Contents

• Lifestyle and conservative management options for women with pelvic organ prolapse
  • Review questions
• Management of pelvic organ prolapse
  • Lifestyle interventions
• The effectiveness of topical oestrogen for managing pelvic organ prolapse with vaginal atrophy
  • Review question
• Effectiveness of conservative interventions in the management of pelvic organ prolapse
  • Review question
• Appendices
  • Appendix A. Review protocols
  • Appendix B. Literature search strategies
  • Appendix C. Clinical evidence study selection
  • Appendix D. Clinical evidence tables
  • Appendix E. Forest plots
  • Appendix F. GRADE tables
  • Appendix G. Economic evidence study selection
  • Appendix H. Economic evidence tables
  • Appendix I. Economic evidence profiles
  • Appendix J. Economic analysis
  • Appendix K. Excluded studies
  • Appendix L. Research recommendations
  • Appendix M. Economic evidence methodology checklists

Final

Evidence reviews

These evidence reviews were developed by the National Guideline Alliance hosted by the Royal College of Obstetricians and Gynaecologists

Disclaimer: The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or service users. The recommendations in this guideline are not mandatory and the guideline does not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.

Local commissioners and/or providers have a responsibility to enable the guideline to be applied when individual health professionals and their patients or service users wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with compliance with those duties.

NICE guidelines cover health and care in England. Decisions on how they apply in other UK countries are made by ministers in the Welsh Government, Scottish Government, and Northern Ireland Executive. All NICE guidance is subject to regular review and may be updated or withdrawn.