Dawaa Reference

Clinical reference

Uterovaginal prolapse

Treatment options, dosing, cautions and Egyptian brands from the shipped Dawaa Reference card.

Evidence status

Checked against the sources named below

Sources3 sources

ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class GD66 - condition scope only, no dose · No dose - referral pathway, no medicine given in primary care · Uterine Prolapse - StatPearls - NCBI Bookshelf - https://www.ncbi.nlm.nih.gov/books/NBK564429/

Verified against1 document
  • No dose - referral pathway, no medicine given in primary care

Verified date2026-08

Presentation reference

Is it this?

Reference only, to read alongside your own examination.

Symptoms — what the patient reports (3)

  • Vaginal bulging is the key complaint, yet many women with visible prolapse have no symptoms at all [genital prolapse]
  • Stress or urge leakage, trouble voiding, or needing to splint to urinate can accompany prolapse [genital prolapse]
  • Straining, feeling unemptied, needing laxatives, or leaking stool point to posterior-compartment involvement

Signs — what you find (3)

  • Bulging is most obvious on exam when the patient bears down or coughs [genital prolapse]
  • Prolapse not seen lying down may only show up once the exam is repeated with the patient standing
  • Pelvic floor strength is recorded as absent, weak, normal, or strong to guide the treatment plan

Tests (3)

  • POP-Q or Baden-Walker staging grades descent 0 through 4 relative to the hymen while the patient bears down
  • Post-void residual, urodynamics, or a stress-cough test with the prolapse reduced check for hidden urinary dysfunction
  • Dynamic MRI or defecography can help in a complex, multi-compartment case, but exam remains the main diagnostic tool

If not this — what else fits (2)

  • A urethral diverticulum, Gartner duct cyst, or Bartholin cyst can look like prolapse by forming a vaginal mass
  • An enterocele or a prolapsed ureterocele can look like, or occur alongside, uterovaginal prolapse

SourceStatPearls "Pelvic Organ Prolapse" - disease-level clinical article

Presentation findings are traced to the source above.

1

NO DRUG THERAPY IN PRIMARY CARE (REFERRAL & ADVICE)

1st line
Adult dose and duration

Uterovaginal (pelvic organ) prolapse; the GP recognises it, advises pelvic floor exercises and management of constipation/chronic cough, and refers to gynaecology for pessary fitting or surgery. Topical vaginal oestrogen is a plausible adjunct for associated vaginal atrophy. - Refer, with advice

Paediatric dose

Children follow the same pathway: recognise and refer. No primary-care medicine is implied.

Dose source

No dose - referral pathway, no medicine given in primary care

Why

Uterovaginal (pelvic organ) prolapse; the GP recognises it, advises pelvic floor exercises and management of constipation/chronic cough, and refers to gynaecology for pessary fitting or surgery. Topical vaginal oestrogen is a plausible adjunct for associated vaginal atrophy.

Cautions
  • No medicine is prescribed for this in primary care - this entry is for recognition and referral. Anything given is decided by the service it is referred to.
  • RED FLAG - Inability to pass urine (acute retention), ulceration or incarceration of prolapsed tissue, or recurrent urinary tract infections.

Prices are indicative (dataset snapshot 2026-06); verify with the pharmacy.