Although numerous surgical techniques have been described for the treatment of POP, most gynecologists in Japan have traditionally performed conventional vaginal hysterectomy, anterior and posterior
colpoplasty, and circumferential suture of the levator ani muscles in women with POP, especially in those with uterine prolapse.
Clinical conditions and other antecedents: PHQ-4 (Patient Health Questionnaire: a 4-item measure of symptoms of depression) (9,10), urinary symptoms (frequency, urgency, nocturia, incontinence), intestinal symptoms (functional bowel disorders by Rome III criteria) (11): constipation, bloating, diarrhea, and blood in stool; comorbidities previously diagnosed such as inflammatory pelvic disease, migraine, low back pain, repetition urinary tract infection (three or more episodes in the last year), urinary calculi, leiomyomatosis, depression, diabetes mellitus, chronic hypertension, abdominal surgeries (number and incision type), perineal surgeries (such as
colpoplasty, hemorrhoidectomy), uterine surgeries (such as curettage, hysteroscopy).