What does grade 1 vs grade 4 prolapse mean?
Grade 1 prolapse is mild, with minimal descent of the affected organ into the vagina, often causing few or no symptoms. Grade 4 prolapse is the most severe, where the organ protrudes entirely outside the vaginal opening and usually requires more intensive treatment.
Detailed Medical Explanation
Prolapse is graded from 1 (mild) to 4 (severe) using clinical assessment. Grade 1 means the organ has only slightly dropped into the vagina. Grade 4, also called complete prolapse or procidentia, is when the entire organ is outside the vagina. Symptoms and treatment vary by grade, with early stages often managed conservatively, and more severe cases possibly needing surgery. (NHS: Prolapse grading)
Clinical Context
Most women present with grades 1 or 2. Accurate grading helps guide treatment and predict outcomes. Grade 4 usually affects quality of life and may cause difficulties with walking or hygiene.
Evidence-Based Approaches
NICE and RCOG guidelines recommend matching treatment to the prolapse grade and individual symptoms. Early intervention can prevent progression. (NICE NG123)