What is a prolapse evaluation?
A prolapse evaluation is a diagnostic evaluation of pelvic organ prolapse (POP). POP is the prolapse, or movement, of one the pelvic organs into one or more sides of the vaginal wall. Pelvic organ prolapse can occur after a hysterectomy, childbirth or menopause.
What does the evaluation involve?
During the evaluation, you will need to sit in an upright position and you will be asked to strain so that any prolapsed tissues can become more apparent. A cystocele or rectocele is easily identifiable during a physical exam.
Your doctor will then evaluate for advanced vaginal prolapse using the following tests:
- Bladder function test: Urodynamics is a diagnostic procedure that tests the ability of the bladder to hold and dispose urine. The first part of this test is called uroflowmetry, and involves measuring the amount and force of the urine stream. The next part is called a cystometrogram. With this step, a catheter is inserted into the bladder, which is then filled with sterile water. The volumes at which you experience urgency and fullness are recorded. While the pressures of the urethra and bladder are measured, you will be asked to cough to force leakage with the prolapse pushed up and reduced. This is information can help surgeons narrow in on the type of surgery that is needed.
- Pelvic floor strength: Your doctor will test the strength of the pelvic floor and the sphincter muscles. The muscles and ligaments that support the vaginal walls, uterus, rectum, urethra, and bladder will also be tested for strength. This clinical information will help your doctor determine if you would benefit from exercises that restore strength to the muscles of the pelvic floor.
MRI, ultrasound and a cystoscope may also be used for further diagnostic purposes. A cystoscope, which is a small, tubelike instrument, is lubricated with an anesthetic gel and inserted into the urethra.
Schedule a free consultation in Torrance, California
Dr. Shelby Morrisroe can conduct a prolapse evaluation from our office in Torrance. Dr. Morrisroe is the only female urologist in the South Bay area. During your free consultation, she will properly diagnose your condition and will discuss the proper treatment option with you. To get started, schedule online or give us a call at (310) 542-0199.Schedule
*Individual results may vary; not a guarantee.