LLR Policy for Uterovaginal Prolapse

Graphic with blue background with a white image of a megaphone.

Category

Threshold Criteria

Pelvic organ prolapse (POP) refers to abnormal descent/ herniation of one or more of the pelvic organs as a result of failure of ligamentous and fascial supports, resulting in the protrusion of the organ beyond its normal anatomical confines. Prolapse can occur in the anterior, middle/apical or posterior (rectocele) compartment of the pelvis.
POP development is multifactorial, with vaginal child birth, advancing age, and increasing body-mass index (BMI) the most consistent risk factors.

Diagnosis is usually clinical and based on history and pelvic (speculum) examination, to establish the compartments affected (classification of the prolapse) and defines the extent of the prolapse (grading of severity/degree).

Eligibility

LLR ICB will fund this treatment if the following criteria is met

·         Conservative Management  as per guidance has failed. Conservative management includes
supervised pelvic floor exercises and pessary device treatment.

AND

. Moderate or severe symptomatic prolapse (including those combined with urethral sphincter
incompetence or urinary/ faecal incontinence
Guidance
 
https://bsug.org.uk/pages/for-patients/bsug-patient-information-leaflets/154

Pelvic organ prolapse – NHS (www.nhs.uk)

Pelvic organ prolapse | RCOG
ARP 98. Review Date: 2026

Share This Post

Leave a Reply

Your email address will not be published. Required fields are marked *

More To Explore

image of newspaper
5 on Friday

Five for Friday: 13 February 2025

Five for Friday is our stakeholder bulletin, to keep you informed about your local NHS. In this issue: Read the 13 February edition here.

image of newspaper
5 on Friday

Five for Friday: 6 February 2025

Five for Friday is our stakeholder bulletin, to keep you informed about your local NHS. In this issue: Read the 6 February edition here.

image of newspaper
5 on Friday

Five for Friday: 30 January 2025

Five for Friday is our stakeholder bulletin, to keep you informed about your local NHS. In this issue: Read the 30 January edition here.

en_GBEnglish
Skip to content