Pelvic organ prolapse
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At the time the article was created Yuranga Weerakkody had no recorded disclosures.View Yuranga Weerakkody's current disclosures
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Pelvic organ prolapse refers to a pathological downward herniation of various pelvic organ structures into or through the perineum. It usually results from a 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:
- vagina - vaginal prolapse
- uterus - uterine prolapse
- urinary bladder - urinary bladder prolapse leading to a cystocele
- small bowel - enterocele
- rectum - rectal prolapse
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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