Recent Developments in the Non-surgical Management of Pelvic Organ Prolapse

Pelvic organ prolapse is a common condition, although not always symptomatic. With the aging population and increased burden on the healthcare, non-surgical management of pelvic organ prolapse is becoming increasingly topical. Recent data show that prolapse appears to fluctuate over time. Regression is possible (3-40 %) and the risk of progression small (11-19 %). This review discusses the various nonsurgical options available, including observation, vaginal oestrogen, lifestyle modifications, physiotherapy, and vaginal ring pessaries. Although evidence from randomised, controlled trials is limited, these options should be discussed with women who do not desire, or are unfit for, surgery.