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Introduction

Pelvic organ prolapse (POP) is a departure from normal sensation, structure, or function, experienced by the woman in reference to the position of her pelvic organs. Symptoms such as the feeling of a bulge, vaginal heaviness, or ‘something coming down', are gener­ally worse after long periods of standing or exercise and better when lying supine.

Other symptoms include bladder, bowel, and sexual dysfunction. Prolapse may be more prominent with a full bladder and/or rectum and at times of abdominal straining, for example, defecation. POP is not just a problem in older women and repre­sents a health economic challenge for the future due to the costs of surgery, the longer life expectancy, and an increasing demand for a better quality of life.

The incidence of POP after a hysterectomy is expected to show a downward trend with fewer hysterectomies being performed for menstrual dysfunction.

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Source: Arulkumaran S., Ledger W., Denny L., Doumouchtsis S. (eds.). Oxford Textbook of Obstetrics and Gynaecology. Oxford University Press,2020. — 928 p.. 2020
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