Pelvic Organ Prolapse
North South North West Statewide
All referrals should comply with referral standards and include in particular:
- History of condition – urinary or faecal incontinence or both
- Patient symptomatology – lump, something coming down, dragging
- Previous and current treatment including surgery
- Obstetric and gynaecological history – including parity
- Details of the incontinence – stress, urge, nocturia
- Vaginal examination findings – prolapse
- Pap smear
- MSU –m/c/s and cytology
- Pelvic ultrasound – if acute symptoms or associated symptoms of pain or bleeding
- Renal ultrasound – post void residual if associated voiding dysfunction
- Bladder/voiding diary*
To refer a patient with this condition, please see the Gynaecology clinic page for the full referral process and templates.
If prolapse is asymptomatic and patient is not bothered it does not need referral.
* Bladder diary is essential for referral
Referral to Community Continence Clinic may be appropriate.
Consider the use of vaginal oestradiol for six to eight weeks prior to referral.
Referral to Physiotherapy should be considered.
For more information please see the Tasmanian Health Pathways website.
Urgent / category 1
Severe prolapse with cervical ulceration or significant voiding dysfunction
Routine / category 3
Symptomatic/bothersome urinary/anal incontinence
- or bothersome urinary frequency, nocturia
- or bothersome voiding difficulty, bladder pain,
- recurrent UTIs; haematuria
Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.
Proceed to Emergency Department (ED).
LGH ED Reception – Phone: (03) 6777 6405 Fax: (03) 6777 5201
MCH ED* – Phone: (03) 6478 5120 Fax: (03) 6441 5923
NWRH ED* – Phone: (03) 6493 6351 Fax: (03) 6464 1926
RHH ED Reception – Phone: (03) 6166 6100 Fax: (03) 6173 0489
Advice for medical practitioners can be given by the Medical Officer In Charge (MOIC) - see HealthPathways Tasmania for contact information.
*MCH and NWRH MOICs request GPs call them prior to referring a patient to ensure the patient is being sent appropriately to a safe destination.
Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review and the referral must be faxed.
We will endeavour to see these patients within four weeks, or sooner if clinically indicated.
Will be seen in turn.