University in Prague, Prague, Czech Republic.
authors.forename: Kamil
authors.initials: K
authors.lastname: Svabik
authors.affiliation: Genesis Health System, Zanesville, OH, USA.
authors.forename: Mitesh
authors.initials: M
authors.lastname: Parekh
authors.affiliation: Department of Obstetrics and Gynecology, Hampshire Hospitals NHS Foundation Trust, Basingstoke, Hampshire, UK.
authors.forename: Christian
authors.initials: C
authors.lastname: Phillips
mesh_terms: D032921:Consensus; D000072700:Conservative Treatment; D005260:Female; D006801:Humans; D056887:Pelvic Organ Prolapse / Q000175:diagnosis* / Q000191:economics / Q000628:therapy*; D017410:Practice Guidelines as Topic; D016032:Randomized Controlled Trials as Topic; D012008:Recurrence
keywords: Cost; Definition; Diagnosis; Etiology; Incidence; Pelvic organ prolapse; Prevalence; Recurrent; Treatment