关键词: 盆腔器官脱垂, 手术, 复发, 预防, 治疗

Abstract: There is still a high recurrence rate of pevic organ prolaps（POP）after suryery.The patients themselves may have multiple high recurrent risks.Inadiquate surgery，unidentified related all the pelvic defects and not repair them or the procedures choosed not correctly，surgeons training are not enough and can not master the procedures are all high reisk factors，which may result in recurrence of the POP surgery.We have known some definite risk fators，but for some others we haven’t know them well.Forthermore，some recurrence of POP surgery is caused by the combination of multiple factors.Severity，location and bothersome symptom of POP should be assessed before the reoperation.For the treatment strategies of recurrent POP，there are two methods.One is conservative measures，and the other is reoperation.The former can relieve the symptoms and postpone POP progression，and the latter can solve and correct recurrent POP.The repeat operation for recurrent POP is difficult and there is no high lever evidence to support what is the best procedure.The individual procedure based on the characteristics of recurrent POP should be designed.At the present it is recommended that abdominal sacrocolopopexy or transvaginal mesh could be chosen as relatively better precedure for the recurrent POP.The mesh may be needed to reinforce the repairment.Any surgical procedure should be carried out by subspecialtized trained and experienced surgeons with an adequate clinical experience and good results.It is necessary sometimes to need Multidisciplinary consultation and joint management.

Key words: pevic organ prolapse, operation, recurrence, prophylaxis, treatment