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The "pelvic floor" is a group of muscles that form a kind of hammock across your pelvic opening. Normally, the muscles and the tissues surrounding them keep the pelvic organs (bladder, uterus, vagina, small bowl and rectum) in place.

Pelvic Organ Prolapse (POP) or (Prolapse) refers to a descending or drooping of the pelvic organs. These organs are said to prolapse if they descend into or outside of the vaginal, anal canal or anus. The most widely used terms include Cystocele: A prolapse of the bladder into the vagina, Urethrocele: A prolapse of the urethra, Uterine prolapse and vaginal vault prolapse. For accurate measurement of the prolapse the Pelvic Organ Prolapse Quantification (POP-Q) system is described and widely used by uro-gynaecologists.

Does this adequately describe the condition, and is it necessary to use the POP-Q by all pelvic organ specialists? Or can we just describe whether or not there is a significant cystocele or rectocele in patients with LUTS and incontinence? What is the best treatment for POP and who should do it?

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