Dr. Gary LeachQuestion: What are your thoughts on POP treatment options?

Dr. Leach: After considering the different approaches, a shared decision should be made on the technique that is likely to provide the best results, given your personal anatomy and preferences. When considering surgical approaches, there are a variety of methods at a surgeon’s disposal to support the prolapsing organs, and they include using your own tissues, cadaveric fascia or other biologic materials, or mesh to support the organs.

Question: What if my doctor suggests that I consider mesh?

Dr. Leach: I see a lot of women in my practice that come in with preconceived notions about all the risks associated with mesh when seeking advice about the treatment of their pelvic organ prolapse. Warnings on TV can confuse patients regarding the risks and benefits of mesh. When used for stress incontinence, mesh is the standard of care and provides the best results for women who wish to be dry. I have found that mesh used for POP repair is also an effective solution for the right patient.

Question: What advice would you give  to women who are concerned they  have POP?

Dr. Leach: Don’t feel embarrassed about asking your primary care provider for a specialist referral. As specialists, we deal with these concerns daily and can facilitate a treatment plan that is appropriate for your individual situation.

Read Dr. Leach’s comments in the full article.