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Half of all parous women are estimated to lose pelvic floor support,
resulting in some degree of genital prolapse, and 10-20% of these
women seek medical care. In the United Kingdom genital prolapse
accounts for 20% of women on the waiting list for major gynaecological
surgery. In this week's clinical review Thankar and colleagues
(p 1258) review the management of genital prolapse in primary care,
including pelvic floor exercises and pessaries, and describe the
surgical options available.

(Credit: SPL)