- Female pelvic organ prolapse (feeling of a “lump coming down” or pressure “down below”)
- Urinary incontinence
- Obstructed defecation
Primary Care Assessment
- Examine the patient in supine position to exclude pelvic masses, then consider assessing the prolapse using a Simms speculum in left lateral position, if available. Consider pelvic USS if pelvic mass found
- Establish the grade of prolapse (mild = above, moderate = at, severe = below introitus)
- If obstructed defecation, exclude rectal mass.