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pelvic prolapse


pelvic prolapse cystocele, rectocele, enterocele, uterine prolapse
risk factors 1. multiparity 2. instrumental delivery 3. raised intrabdominal pressure 4. hysterectomy 5. macrosomia 6. obesity 7. advanced age/postmenopausal
complications (emergency) ulceration, haemorrhage, infection
treatment options 1. conservative: pelvic floor exercise, supportive or space occupying pessary, lifestyle modifications 2. surgical: anterior or posterior colporrhaphy
staging of pelvic organ prolapse p1 stage 0 - No prolapse Stage I - descent halfway to hymen Stage 2 - descent to hymen
POP staging p2 Stage III - descent halfway past hymen Stage IV - Total or complete vaginal eversion/maximal descent
Created by: IonaDel