A template for the comprehensive evaluation of pelvic organ prolapse in a South African context

Abstract

Pelvic organ prolapse is a prevalent condition affecting approximately half the population of parous women. Since the thorough assessment of this entity may be an intimidating and somewhat daunting task to both registrar and specialist alike, we identified the need for a multi-disciplinary template in its evaluation. We compiled the first, locally compiled guide to be used by general practitioners, registrars in training and by any physician who is presented with pelvic organ prolapse in the clinical context. The above proposed template had been drafted and approved by physicians representing the background disciplines of Urology, Obstetrics and Gynaecology and General Surgery, with affiliations of four leading medical schools in South Africa being embraced. A standardised practical template was constructed using a compartmental approach. Tick-boxes and scales were inserted for follow-up visits and post operative assessments.This template would serve to improve the overall management of the multitude of South African women who are affected by this debilitating condition. We also envisage this template’s use as an educational tool and an invaluable aid in the field of pelvic floor disorders, which could be applied in any locality.