Pelvic Organ Prolapse

13 important questions on Pelvic Organ Prolapse

What is the POP-Q staging for Stage 0 pelvic organ prolapse?

No prolapse

What is the result of a failure of the pelvic floor muscles and the uterosacral ligament?

Descent.

What makes uterine prolapse more likely?

The number of pregnancies a woman has had.
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What is indicated by Stage 3 in POP-Q staging?

MDP > 1 cm below hymen

What is the result of the failure of the vaginal wall?

Herniation.

What is the role of conservative therapy in pelvic organ prolapse treatment?

Involves pelvic floor strengthening exercises, commonly referred to as Kegel exercises, and the use of pessaries.

What are pessaries used for in pelvic organ prolapse treatment?

Devices inserted into the vagina to support the organs.

How is cystocele treated surgically?

With anterior wall colporrhaphy.

What surgical procedure is used to treat rectocele?

Posterior wall colporrhaphy.

What symptom is likely to indicate a rectocele?

Constipation relieved by digital decompression.

What is the suspension procedure used for in pelvic organ prolapse surgery?

Surgical attachment of the apex of the vagina to a bone, lifting the apex off the pelvic floor.

What does obliterative surgery involve in the treatment of pelvic organ prolapse?

Removing vaginal mucosa and suturing the remaining vagina, obliterating the lumen.

For whom is obliterative surgery reserved?

Very old patients with severe disease who do not desire future vaginal intercourse.

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