Pelvic Organ Prolapse: ACOG Practice Bulletin, Number 214

doi:10.1097/aog.0000000000003519

Cited by 187Pelvic floor disorders treatmentsUterine Myomas and TreatmentsSexual function and dysfunction studies

Pelvic Organ Prolapse: ACOG Practice Bulletin, Number 214

·2019·Obstetrics & Gynecology

DOI 10.1097/aog.0000000000003519

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Abstract

Pelvic organ prolapse (POP) is a common, benign condition in women. For many women it can cause vaginal bulge and pressure, voiding dysfunction, defecatory dysfunction, and sexual dysfunction, which may adversely affect quality of life. Women in the United States have a 13% lifetime risk of undergoing surgery for POP (1). Although POP can occur in younger women, the peak incidence of POP symptoms is in women aged 70–79 years (2). Given the aging population in the United States, it is anticipated that by 2050 the number of women experiencing POP will increase by approximately 50% (3). The purpose of this joint document of the American College of Obstetricians and Gynecologists and the American Urogynecologic Society is to review information on the current understanding of POP in women and to outline guidelines for diagnosis and management that are consistent with the best available scientific evidence.

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There is insufficient evidence on the effect of lifestyle changes on pelvic organ prolapse progression.
“Although there are some national guidelines on the management of prolapse there is insufficient evidence on the effect of lifestyle changes on prolapse progression [59, 60, 61].”
From How Can We Improve the Assessment and Indifferent Outcomes From Pelvic Organ Prolapse Management From Conservative and Surgical Therapies? ICI‐RS 2025 (2026) · cites this paper as [61]
The absence of apical support doubles the risk of POP recurrence, and performing McCall-type culdoplasty or high uterosacral ligament suspension during any type of hysterectomy may reduce the risk of apical prolapse.
“According to Eilber et al. [ 25 ] the absence of apical support doubles the risk of POP recurrence and performing McCall-type culdoplasty or high uterosacral ligament suspension during any type of hysterectomy, may reduce the risk of apical prolapse [ 26 – 28 ].”
From Recurrent pelvic organ prolapse after hysterectomy; a 10-year national follow-up study (2024) · cites this paper as [28]

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Surgical Management of Symptomatic Apical Pelvic Organ Prolapse: A Systematic Review and Meta-analysis
Larouche, M., Belzile, E., & Geoffrion, R. (2021) · Obstetrics & Gynecology · doi:10.1097/aog.0000000000004393 · Cited by 54 · see citing works
The effect of pelvic floor muscle training for women with pelvic organ prolapse: A meta-analysis
Wang, T., Wen, Z., & Li, M. (2022) · International Urogynecology Journal · doi:10.1007/s00192-022-05139-z · Cited by 24 · see citing works
Recurrent pelvic organ prolapse after hysterectomy; a 10-year national follow-up study
Kuittinen, T., Mentula, M., Tulokas, S., Brummer, T., Jalkanen, J., Tomas, E., Mäkinen, J., Sjöberg, J., Härkki, P., & Rahkola-Soisalo, P. (2024) · Archives of Gynecology and Obstetrics · doi:10.1007/s00404-024-07615-x · Cited by 10 · see citing works
How Can We Improve the Assessment and Indifferent Outcomes From Pelvic Organ Prolapse Management From Conservative and Surgical Therapies? ICI‐RS 2025
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“Although there are some national guidelines on the management of prolapse there is insufficient evidence on the effect of lifestyle changes on prolapse progression [59–61].”

Assessing the Initial Pleasantness for Fading Affect, Fixed Affect, Flourishing Affect, and Flexible Affect Events
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Self-Regulation of Affect–Health Behavior Relations
Sheeran, P., Webb, T. L., Gollwitzer, P. M., et al. (2018) · Oxford University Press eBooks · doi:10.1093/oso/9780190499037.003.0005 · Cited by 8 · see citing works
Prevalence of pelvic floor dysfunction in women in Riyadh, Kingdom of Saudi Arabia: A cross-sectional study
Malaekah, H., Al Medbel, H. S., Al Mowallad, S., Al Asiri, Z., Albadrani, A., & Abdullah, H. (2022) · Women's Health · doi:10.1177/17455065211072252 · Cited by 30 · see citing works
Sexual Dysfunction and Quality of Life in Patients with Hidradenitis Suppurativa and Their Partners
Cuenca‐Barrales, C., Montero‐Vílchez, T., Krajewski, P. K., Szepietowski, J. C., Matusiak, Ł., Arias‐Santiago, S., & Molina‐Leyva, A. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20010389 · Cited by 27 · see citing works
Pelvic Floor Dysfunction in Women
Hastings, J., & Machek, M. (2020) · Current Physical Medicine and Rehabilitation Reports · doi:10.1007/s40141-020-00259-3 · Cited by 5 · see citing works

Venue: Obstetrics & Gynecology
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2019-11
Volume: 134
Issue: 5
Pages: e126-e142
ISSN: 0029-7844 (ISSN-L)
DOI: 10.1097/aog.0000000000003519
OpenAlex: W4237083674
Cited by: 187
References: 104
Citations by year: 2026: 31 · 2025: 32 · 2024: 25 · 2023: 37 · 2022: 33 · 2021: 23 · 2020: 6
FWCI: 11.72
Type: journal article
Language: en
Open access: closed
Locations: Obstetrics and Gynecology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
Health Sciences › Medicine › Obstetrics and Gynecology › Uterine Myomas and Treatments
Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
Keywords: pelvic organ prolapse, diagnosis, quality of life, voiding dysfunction, defecation disorders, sexual dysfunction, vaginal bulge, population aging
MeSH terms: Aged, Female, Humans, Middle Aged, Pessaries, Quality of Life, Severity of Illness Index, Sexual Dysfunction, Physiological, Gynecologic Surgical Procedures, Urinary Incontinence, Treatment Outcome, Risk Assessment, Pelvic Organ Prolapse, Gynecological Examination, Symptom Assessment

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Pelvic Organ Prolapse: ACOG Practice Bulletin, Number 214

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