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Related Experiment Videos

Classification and evaluation of prolapse.

Lone Mouritsen1

  • 1Department of Gynecology & Obstetrics, Glostrup Hospital, University of Copenhagen, 2600 Glostrup, Denmark. lmou@glostruphosp.kbhamt.dk

Best Practice & Research. Clinical Obstetrics & Gynaecology
|September 28, 2005
PubMed
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Pelvic organ prolapse (POP) is common in older women, often asymptomatic. Standardized measurement using the POP-Q system and agreement on symptom correlation are crucial for effective treatment.

Area of Science:

  • Urogynecology and Pelvic Floor Disorders
  • Women's Health and Geriatric Medicine

Background:

  • Pelvic organ prolapse (POP) is a common condition, particularly in aging women.
  • Many cases, especially milder ones, are asymptomatic or present with non-specific symptoms.
  • Functional symptoms (bladder, bowel, sexual) often coexist with POP but lack clear causality.

Purpose of the Study:

  • To highlight the prevalence and varied presentation of pelvic organ prolapse.
  • To emphasize the importance of standardized measurement tools for POP.
  • To advocate for a consensus on symptom attribution and surgical outcomes in POP management.

Main Methods:

  • Utilizing the validated, international Pelvic Organ Prolapse Quantification (POPQ) system.
  • Assessing prolapse across three vaginal compartments and three levels.

Related Experiment Videos

  • Reviewing the relationship between prolapse severity and functional symptoms.

    • Main Results:

    • Milder stages of prolapse, located superior to the hymen, are frequently asymptomatic.
    • A vaginal bulge is a key presenting symptom.
    • Functional symptoms frequently occur alongside prolapse, without established cause-effect links.

    Conclusions:

    • Standardized measurement via the POPQ system is essential for objective POP assessment.
    • Further research and consensus are needed to link specific symptoms to prolapse.
    • Agreement on symptom improvement post-surgery is vital for patient care and research.