Causes of Pelvic Organ Prolapse - Differential Diagnosis Algorithm Herniation of one or more pelvic organs Risk factors: genetics, multiparity, operative vaginal delivery, obesity, increasing age, estrogen deficiency, pelvic floor neurogenic damage (i.e. surgical), strenuous activity (i.e. weight bearing) Uterus - Sensation of object "falling out of vagina," possible lower back pain: • Uterine prolapse • Cervical prolapse Vaginal Apex - Pelvic pressure, urinary retention, stress incontinence: • Vaginal vault prolapse Bladder - Slow urinary stream, stress incontinence, bladder neck hypermobility: • Cystocele (anterior prolapse) • Cystourethrocele Bowel/Rectum - Defecatory symptoms: • Enterocele • Rectocele (posterior prolapse) #Pelvic #OrganProlapse #Differential #Diagnosis #Algorithm #Causes #Gynecology #OBGyn
