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Introduction to urogenital prolapse

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Pelvic organ prolapse refers to loss of support for the uterus, bladder, colon or rectum, leading to prolapse of one or more of these organs into the vagina. Although not life-threatening, it has a significant impact on the quality of life, can affect perception of body image and can cause depressive symptoms. Pelvic organ prolapse is more than an anatomical defect; it is associated with significant functional disturbances including anorectal, urinary and sexual function. It is common, with up to 40% of women experiencing a degree of pelvic organ prolapse in their lifetime.

This eTutorial will help you to assess and manage patients presenting with pelvic organ prolapse and give you a sound understanding of anatomy, physiology, pathology and epidemiology as well as adequate awareness of symptoms, signs, investigations and treatment options.

Learning objectives

When you have completed this tutorial you will have a better understanding of:

  • the importance of pelvic organ prolapse as a common clinical presentation in day-to-day practice
  • how to assess a patient's risk factors for developing pelvic organ prolapse on the basis of epidemiological features
  • how to assess a patient's clinical features through complete history taking, accurate physical examination and judicial use of special investigations
  • how to counsel patients about their management, providing them with adequate information about the advantages and disadvantages of alternative options in relation to their individual features

Last updated:19/01/12 (tutorial was revised and updated by Sharif Ismail)

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