TranslatePelvic Organ Prolapse
Outpatients | Gynaecology
This condition is treated in the Gynaecology clinic.
Clinic appointments
Red location flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.
Urgent (Category 1)
- Severe prolapse with cervical ulceration or significant voiding dysfunction
Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review.
We will endeavour to see these patients within four weeks, or sooner if clinically indicated.
Routine (Category 3)
Symptomatic/bothersome urinary/anal incontinence
- or bothersome urinary frequency, nocturia
- or bothersome voiding difficulty, bladder pain,
- recurrent UTIs; haematuria
Will be seen in turn.
Information to be included in the referral
History
All referrals should comply with referral standards and include in particular:
- History of condition - urinary or faecal incontinence or both
- Patient symptomatology - lump, something coming down, dragging
- Previous and current treatment including surgery
- Obstetric and gynaecological history - including parity
- Details of the incontinence - stress, urge, nocturia
- Vaginal examination findings - prolapse
Tests
- Pap smear
- MSU “m/c/s and cytology
- Pelvic ultrasound - if acute symptoms or associated symptoms of pain or bleeding
- Renal ultrasound - post void residual if associated voiding dysfunction
- Bladder/voiding diary*
Interim/GP management
To refer a patient with this condition, please see the Gynaecology clinic page for the full referral process and templates.
If prolapse is asymptomatic and patient is not bothered it does not need referral.
* Bladder diary is essential for referral
Referral to Community Continence Clinic may be appropriate.
Consider the use of vaginal oestradiol for six to eight weeks prior to referral.
Referral to Physiotherapy should be considered.
For more information please see the HealthPathways Tasmania website.
