Evaluation and Counseling of Patients With Pelvic Organ Prolapse

Publication Date: September 1, 2017

Last Updated: March 14, 2022

RECOMMENDATIONS

For patients presenting with POP

Determine the duration and severity of pelvic symptoms and associated bother.

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Ask specifically about urinary, bowel, sexual symptoms, and previous treatments.

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Obtain a medical and surgical history including previous pelvic surgery.

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Perform a physical examination including a POP-Q examination and assessment of pelvic floor muscle function.

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Quantify the extent of the prolapse using the POP-Q examination and confirm that the examination findings reflect the patient's experience.