, Volume 23, Issue 1, pp 3-4
Date: 16 Nov 2011

A perfect storm

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We are in the midst of a perfect storm. How did we get here?

More women than ever will need prolapse surgery. The fastest growing segment of our female population is over 60 years old, physically active, and at greatest risk for developing pelvic organ prolapse. Several reports in our peer-reviewed literature have been cited repeatedly as evidence that not only are women at risk for developing disorders of the pelvic floor as they grow older, but in fact there may be an epidemic occurring. Those women who have unsuccessful surgery may undergo repeat surgery to achieve a satisfactory prolapse outcome. Some surgeons debate various aspects of these truths—How common is “surgical failure”? Who determines the “need” for second surgery? What are the risks of subsequent surgery?

These uncertainties, plus the prospects of such an enormous business opportunity, have been a fertile ground for a coalition of doctors and industry groups to collaborate with the intention of finding a “solution” to be ...

Further contributions to this debate can be found at doi:10.1007/s00192-011-1580-3, doi:10.1007/s00192-011-1581-2, and doi:10.1007/s00192-011-1597-7.