Assessment of pelvic floor dysfunction. Terminology standardization

OBJECTIVES: To record the findings from pelvic floor examination in an understandable way that permits the indication of a proper treatment. METHODS: We review classic classifications, as well as genital prolapse stages and degrees. We also record the POPQ examination system which is the established standard nowadays. RESULTS: Based on different classifications we intend to set up a systematic examination starting at the anterior segment, following with central and posterior compartments without forgetting pelvic floor descent, anal sphincter and pelvic floor muscles evaluation. CONCLUSIONS: The evaluation of pelvic floor defects is complex, complicating the pathologic diagnosis in order to determine the proper treatment. The various attempts to standardise classifications find problems. Nevertheless, a detailed history, a systematic examination and multidisciplinary cooperation will be able to correct this dysfunction.