ABSTRACT

Finally, questioning must not omit symptoms related to the bladder, bowel, and sexual function, even if these issues are not initially volunteered by the patient.

A clinical interview should always assess the bother of symptoms to the patient and conclude with a sensible management plan. This is the most critical part of the assessment and must be individualized to achieve the best outcome. Intervention may vary from simple reassurance to complex surgery but engaging the patient and offering realistic and achievable treatment expectations is the key to clinical success. It is insufficient to view the patient with POP as a simple anatomical abnormality which requires surgical correction.