Practical Application of Ultrasound in the Assessment of Pelvic Organ Prolapse

  • Vincent Tse
  • Lewis ChanEmail author


The transperineal (translabial) approach to pelvic floor ultrasound allows for an easy, non-invasive method of imaging the three compartments of the pelvic floor. Furthermore, there is little distortion of anatomy and patient discomfort because the transducer is placed externally. Slings and synthetic meshes are easily visible as echogenic structures on ultrasound and transperineal imaging allows for good functional imaging assessment especially in patients with complex pelvic organ prolapse. This chapter covers the application of 2D pelvic floor ultrasound in the assessment of pelvic organ prolapse in routine clinical practice.


Pelvic Organ Prolapse Mesh Repair Pubic Symphysis Pelvic Organ Prolapse Surgery Reconstructive Surgeon 
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Supplementary material

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  1. 1.
    Olsen AL, Smith VJ, Bergstrom JO, et al. Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol. 1997;89:501–6.CrossRefPubMedGoogle Scholar
  2. 2.
    Weemholf M, et al. Effect of age on levator function and morphometry of levator hiatus in women with pelvic floor disorders. Int Urogynecol J. 2010;21(9):1137–42.CrossRefGoogle Scholar
  3. 3.
    Constantinou C. Dynamics of female pelvic floor function using urodynamics, ultrasound and Magnetic Resonance Imaging (MRI). Eur J Obstet Gynecol Reprod Biol. 2009;144 Suppl 1:S159–65.CrossRefPubMedCentralPubMedGoogle Scholar
  4. 4.
    Huebner M, et al. Pelvic architectural distortions are due to pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19(6):863–7.CrossRefPubMedCentralPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  1. 1.Department of UrologyConcord Repatriation General HospitalSydneyAustralia

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