Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • vaginal protrusion/bulge
  • sensation of vaginal pressure

Other diagnostic factors

  • urinary incontinence
  • constipation
  • pelvic pain
  • urinary retention
  • disordered defecation
  • sexual dysfunction
  • lower back pain

Risk factors

  • vaginal delivery
  • older age
  • high BMI
  • previous surgery for prolapse
  • genetic factors
  • white ancestry
  • increased intra-abdominal pressure

Diagnostic investigations

1st investigations to order

  • assessment of postvoid residual urine (PVR) volume
  • urinalysis
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Lior Lowenstein

Associate Clinical Professor and Deputy Chairman

Department of Obstetrics and Gynecology

Rambam Health Care Campus

Rappaport Faculty of Medicine

Technion-Israel Institute of Technology

Haifa

Israel

Disclosures

LL declares that he has no competing interests.

Linda Brubaker

Professor

Dean of the Faculty of Medicine

Loyola University

Chicago

IL

Disclosures

LB has received an editorial honorarium from UpToDate.

Peer reviewers VIEW ALL

Assistant Professor

Department of Obstetrics, Gynecology, and Reproductive Sciences

Division of Urogynecology and Pelvic Reconstructive Surgery

University of Pittsburgh

Pittsburgh

PA

Disclosures

CG declares that she has no competing interests.

Locum Consultant Urogynaecologist and Obstetrician

Kings College Hospital

London

UK

Disclosures

SS declares that she has no competing interests.

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