[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-436616-105":59,"doc-detail-436616-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","pelvic-organ-prolapse-minimally-invasive-approach","Pelvic organ prolapse: Minimally invasive approach","","Editorial discussion of pelvic organ prolapse (POP), a common pelvic floor disorder affecting over half of aged women and strongly reducing wellbeing and quality of life. The piece reviews management options from conservative measures (lifestyle change, pelvic floor muscle training, pessary use) to minimally invasive and more invasive surgery, aiming to relieve symptoms, reconstruct anatomic defects, and restore function. It highlights ongoing disagreement about gold-standard therapy and the complexity of risks, adverse events, and long-term complications, then comments on robot-assisted surgical comparisons and the influence of vaginal delivery and parity.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/pelvic-organ-prolapse-minimally-invasive-approach/436616/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/pelvic-organ-prolapse-minimally-invasive-approach/436616.png","ImageObject",300,407,{"name":92,"@type":93},"Alex Sinclair","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":39},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What makes pelvic organ prolapse (POP) a major concern for older women?","Question",{"text":112,"@type":113},"POP affects more than half of the aged female population and significantly harms wellbeing and quality of life, including social function, work productivity, daily activities, and sexuality.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Why is there still no clear gold-standard therapy for POP?",{"text":117,"@type":113},"Therapy remains complicated due to variation in subjective/objective curative rates and the presence of therapy-related adverse events and possible long-term complications.",{"name":119,"@type":110,"acceptedAnswer":120},"How do vaginal delivery history and parity relate to POP according to the text?",{"text":121,"@type":113},"Nearly all women with POP have prior vaginal deliveries, and the mean parities were more than three, suggesting a close correlation between POP pathophysiology and vaginal delivery and parity.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},436616,1790962527,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":39,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":24,"preview_page_count":4},1099523882182,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","J Chin MedAssoc  \nEditorial  \nPelvic organ prolapse: Minimally invasive approach  \nYiu-Tai Lia, Chia-Pei Changb,c, Peng-Hui Wangb,c,d,*  \naDepartment of Obstetrics and Gynecology, Kuo General Hospital, Tainan, Taiwan, ROC; bDepartment of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; cInstitute of Clinical Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan, ROC; dFemale Cancer Foundation, Taipei, Taiwan, ROC  \nPelvic organ prolapse (POP), belonging to one type of pelvic floor disorders (PFDs), affects more than half of the aged female population with a significant negative impact on well-being and quality of life (QoL) of diseased women, because POP not only produces an apparent impairment of their social function, work productivity, and a wide range of activities of daily living, such as exercise, and sexuality, but also causes heavy socioeconomic burdens.1 As with many diseases2–4, there are multiple choices tobe offered in the management of women with POP,5,6 ranging from conservative options, such as lifestyle changes, physiotherapy (pelvic floor muscle training, pessary use) to more invasive surgical treatment either from natural orifice, minimally invasive approach and conventional exploratory laparotomy.7–9 The main goal of the aforementioned therapies is an improvement of the symptoms, a reconstruction of the anatomic defects anda better restoration of the function.1 However, therapy is relatively complicated and there is still absence of agreement about the gold-standard therapy, partly because of great variation of the subjective and/or objective curative rates as well as presence of many of therapy-related adverse events and possible longterm complications.5,6 Additionally, although the conservative treatment is always placed as the first priority,5,9 these relatively“inconvenient and/or slow” therapeutic approaches (life-style change or physiotherapy) may not fully satisfy all diseased women. Surgical correction is dependent on the localization of the defect, which can be performed through several abdominal and vaginal surgical methods, with or without the use of a synthetic graft for treating POP.5,6 Moreover, there is a concern whether POP surgery should include the removal of the uterus or not, since this issue is also in debate. Additionally, organ-or function-preservation is always recommended, even for those patients with supposed “high-risk” of recurrent diseases.10 All  \n*Address correspondence. Dr Peng-Hui Wang, Department of Obstetricsand Gynecology, Taipei Veterans General Hospital, 201, Section 2, Shi-Pai Road, Taipei 112, Taiwan, [ROC. E-mail address: phwang@vghtpe.gov.tw](ROC. E-mail address: phwang@vghtpe.gov.tw);  \n[pongpongwang@gmail.com](pongpongwang@gmail.com) (P.-H. Wang).  \nConflicts of interest: Dr Peng-Hui Wang, an editorial board member at Journal of the Chinese Medical Association, had no role in the peer review process of or decision to publish this article. The other authors declare that they have no conflicts of interest related to the subject matter or materials discussed in this article.  \nJournal of Chinese Medical Association. (2023) 86: 715-716.  \nReceived June 4, 2023; accepted June 7, 2023.  \ndoi: 10. 1097/JCMA.0000000000000948.  \nCopyright © 2023, the Chinese Medical Association. This is an open access article under the CC BY-NC-ND license ([http://creativecommons.org/licenses/](http://creativecommons.org/licenses/)[ ](http://creativecommons.org/licenses/)[by-nc-nd/4.0/](by-nc-nd/4.0/))  \nresult in a relatively challengeable dilemma when invasive procedures should be applied. In 2023, April issue of Journal of the Chinese Medical Association (JCMA), entitled “Robot-assisted sacrohysteropexy vs robot-assisted sacrocolpopexy in women with primary advanced apical prolapse: a retrospective cohort study,” which attempted to evaluate the anatomic and clinical outcomes of robot-assisted sacrohysteropexy (RASH) against robot-assisted sac","cbCailNbJETIwltL","https://ap.wps.com/l/cbCailNbJETIwltL","pdf",290520,"English","# Editorial\n## Pelvic organ prolapse and management options\n## Surgical goals and challenges\n## Robot-assisted surgical comparison\n## Risk factors including vaginal delivery and parity","[{\"question\":\"What makes pelvic organ prolapse (POP) a major concern for older women?\",\"answer\":\"POP affects more than half of the aged female population and significantly harms wellbeing and quality of life, including social function, work productivity, daily activities, and sexuality.\"},{\"question\":\"Why is there still no clear gold-standard therapy for POP?\",\"answer\":\"Therapy remains complicated due to variation in subjective/objective curative rates and the presence of therapy-related adverse events and possible long-term complications.\"},{\"question\":\"How do vaginal delivery history and parity relate to POP according to the text?\",\"answer\":\"Nearly all women with POP have prior vaginal deliveries, and the mean parities were more than three, suggesting a close correlation between POP pathophysiology and vaginal delivery and parity.\"}]","Pelvic organ prolapse: Minimally invasive approach | PDF",1790678542]