2025 Urogynecology for the Advanced Practice Provider-Pelvic Organ Prolapse: Surgical Interventions and Postoperative Complications

Video Transcription

Video Summary

The speaker addresses managing surgical options for a 66-year-old woman with prolapse who is ready for surgery after two years of successful pessary management. The goal is to guide non-surgeons on discussing potential procedures with patients, highlighting the importance of understanding basic surgical categories, such as obliterative versus reconstructive surgery, and whether surgery will be conducted through the abdomen or the vagina. It's crucial to keep explanations simple and know the procedures your collaborating surgeon performs. The lecturer emphasizes creating mental categories for surgical discussions: obliterative or reconstructive approaches, surgical routes (abdominal or vaginal), and the presence of a uterus, aiming for straightforward, organized communication with patients. Visual aids assist in explaining these options, and complications like post-operative pain, UTI risks, nerve entrapment, and potential prolapse recurrences are noted, advising thorough examination and clear communication with the surgeon for complex cases. The presentation also touches on post-operative care, complications, and necessary patient reassessments, stressing the importance of patient comprehension and comfort throughout the process.

Asset Subtitle

Understand surgical procedures for pelvic organ prolapse
Describe normal postoperative findings following pelvic organ prolapse surgery
Identify postoperative complications following pelvic organ prolapse surgery

Speaker - Katie Propst, MD

Keywords

surgical options

prolapse management

obliterative surgery

reconstructive surgery

patient communication

post-operative care

surgery complications