Pelvic Organ Prolapse: Functional and anatomical assessment

Pelvic organ prolapse (POP) is a common presenting complaint in gynaecology. In the UK, prolapse accounts for 20% of women on the waiting list for major gynaecological surgery. It is therefore important that clinicians understand how accurately to assess women with prolapse. The aim of this review is to provide a comprehensive description of the assessment required. Anatomical assessment should be made using the standardized Pelvic Organ Prolapse quantification system (POP-Q). The use of POP-Q in women with POP is recommended by the NICE guideline because allows effective communication between clinicians, reproducible evaluation of surgical outcomes, meaningful comparison of published series and comparison of different populations. The main focus of the review is a detailed and practical explanation of the POP-Q.