Pelvic organ prolapse (POP) is common in the US. An epidemiological evaluation of a large healthcare population suggests that American women have an 11.1% risk of POP and urinary incontinence surgery by the age of 80, with nearly 30% undergoing more than one procedure.[1]Brubaker L Bump R, Jacquetin B, et al. Pelvic organ prolapse. In: Abrams P, Cardozo L, Khoury S, et al, eds. Incontinence: 2nd international consultation on incontinence. Plymouth, UK: Health Publication Ltd; 2002:243-65.
https://www.icsoffice.org/ASPNET_Membership/Membership/Publications/ICI_2/chapters/Chap05.pdf
In the Women's Health Initiative, 41% of women aged 50 to 79 years had POP, including cystocele (34%), rectocele (19%), and uterine prolapse (14%).[2]Hendrix SL, Clark A, Nygaard I, et al. Pelvic organ prolapse in the Women's Health Initiative: gravity and gravidity. Am J Obstet Gynecol. 2002 Jun;186(6):1160-6.
http://www.ncbi.nlm.nih.gov/pubmed/12066091?tool=bestpractice.com
In another cross sectional study, 2.9% of women reported POP.[3]Nygaard I, Barber MD, Burgio KL, et al. Prevalence of symptomatic pelvic floor disorders in US women. JAMA. 2008 Sep 17;300(11):1311-6.
https://pmc.ncbi.nlm.nih.gov/articles/PMC2918416
http://www.ncbi.nlm.nih.gov/pubmed/18799443?tool=bestpractice.com
The incidence of cases in which the prolapse reaches the hymen varies from 2% to 48%, and the incidence of cases in which it reaches beyond the hymen varies from 2% to 4%.[1]Brubaker L Bump R, Jacquetin B, et al. Pelvic organ prolapse. In: Abrams P, Cardozo L, Khoury S, et al, eds. Incontinence: 2nd international consultation on incontinence. Plymouth, UK: Health Publication Ltd; 2002:243-65.
https://www.icsoffice.org/ASPNET_Membership/Membership/Publications/ICI_2/chapters/Chap05.pdf
Over the next 30 years, it is projected that the number of women wiith pelvic floor disorders will increase substantially, because of the changing population demographics in the US.[4]Wu JM, Hundley AF, Fulton RG, et al. Forecasting the prevalence of pelvic floor disorders in U.S. women: 2010 to 2050. Obstet Gynecol. 2009 Dec;114(6):1278-83.
http://www.ncbi.nlm.nih.gov/pubmed/19935030?tool=bestpractice.com
In the UK, the Oxford Family Planning Association Study of 17,032 women between the ages of 25 and 39 years revealed that the incidence of patients admitted to hospital with prolapse was 2.04 per 1000 person-years of risk.[5]Mant J, Painter R, Vessey M. Epidemiology of genital prolapse: observations from the Oxford Family Planning Association Study. Br J Obstet Gynaecol. 1997 May;104(5):579-85.
http://www.ncbi.nlm.nih.gov/pubmed/9166201?tool=bestpractice.com
Only 10% to 20% of women will seek help for their problem.[6]Thakar R, Stanton S. Management of genital prolapse. BMJ. 2002 May 25;324(7348):1258-62.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1123216
http://www.ncbi.nlm.nih.gov/pubmed/12028982?tool=bestpractice.com