Diagnosis at Mayo ClinicBy Mayo Clinic Staff
Diagnosis of pelvic organ prolapse begins with your history and a physical exam of your pelvic organs to help your health care provider determine the type of prolapse.
Beyond this office visit, some additional tests might be necessary in some situations. Ask your health care provider why each test is being done so that you can understand the different decisions you and your provider can make about your management options.
Tests for pelvic organ prolapse might include:
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- Bladder function tests. Some tests are as simple as finding out whether your bladder leaks when it is put back into place at the time of your physical exam. Other tests might measure how well your bladder empties. Seeing these results can help you and your doctor determine the most appropriate type of management for prolapse.
- Pelvic floor strength tests. Your doctor will test the strength of your pelvic floor and sphincter muscles at the time of your physical examination. This tests the strength of muscles and ligaments that support the vaginal walls, uterus, rectum, urethra and bladder.
- Magnetic resonance imaging (MRI). An MRI creates a detailed, 3-D image of your pelvis and is useful only in complex cases.
- Ultrasound. An ultrasound helps your doctor view your kidneys, bladder and the muscles around your anus and is useful only in complex cases.
- Ferri FF. Pelvic organ prolapse (uterine prolapse). In: Ferri's Clinical Advisor 2015: 5 Books in 1. Philadelphia, Pa.: Mosby Elsevier; 2015. https://www.clinicalkey.com. Accessed June 17, 2015.
- Rogers RD, et al. Pelvic organ prolapse in women: An overview of the epidemiology, risk factors, clinical manifestations, and management. http://www.uptodate.com/home. Accessed June 17, 2015.
- Golden AK. Decision Support System. Mayo Clinic, Rochester, Minn. Nov. 24, 2014.
- Pelvic organ prolapse. American Urogynecologic Society. http://www.voicesforpfd.org/p/cm/ld/fid=6. Accessed July 18, 2015.
- Anderson KM, et al. Urinary incontinence and pelvic organ prolapse. Medical Clinics of North America. 2015;99:405.
- Fashokun TB, et al. Pelvic organ prolapse in women: A diagnostic evaluation. http://www.uptodate.com/home. Accessed June 20, 2015.
- Walters MD, et al. Laparoscopic and robotic surgery for pelvic organ prolapse and stress urinary incontinence. In: Urogynecology and Reconstructive Pelvic Surgery. 4th ed. Philadelphia, Pa.; Saunders Elsevier. 2015. www.clinicalkey.com. Accessed June 21, 2015.
- Jelovsek JE. Pelvic organ prolapse in women: Choosing a primary surgical procedure. http://www.uptodate.com/home. Accessed June 21, 2015.
- Lightner DJ (expert opinion). Mayo Clinic, Rochester, Minn. June 22, 2015.
- Harvey Springer RR (expert opinion). Mayo Clinic, Rochester, Minn. July 13, 2015.