26 - Pelvic Organ Prolapse (POP) 2026

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Last updated 2:46 PM on 4/10/26
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11 Terms

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Pelvic organ prolapse (POP)

Failure of various anatomic structures to support the pelvic viscera

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vaginal heaviness, pressure and vaginal bulging

Classic symptoms of prolapse

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POP-Q 0

POP staging: No prolapse is demonstrated.

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POP-Q 1

POP staging: the most distal portion of the prolapse is more than 1 cm above the level of the hymen

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POP-Q 2

POP staging: Leading point 1 cm above or 1 cm below the hymen

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POP-Q 3

POP staging: Leading point >1 cm below the hymen but less than TVL (-2)

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POP-Q 4

POP staging: Leading point is more than TVL (-2). Complete eversion.

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Topical Vaginal Estrogen

Treatment that may improve vaginal atrophy and patient comfort if the prolapsed vaginal epithelium is dry, irritated, or ulcerated

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Pessaries

A silicone vaginal support device offered for POP patients.

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Ring pessary

Most used pessary shape

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Kegel exercises

Exercises that can decrease the risk of prolapse progression and can be effective at improving the sensation of pressure from mild POP