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Prolapse & incontinence

POP-Q staging and first-line treatment.

Source: ICS POP-Q · NICE NG123

POP-Q stage

0No prolapse
ILeading point >1 cm above hymen
IIWithin 1 cm of hymen
III>1 cm below hymen, not complete
IVComplete eversion

Incontinence

Stress / mixedSupervised pelvic floor training ≥3 months (8 contractions, 3× a day).
UrgencyBladder training ≥6 weeks; then anticholinergic or mirabegron; botulinum toxin.
A summary for trained clinicians. Always check the full guideline, the patient in front of you and your hospital's protocol. Spotted an error? Tell us.