Editing Functional: Pelvic Organ Prolapse (section)

==== Physical examination ====
* '''<span style="color:#ff0000">External genitalia:</span>''' general appearance, estrogen status, lesions, and labial size, and adhesions.
** '''Attention to the overall tissue appearance and color is important.''' Hormonally deficient vaginal tissue has a pale, flat, dry appearance with no rugae, as opposed to the healthy, pink rugated tissue of well-estrogenized tissue
**'''<span style="color:#ff0000">Signs of estrogen deficiency (3):</span>'''
**#'''<span style="color:#ff0000">Urethral caruncle</span>'''
**#'''<span style="color:#ff0000">Urethral prolapse</span>'''
**#'''<span style="color:#ff0000">Labial adhesions</span>'''
* '''<span style="color:#ff0000">Assessment of pelvic organ prolapse ideally should be performed in both the lithotomy and standing position</span>'''
* '''Anal sphincter tone'''
**Reflection of the function at S2-4
**Particularly important in neurologic patients with pelvic floor dysfunction.