What are the Types of Pelvic Organ Prolapse

"Prolapse doesn't always mean it is only the own that is dropping down that certainly is one part of various problems that we see with Prolapse. So what all can come down uterus or the womb can come down that is called uteovaginal prolapse when that is coming down the weight of the uterus also drags the bladder down when that happens we call it as cystocele. Cysto means it's like cyst like thing that is bladder is like a fluid filled structure. So we call it as cyos is when bladder comes down what is rectos is rectum that is a motion passage when it comes along the back of the uterus then we call it as rectocele and sometimes the bowel that is higher up can also come down. We name it as entrocoele and where the tube where you pass urine it is not the bladder but the tube where you pass urine it is called urethra. When that also comes down we call it urethrocele. These are the names of various types of prolapse what if uterus is removed for some reason or the other then the top of the vagina can also come down in that case we name it as vault prolapse vault is the top of the vagina that is stitched at the time of uterus removal. So that can also drop down when there is no support. So these are various types of prolapse now let us look into stages of prolapse there are various grades and stages that were come long way over the years to try and differentiate between various degrees or stages of prolapse. So we can tighter our treatment and explain our women that what stage the prolapse is and how are we going to do the management of that particular prolapse so the recent and the most accurate means that we follow is a pop Q system. That is a pelvic organ prolapse it's a very quantification test. Very specific it is not varied so when we have to compare different doctors examining different women or the same women examined by different doctors we can quantify it very accurately when we follow this staging system. Usually staging is such that when uterus drops down but we cannot see outside then we call it as stage one when thump is felt at the entrance of the vagina but not completely outside. We call it as stage two . When some lump is coming down the vagina and you can can see and feel between your legs then it is stage three and when the total length of the uterus is outside drops down we call it as stage four . So this is a rough staging calculation that we use but POP Q is a very specific quantitative system that we practice. Most of the urogynecologist will practice this system that's a method of documentation before and after we can compare"