Managing Pelvic Organ Prolapse After Urinary Diversion or Neobladder

Purpose of Review: This review paper addresses and summarizes the current literature regarding the management of pelvic organ prolapse in patients who undergo cystectomy with urinary diversion. Recent Findings: There are few recent studies and case reports analyzing the management of prolapse in the setting of cystectomy with urinary diversion. Prolapse negatively affects the quality of life of women, including those who have had a cystectomy. Modifications during surgery that do not affect oncologic outcomes can be performed in order to prevent prolapse. If prolapse develops after cystectomy, there are both non-surgical and surgical treatment options, although long-term data on success rates are limited. Summary: It is important that pelvic organ prolapse be addressed before, during, and after cystectomy. Management of prolapse after cystectomy has proven to be incredibly challenging, and more studies are needed to determine the optimal management strategy.