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Pelvic organ prolapse: a review.

E S Rovner1

  • 1Division of Urology, Department of Surgery, Hospital of the University of Pennsylvania, University of Pennsylvania School of Medicine, Philadelphia, Pa., USA. erovner@mail.med.upenn.edu

Ostomy/Wound Management
|March 14, 2002
PubMed
Summary

Pelvic organ prolapse (POP) is common in parous women, involving vaginal wall support deficiencies. Successful treatment requires a comprehensive approach addressing all anatomic defects, with surgery as a key option for complex cases.

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Area of Science:

  • Urogynecology
  • Female Pelvic Medicine and Reconstructive Surgery

Background:

  • Pelvic organ prolapse (POP) is a prevalent condition affecting parous women, characterized by deficiencies in pelvic organ support.
  • It manifests with varied symptoms, necessitating thorough physical examination for accurate diagnosis.

Purpose of the Study:

  • To provide a comprehensive overview of pelvic organ prolapse.
  • To discuss definitions, classifications, prevalence, risk factors, anatomy, and pathophysiology.
  • To detail diagnostic approaches and management strategies, including surgical and nonsurgical options.

Main Methods:

  • Review of existing literature on pelvic organ prolapse.
  • Discussion of diagnostic criteria and physical examination techniques.
  • Exploration of surgical and nonsurgical management strategies for various types of prolapse.

Main Results:

  • Pelvic organ prolapse encompasses anterior vaginal wall prolapse, cystourethrocele, apical vaginal prolapse, uterine prolapse, enterocele, posterior vaginal wall prolapse, rectocele, and pelvic floor relaxation.
  • Successful management hinges on a comprehensive surgical approach addressing all anatomic defects.
  • While not all patients require surgery, complex cases present challenges and rewards in reconstructive pelvic surgery.

Conclusions:

  • A thorough understanding of pelvic organ prolapse anatomy and pathophysiology is crucial for diagnosis and management.
  • Comprehensive treatment, often surgical, is necessary for successful outcomes in cases of pelvic organ prolapse.
  • This article serves as a guide to the diagnosis and management of various pelvic organ prolapse conditions.

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