Factors affecting patient choice for continued observation versus intervention for pelvic organ prolapse

Evaluation and Management of Pelvic Organ Prolapse

“…The progression rate of POP is understudied, but studies typically report that prolapse may remain stable or gradually worsen. 16 As some patients are concerned about rapid progression of the prolapse, this is an important discussion point. In a study of 111 women choosing expectant management (all with prolapse at least to the hymenal remnant, stage 2), 66% remained on observation at 24 months, whereas 34% proceeded to pessary use or surgery.…”

“…In a study of 111 women choosing expectant management (all with prolapse at least to the hymenal remnant, stage 2), 66% remained on observation at 24 months, whereas 34% proceeded to pessary use or surgery. 16 Asymptomatic or mildly symptomatic POP can be safely observed. After a vaginal or cesarean delivery, some POP may be present on examination, but this commonly improves within the first year of delivery.…”