Pelvic organ prolapse

Last revised by Pir Abdul Ahad Aziz Qureshi on 15 Apr 2024

Pelvic organ prolapse refers to a pathological downward herniation of various pelvic organ structures into or through the perineum. It usually results from pelvic floor weakness by impairment of various ligaments, fasciae, and muscles that support the pelvic organs.

In its most severe form, it is termed procidentia 5.

The prolapse can include one or a combination of structures which comprise of: 

Dynamic pelvic floor MRI and evacuation proctography can be used to evaluate pelvic organ prolapse, with the former enabling measurements to be made that can then allow grading of prolapse.

History and etymology

The word "prolapse" literally means 'fall out of place'. 

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