Main outcomes
incomplete bowel emptying, prolapse, (stage 2) anterior, vaginal vault prolapse
STRESS URINARY INCONTINENCE, PROLAPSE, RECURRENCE
In this post-hysterectomy cohort that did not seek medical attention, PFS are very common. In total, 47% of women post-hysterectomy reported at least one impacting complaint. Pelvic floor problems are not always related to the presence of POP; women with prolapse only report slightly higher rates of PFS compared to women without POP. Most frequently reported symptoms for women with POP differ according to the affected compartment. The three most common symptoms reported by women without POP are stress urinary incontinence, straining to pass stool and incomplete bowel emptying. A history of hysterectomy for prolapse correlates with more PFS in the long-term compared to women undergoing hysterectomy for other indications, regardless of the presence of anatomic recurrence. A vaginal vault prolapse occurs least commonly and is least symptomatic compared to other prolapse compartments. Only a POP beyond the hymen was related to feeling a bulge. Women with a mild (stage 2) anterior and/or posterior prolapse experienced other kinds of pelvic floor symptoms.