Clinical management of urogenital prolapse: new approaches

Uterovaginal prolapse is a distressing and common condition. This article describes prolapse in terms of defects of anatomical support to each third of the vagina. The importance of assessment of associated functional effects of pelvic floor disorders is recognized. Surgery should be directed to relief of symptoms. The principles of surgical correction are discussed. Although an anatomical approach has been advocated it remains of unproven efficacy.