When is prolapse considered severe?
Prolapse is considered severe when the vaginal bulge protrudes outside the vaginal opening or significantly interferes with urination, bowel function, sexual activity, or daily comfort.
Detailed Medical Explanation
Grade 3 or 4 prolapse is classified as severe: the prolapsed organ reaches or goes beyond the vaginal opening. This can cause discomfort, problems with bladder or bowel emptying, sexual difficulties, or infection. NHS guidelines recommend specialist review for severe prolapse. (NHS: Prolapse symptoms)
Clinical Context
Women with severe prolapse should be assessed by a pelvic health specialist to discuss treatment and symptom relief options.
Evidence-Based Approaches
International guidelines use clinical grading (such as POP-Q) to classify prolapse severity and guide treatment.