{"id":1254,"date":"2016-05-31T11:58:13","date_gmt":"2016-05-31T09:58:13","guid":{"rendered":"http:\/\/www.modernmedia.co.za\/modernmedicine\/?p=1254"},"modified":"2016-05-31T11:58:13","modified_gmt":"2016-05-31T09:58:13","slug":"pelvic-organ-prolapse-what-choice-do-i-have","status":"publish","type":"post","link":"http:\/\/www.modernmedia.co.za\/modernmedicine\/?p=1254","title":{"rendered":"Pelvic Organ Prolapse: What Choice Do I Have?"},"content":{"rendered":"<p><a href=\"http:\/\/www.modernmedia.co.za\/modernmedicine\/DigitalEditions\/mm1605-may-2016\/index.html\" target=\"_blank\">Pelvic Organ Prolapse: What Choice Do I Have? \u2013 MM1605<\/a><\/p>\n<p>Pelvic organ prolapse is a common, distressing and disabling condition\u00a0encountering increasing incidences with advancing age, menopause and parity.\u00a0It is the downward descent of female pelvic organs, including the bladder, uterus\u00a0or post-hysterectomy vaginal cuff and the small or large bowel, resulting in\u00a0protrusion of the vagina, uterus, or both.<\/p>\n<p>Prolapse development is multifactorial, with vaginal delivery, hysterectomy,\u00a0chronic straining, normal ageing and abnormalities of connective tissue or\u00a0connective-tissue repair predisposing some women to disruption, stretching,\u00a0or dysfunction of the levator ani complex, connective-tissue attachments of the\u00a0vagina, or both, resulting in prolapse. Many women with pelvic organ prolapse\u00a0are asymptomatic and do not need treatment. When prolapse is symptomatic,\u00a0options include observation, pessary use and surgery.<\/p>\n<p><em>Modern Medicine \u2013 May\u00a02016<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pelvic Organ Prolapse: What Choice Do I Have? \u2013 MM1605 Pelvic organ prolapse is a common, distressing and disabling condition\u00a0encountering increasing incidences with advancing age, menopause&#46;&#46;&#46;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false},"version":2},"beyondwords_generate_audio":"","beyondwords_project_id":"","beyondwords_content_id":"","beyondwords_preview_token":"","beyondwords_player_content":"","beyondwords_player_style":"","beyondwords_language_code":"","beyondwords_language_id":"","beyondwords_title_voice_id":"","beyondwords_body_voice_id":"","beyondwords_summary_voice_id":"","beyondwords_error_message":"","beyondwords_disabled":"","beyondwords_delete_content":"","beyondwords_podcast_id":"","beyondwords_hash":"","publish_post_to_speechkit":"","speechkit_hash":"","speechkit_generate_audio":"","speechkit_project_id":"","speechkit_podcast_id":"","speechkit_error_message":"","speechkit_disabled":"","speechkit_access_key":"","speechkit_error":"","speechkit_info":"","speechkit_response":"","speechkit_retries":"","speechkit_status":"","speechkit_updated_at":"","_speechkit_link":"","_speechkit_text":""},"categories":[105,77,55],"tags":[],"class_list":["post-1254","post","type-post","status-publish","format-standard","hentry","category-gynaecology","category-urology","category-womans-health"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p5REYo-ke","_links":{"self":[{"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/posts\/1254","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1254"}],"version-history":[{"count":1,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/posts\/1254\/revisions"}],"predecessor-version":[{"id":1255,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=\/wp\/v2\/posts\/1254\/revisions\/1255"}],"wp:attachment":[{"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1254"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1254"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.modernmedia.co.za\/modernmedicine\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1254"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}