Skip to Main Content




  • Cystocele

  • Pelvic organ prolapse

  • Rectocele

  • Uterine prolapse




  • 618.01 Cystocele midline

  • 618.02 Cystocele lateral

  • 618.04 Rectocele

  • 618.1 Uterine prolapsed

  • 618.2 Uterovaginal prolapse incomplete

  • 618.3 Uterovaginal prolapse complete

  • 618.4 Uterovaginal prolapse unspecified

  • 867.6 Pelvic organ injury




  • N81.10 Cystocele unspecified

  • N81.11 Cystocele midline

  • N81.12 Cystocele lateral

  • N81.6 Rectocele

  • N81.2 Incomplete uterovaginal prolapse

  • N81.3 Complete uterovaginal prolapsed

  • N81.4 Uterovaginal prolapsed unspecified




  • 4C: Impaired Muscle Performance1



A 68-year-old female was cleaning her rental apartment after the renters had moved out. She was moving furniture and lifting boxes. Later that day, after urinating and while wiping, she felt something bulging into her vagina. When she stood up, she noticed a feeling of pressure in her vagina.




  • Abnormal descent or herniation of pelvic organ from normal attachment sites in the pelvis secondary to damage to connective tissue support structures and/or weakening or muscles of the pelvic floor

    • Bladder

    • Uterus

    • Rectum

  • May or may not be accompanied by

    • Feelings of pressure or pain

    • Urinary tract infection

    • Urinary incontinence

    • Bladder obstruction

    • Bowel dysfunction

    • Constipation

    • Fecal incontinence

FIGURE 276-1

Prolapse of the uterus. (Reproduced with permission from, DeCherney AH, Pernoll ML eds. Current Obstetrics & Gynecology Diagnosis & Treatment. 8th ed. Originally published by Appleton & Lange. Copyright ©1994 by The McGraw-Hill Companies, Inc.)

Graphic Jump Location
Essentials of Diagnosis

  • Physical examination with or without a speculum for palpation and visualization of the position of the pelvic organs relative to the anterior and posterior vaginal walls

General Considerations

  • May be asymptomatic.

  • If symptomatic, then symptoms are often nonspecific.

  • Symptoms of pressure in the vagina and rectum, self palpation of a mass in the vagina, or visualization of the prolapse may be the first indication to the patient of its presence.

  • Any complaints or changes in bowel and bladder function should be investigated by a physician.

  • Degree of prolapse does not correlate with severity of symptoms.


  • Does not occur in men.

  • Some degree of prolpase may be seen in 50% of women in a clinical setting.

    • In women with a uterus, the rate of uterine prolapse was 14.2%; the rate of cystocele was 34.3%; and the rate of rectocele was 18.6%.

    • For women who have undergone hysterectomy, the prevalence of cystocele was 32.9% and of rectocele was 18.3%.

  • African American women demonstrated the lowest risk for prolapse.

  • Hispanic women had the highest risk for uterine prolapse.

  • Parity and obesity were strongly associated with increased risk for uterine prolapse, cystocele, and rectocele.




Want remote access to your institution's subscription?

Sign in to your MyAccess profile while you are actively authenticated on this site via your institution (you will be able to verify this by looking at the top right corner of the screen - if you see your institution's name, you are authenticated). Once logged in to your MyAccess profile, you will be able to access your institution's subscription for 90 days from any location. You must be logged in while authenticated at least once every 90 days to maintain this remote access.


About MyAccess

If your institution subscribes to this resource, and you don't have a MyAccess profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus.

Subscription Options

AccessPhysiotherapy Full Site: One-Year Subscription

Connect to the full suite of AccessPhysiotherapy content and resources including interactive NPTE review, more than 500 videos, Anatomy & Physiology Revealed, 20+ leading textbooks, and more.

$595 USD
Buy Now

Pay Per View: Timed Access to all of AccessPhysiotherapy

24 Hour Subscription $34.95

Buy Now

48 Hour Subscription $54.95

Buy Now

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.