Abstract：
OBJECTIVE: Women undergoing surgery for apical pelvic organ prolapse have several medically sound options for specific surgical approaches.
METHODS: We review the principles of shared decision-making as they pertain to surgery for prolapse. We review the literature supporting the superior sacrocolpopexy as a durable treatment for prolapse and the factors that may differentiate it from other repairs in risk and benefit.
RESULTS: We emphasize the importance of collaboration between patients and surgeons in surgical decision-making.
CONCLUSIONS: All medically appropriate patients who desire reconstructive surgery for prolapse should be offered sacrocolpopexy.
METHODS: We review the principles of shared decision-making as they pertain to surgery for prolapse. We review the literature supporting the superior sacrocolpopexy as a durable treatment for prolapse and the factors that may differentiate it from other repairs in risk and benefit.
RESULTS: We emphasize the importance of collaboration between patients and surgeons in surgical decision-making.
CONCLUSIONS: All medically appropriate patients who desire reconstructive surgery for prolapse should be offered sacrocolpopexy.
摘要：
目的：接受盆腔尖部器官脱垂手术的妇女对于特定的手术方法有几种医学上合理的选择。
方法：我们回顾了与脱垂手术相关的共同决策原则。我们回顾了支持上sc结肠外固定术作为脱垂的持久治疗方法的文献，以及可能将其与其他修复方法在风险和收益方面区分开的因素。
结果：我们强调患者和外科医生在手术决策中合作的重要性。
结论：所有希望进行脱垂重建手术的医学上合适的患者都应进行骶结肠切除术。
方法：我们回顾了与脱垂手术相关的共同决策原则。我们回顾了支持上sc结肠外固定术作为脱垂的持久治疗方法的文献，以及可能将其与其他修复方法在风险和收益方面区分开的因素。
结果：我们强调患者和外科医生在手术决策中合作的重要性。
结论：所有希望进行脱垂重建手术的医学上合适的患者都应进行骶结肠切除术。
