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Stages of Pelvic Organ Prolapse (POP)

From the Pelvic Floor Articles List

Stages of Pelvic Organ ProlapseI have been diagnosed with pelvic organ prolapse. I know people live with prolapse, so what does the staging mean when it comes to deciding if I need surgery? The staging is confusing to me.


Pelvic organ prolapse (POP) occurs when your pelvic organs fall from their normal place. A weak pelvic floor can cause your vagina, cervix, uterus, bladder, urethra, rectum, or intestines to drop, causing uncomfortable symptoms that impact your health and quality of life..

Whether or not you need surgery to correct your prolapse depends on which organs have prolapsed and the symptoms they cause you. Not all women will have the same symptoms for the same stage of prolapse. How you feel will help you decide if you should have surgery or try an alternative such as a pessary.

The extent of pelvic organ prolapse determines the stage which ranges from 0 to IV.

Stage 0

If your pelvic organs are in their normal position and are being supported as they should be with no prolapse, then you don't have pelvic organ prolapse.

Stage 1

If your pelvic organs are well supported but have started showing a slight drop, you have Stage I pelvic organ prolapse.

Stage 2

At this stage of prolapse, the organs are less supported and beginning to drop, but they have not descended outside of the vagina.

Stage 3

At this stage, the pelvic organs have reached the opening of the vagina and have begun to protrude outside of the body.

Stage 4

You have reached the last stage of prolapse when the pelvic organs have descended completely outside the vagina.


Your doctor can determine your stage of prolapse during a pelvic exam. You can then discuss possible treatment options depending on the stage and severity of your prolapse symptoms. Before making any final decisions, especially to have surgery, a second opinion with a uro-gynecologist can be very beneficial.

This content was written by staff of HysterSisters.com by non-medical professionals based on discussions, resources and input from other patients for the purpose of patient-to-patient support.

08-26-2016 - 01:21 PM


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