POP is one of the common clinical conditions met in day to day gynecological practice especially among the parous women.

It is the descent of the vaginal wall and or the Uterus

Part 1

Vaginal prolapse

Vaginal prolapse happens when the muscles that support the organs in a woman’s pelvis weaken. This weakening allows the uterus, urethra, bladder, or rectum to droop down into the vagina.

There are a few different types of prolapse:

Anterior Wall Cystocele

➡️Cystocele

is formed by laxity and descent of the upper two-thirds of the anterior vaginal wall

➡️Urethrocele: When there is laxity of the lower-third of the anterior vaginal wall, the urethra herniate along with cystocele and is called cystourethrocele.

Posterior Wall

➡️Rectocele: There is laxity of the middle-third of the posterior vaginal wall and the adjacent rectovaginal septum.

➡️Relaxed perineum: Torn perineal body produces gasping introitus with bulges of the lower part of the posterior vaginal wall

Vault Prolapse

➡️Enterocele: Laxity of the upper-third of the posterior vaginal wall results in herniation of the pouch of Douglas. It may contain omentum or even loop of small bowel and hence, called enterocele.

➡️Secondary vault prolapse

Undetected enterocele during initial operation or inadequate primary repair usually results in secondary vault prolapse