Female genital prolapse

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Female Genital prolapse / Pelvic organ prolapse
Classification and external resources
ICD-10N81
ICD-9618
DiseasesDB25265
MeSHD014596
 
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Female Genital prolapse / Pelvic organ prolapse
Classification and external resources
ICD-10N81
ICD-9618
DiseasesDB25265
MeSHD014596

Female genital prolapse (or vaginal prolapse or pelvic organ prolapse) is characterized by a portion of the vaginal canal protruding (prolapsing) from the opening of the vagina. The condition usually occurs when the pelvic floor collapses as a result of childbirth or heavy lifting which can tear soft tissues, i.e. herniating fascia membranes so that the vaginal wall collapses, resulting in cystocele, rectocele or both. Common remediation to avoid further collapse may include the use of transvaginal mesh.

Types[edit]

Grading[edit]

POP-Q Points

They are graded either via the Baden-Walker System or Shaw's System or the Pelvic Organ Prolapse Quantification (POP-Q) System.[1]

Shaw's System[edit]

   *Upper 2/3 cystocele   *Lower 1/3 urethrocele 
   *Upper 1/3 enterocele   *Middle 1/3 rectocele   *Lower 1/3 deficient perenium 
   *Grade 0 Normal position   *Grade 1 decent into vagina not reaching introitus   *Grade 2 decent up to the introitus   *Grade 3 decent outside the introitus   *Grade 4 Procidentia 

Baden-Walker[edit]

Baden-Walker System for the Evaluation of Pelvic Organ Prolapse on Physical Examination
Gradeposterior urethral descent, lowest part other sites
0normal position for each respective site
1descent halfway to the hymen
2descent to the hymen
3descent halfway past the hymen
4maximum possible descent for each site

POP-Q[edit]

Pelvic Organ Prolapse Quantification System (POP-Q)
Stagedescription
0No prolapse anterior and posterior points are all -3 cm, and C or D is between -TVL and -(TVL-2) cm.
1The criteria for stage 0 are not met, and the most distal prolapse is more than 1 cm above the level of the hymen (less than -1 cm).
2The most distal prolapse if between 1 cm above and 1 cm below the hymen (at least one point is -1, 0, or +1).
3The most distal prolapse is more than 1 cm below the hymen but no further than 2 cm less than TVL.
4Represents complete procidentia or vault eversion; the most distal prolapse protrudes to at least (TVL-2) cm.

Management[edit]

Vaginal prolapses are treated according to the severity of symptoms. They can be treated:

Epidemiology[edit]

Genital prolapse occurs in about 316 million women worldwide as of 2010 (9.3% of all females).[3]

See also[edit]

References[edit]

  1. ^ "ACOG Practice Bulletin No. 85: Pelvic organ prolapse". Obstet Gynecol 110 (3): 717–29. September 2007. doi:10.1097/01.AOG.0000263925.97887.72. PMID 17766624. 
  2. ^ Maher C, Feiner B, Baessler K, Adams EJ, Hagen S, Glazener CM (2010). "Surgical management of pelvic organ prolapse in women". Cochrane Database Syst Rev (4): CD004014. doi:10.1002/14651858.CD004014.pub4. PMID 20393938. 
  3. ^ Vos, T (Dec 15, 2012). "Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010.". Lancet 380 (9859): 2163–96. doi:10.1016/S0140-6736(12)61729-2. PMID 23245607. 

External links[edit]