Bilateral hydronephrosis and megaureters due to grade III cystocele and grade IV total uterine prolapse


Pelvic organ prolapse (POP), with bulging of one or more of the pelvic organs into the vagina, is a type of pelvic floor disorder .

About one-third of all women are affected by prolapse or similar conditions over their lifetime. Pelvic organ prolapse can affect the front, top or back of the vagina:

  1. Anterior prolapse (cystocele): the bladder bulges into the front wall of the vagina
  2. Prolapse of the cervix or top of the vagina: the cervix or uterus drops.
  3. Posterior wall prolapse (rectocele or enterocele): part of  the bowel bulges forward into the back wall of the vagina.

It is possible to have more than one of these types of prolapse at the same time.