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 |
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