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Updated: Jul 10, 2026

Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse (POP) Quantification System
Published on: September 20, 2018
Female pelvic prolapse
1Division of Urologic Surgery, Washington University School of Medicine, St. Louis, USA. klutkec@wudosis.wustl.edu
This review summarizes female pelvic organ prolapse, covering its causes, grading, and effects on urinary and bowel function. It discusses current non-surgical and surgical treatments for pelvic support restoration.
Area of Science:
- Gynecology
- Urogynecology
- Pelvic Floor Disorders
Background:
- Pelvic organ prolapse (POP) is a common condition affecting women.
- Understanding normal pelvic anatomy and support structures is crucial for diagnosing and managing POP.
- Etiology of POP involves multifactorial causes impacting pelvic floor integrity.
Purpose of the Study:
- To provide a comprehensive overview of female pelvic anatomy and POP.
- To review the latest classification system for pelvic organ prolapse.
- To discuss the impact of POP on pelvic organ function and patient quality of life.
Main Methods:
- Literature review of normal female pelvic anatomy and support.
- Analysis of the etiology and pathophysiology of pelvic organ prolapse.
- Review of current grading systems and diagnostic criteria for POP.
- Examination of organ system changes associated with POP, including urinary incontinence, dyspareunia, and bowel dysfunction.
- Synthesis of information on non-surgical and surgical management options for POP.
Main Results:
- Detailed description of normal pelvic and vaginal support structures.
- Explanation of the multifactorial etiology of pelvic organ prolapse.
- Presentation of the most recent grading system for pelvic organ prolapse.
- Discussion of associated symptoms such as urinary incontinence, dyspareunia, and bowel dysfunction.
- Overview of various non-surgical and surgical treatment modalities.
Conclusions:
- Effective management of pelvic organ prolapse requires a thorough understanding of pelvic anatomy and etiology.
- The latest grading system aids in standardizing POP assessment.
- POP significantly impacts women's health, affecting urinary, sexual, and bowel function.
- A range of treatment options exist, from conservative measures to surgical interventions, tailored to individual patient needs.
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