An International Urogynecological Association (IUGA) / International Continence Society (ICS) joint report on the terminology for female pelvic organ prolapse (POP)

Haylen, Bernard T.; Maher, Christopher F.; Barber, Matthew D.; Camargo, Sérgio; Dandolu, Vani; Digesu, Alex; Goldman, Howard B.; Huser, Martin; Milani, Alfredo L.; Moran, Paul A.; Schaer, Gabriel. N.; Withagen, Mariëlla I. J.

doi:10.1007/s00192-015-2932-1

Cited by 461Pelvic floor disorders treatmentsUrinary Bladder and Prostate ResearchUterine Myomas and Treatments

An International Urogynecological Association (IUGA) / International Continence Society (ICS) joint report on the terminology for female pelvic organ prolapse (POP)

Haylen, Bernard T., Maher, Christopher F., Barber, Matthew D., Camargo, Sérgio, Dandolu, Vani, Digesu, Alex, Goldman, Howard B., Huser, Martin +4 more·2016·International Urogynecology Journal

DOI 10.1007/s00192-015-2932-1

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Abstract

Introduction The terminology for female pelvic floor prolapse (POP) should be defined and organized in a clinically-based consensus Report.Methods This Report combines the input of members of two International Organizations, the International Urogynecological Association (IUGA) and the International Continence Society (ICS), assisted at intervals by external referees. Appropriate core clinical categories and a sub-classification were developed to give a coding to definitions. An extensive process of fourteen rounds of internal and external review was involved to exhaustively examine each definition, with decision-making by collective opinion (consensus).Results A Terminology Report for female POP, encompassing over 230 separate definitions, has been developed. It is clinically-based with the most common diagnoses defined. Clarity and user-friendliness have been key aims to make it interpretable by practitioners and trainees in all the different specialty groups involved in female pelvic floor dysfunction and POP. Female-specific imaging (ultrasound, radiology and MRI) and conservative and surgical managements are major additions and appropriate figures have been included to supplement and clarify the text. Emerging concepts and measurements, in use in the literature and offering further research potential, but requiring further validation, have been included as an appendix. Interval (5-10 year) review is anticipated to keep the document updated and as widely acceptable as possible.Conclusion A consensus-based Terminology Report for female POP has been produced to aid clinical practice and research.

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There was no difference between LSH and VH in the likelihood of awareness of a lump or bulge coming down in the vagina (RR 0.68, 95% CI 0.35 to 1.32, p = 0.24).
“Likewise, when analysing the likelihood of “awareness of a lump or bulge coming down in the vagina” (Q5 of the ICIQ-VS), a symptom determined by consensus to be an accepted marker of symptomatic prolapse, there was no difference between the two groups (RR 0.68, 95% CI 0.35 to 1.32, p = 0.24) [19].”
From Laparoscopic sacrohysteropexy versus vaginal hysterectomy and apical suspension: 7-year follow-up of a randomized controlled trial (2022) · cites this paper as [19]
POP-Q measurements were performed by an adequately trained independent doctor or nurse specialist, using IUGA/ICS standards in a 45 semiupright position.
“In this study, POP-Q measurements were performed by an adequately trained independent doctor or nurse specialist, using the standards described by the International Urogynecological Association/International Continence Society in a 45 semiupright position.29”
From Risk factors for pelvic organ prolapse recurrence after sacrospinous hysteropexy or vaginal hysterectomy with uterosacral ligament suspension (2022) · cites this paper as [29]

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Mudalige, T., Pathiraja, V., Delanerolle, G., Cavalini, H., Wu, S., Taylor, J., Kurmi, O., Elliot, K., Hinchliff, S., Atkinson, C., et al. (2025) · BJUI Compass · doi:10.1002/bco2.464 · Cited by 9 · see citing works
Recurrence Rate and Risk Factors for Apical Prolapse After Sacrospinous Ligament Fixation: A Prospective Cohort Study
Kayondo, M., Kajabwangu, R., Byamukama, O., Ainomugisha, B., Kato, K. P., Tibaijuka, L., Lugobe, H. M., & Geissbuehler, V. (2026) · Cureus · doi:10.7759/cureus.106420
“Weakness in the level-one support often leads to apical compartment prolapse [6].”

Authors: Haylen, B. T., Maher, C. F., Barber, M. D., Camargo, S., Dandolu, V., Digesu, A., Goldman, H. B., Huser, M., Milani, A. L., Moran, P. A., Schaer, G. N., & Withagen, M. I. J.
Affiliations: UNSW Sydney (AU)
The University of Queensland (AU)
Cleveland Clinic (US)
University of Nevada, Las Vegas (US)
Reinier de Graaf Hospital (NL)
Worcestershire Royal Hospital (GB)
Kantonsspital Aarau (CH)
University Medical Center Utrecht (NL)
Corresponding author: Haylen, Bernard T.
ORCID: Haylen, Bernard T.
Maher, Christopher F.
Dandolu, Vani
Goldman, Howard B.
Schaer, Gabriel. N.
Venue: International Urogynecology Journal
Publisher: Springer Science and Business Media LLC
Published: 2016-01-11
Volume: 27
Issue: 2
Pages: 165-194
ISSN: 0937-3462 (ISSN-L)
1433-3023
DOI: 10.1007/s00192-015-2932-1
OpenAlex: W2263485741
Cited by: 461
References: 57
Citations by year: 2026: 53 · 2025: 50 · 2024: 59 · 2023: 52 · 2022: 50 · 2021: 52 · 2020: 48 · 2019: 34 · 2018: 30 · 2017: 21 · 2016: 11
FWCI: 34.05
Type: journal article
Language: en
Update notices: correction (2016-03-16)
Open access: closed
Licence: www.springer.com/tdm (tdm)
Locations: International Urogynecology Journal (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
Keywords: female pelvic organ prolapse, terminology, pelvic floor dysfunction, diagnostic definitions, pelvic organ prolapse surgery, conservative treatment
MeSH terms: Female, Gynecology, Humans, Terminology as Topic, Severity of Illness Index, Societies, Medical, Urology, Consensus, Pelvic Organ Prolapse

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An International Urogynecological Association (IUGA) / International Continence Society (ICS) joint report on the terminology for female pelvic organ prolapse (POP)

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