University of Oklahoma Health Sciences Center

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Author/s:

Lee, Patricia E., Mcleod, Laura

Date Added:

September 26, 2023

Journal/Publication:

CMAJ

Publisher:

CMA

Publication Date:

August 8, 2023

Issue:

Volume:

195

URL:

Pelvic organ prolapse

Type:

Meta-analyses, Reviews, and Guidelines

Format:

Article

DOI (1):

https://doi.org/10.1503/cmaj.230089

PMID (1):

37553149

Keywords

pelvic organ

female

postmenopause

MeSH

Pelvic Organ Prolapse* / surgery

RPR Commentary

A concise summary of the symptoms, consequences, and management of pelvic organ prolapse in women. James W. Mold, MD, MPH

Abstract

Prolapse is found in 41%–50% of adult females, with symptoms of pelvic pressure and vaginal bulge sensation reported by 3%–6% of adult females. Prolapse is diagnosed and staged with physical examination based on the maximum descent of vaginal tissue (anterior, posterior or apex) on Valsalva manoeuvre. Symptoms commonly begin when the bulge reaches within 0.5 cm of the vaginal opening. Imaging is not routinely needed. Risk factors include increasing age, parity, a history of vaginal delivery, obesity, constipation, postmenopausal status and connective tissue disorders.

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