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User:Mr. Ibrahem/Pelvic organ prolapse

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Pelvic organ prolapse
Other namesGenital prolapse
Anatomy of the female pelvic showing commonly prolapsed organs
SpecialtyGynecology
SymptomsPressure in the vagina, bulging out the vagina, urinary incontinence[1]
Usual onsetOlder age[1]
TypesCystocele, rectocele, uterine prolapse, enterocele[1]
Diagnostic methodBased on smptoms and examination[1]
TreatmentHigh fiber diet, pelvic floor exercises, pessary, surgery[1]
Frequency108 million women (2.8% as of 2017)[2]

Pelvic organ prolapse (POP) is when one or more pelvic organs decent from their normal positions.[1] In women this generally occurs into the vagina.[1] Many women have no symptoms.[3] When symptoms occur these may include a feeling of pressure in the vagina, bulging coming out the vagina, or urinary incontinence.[1] It is a type of pelvic floor disorder.[1]

Risk factors include vaginal childbirth, obesity, chronic cough, constipation, menopause, and a family history of the condition.[1] The underlying mechanism involves weakness or damage to the pelvic floor.[1] Types include cystocele (bladder), rectocele (rectum), uterine prolapse (uterus), and enterocele (small bowel).[1] Diagnosis is based on symptoms and examination.[1]

Treatment may involve a high fiber diet, pelvic floor exercises, a removable device placed in the vagina known as a pessary, or surgery.[1] Surgery is generally only recommended if the prolapse is causing significant problems.[4] Pelvic organ prolapse affected about 108 million women in 2017 (2.8% of women).[2] Older women are more commonly affected, particularly those in their 70s.[1][3] Men are very rarely affected.[5]

References[edit]

  1. ^ a b c d e f g h i j k l m n o "Pelvic organ prolapse". womenshealth.gov. 3 May 2017. Archived from the original on 7 May 2019. Retrieved 27 October 2020.
  2. ^ a b GBD 2017 Disease and Injury Incidence and Prevalence, Collaborators. (10 November 2018). "Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017". Lancet (London, England). 392 (10159): 1789–1858. doi:10.1016/S0140-6736(18)32279-7. PMID 30496104. {{cite journal}}: |first1= has generic name (help)CS1 maint: numeric names: authors list (link)
  3. ^ a b American College of Obstetricians and Gynecologists' Committee on Practice Bulletins—Gynecology and American Urogynecologic, Society. (November 2019). "Pelvic Organ Prolapse: ACOG Practice Bulletin, Number 214". Obstetrics and gynecology. 134 (5): e126–e142. doi:10.1097/AOG.0000000000003519. PMID 31651832.
  4. ^ Health, Center for Devices and Radiological (16 April 2019). "Pelvic Organ Prolapse (POP)". FDA. Archived from the original on 27 October 2020. Retrieved 27 October 2020.
  5. ^ Laycock, J.; Haslam, J. (2013). Therapeutic Management of Incontinence and Pelvic Pain: Pelvic Organ Disorders. Springer Science & Business Media. p. 14. ISBN 978-1-4471-3715-3. Archived from the original on 2021-08-28. Retrieved 2020-10-27.
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