Pelvic organ prolapse -05.06.2013
The document is a lecture note on Pelvic Organ Prolapse by Professor Lanka Dasanayake, a Professor of Obstetrics & Gynaecology at the University of Ruhuna, Sri Lanka. The note covers various aspects of pelvic organ prolapse, including its definition, pathophysiology, risk factors, types, symptoms, examination, management, complications, prevention, and treatment. It discusses the supported pelvic organs, risk factors such as age, vaginal delivery, and obesity, as well as the different types of prolapse in the anterior, middle, and posterior compartments. The document also outlines the classification of prolapse based on the positioning of the distant portion during Valsalva maneuver and describes the symptoms associated with pelvic organ prolapse. Additionally, it provides details on the examination methods, management options including watchful waiting, vaginal ring pessary, and surgery, as well as potential complications and preventive measures.