Get the free Prolapse Questionnaire

Patient Name: FDI 20 Please answer all the questions in the following survey. These questions will ask you if you ...

How to fill out prolapse questionnaire

1. To fill out a prolapse questionnaire, start by carefully reading each question and understanding its purpose. This will help you provide accurate and relevant information.
2. Answer each question truthfully and to the best of your knowledge. It's important to be honest in your responses as this will help healthcare professionals accurately assess your condition and provide appropriate treatment recommendations.
3. If you are unsure about any question, don't hesitate to seek clarification from the healthcare provider or refer to any accompanying instructions. It's better to ask for guidance rather than guessing and potentially providing incorrect information.
4. Remember that a prolapse questionnaire is typically used to assess the severity of pelvic organ prolapse, a condition in which one or more pelvic organs (such as the bladder, uterus, or rectum) descend or bulge into the vaginal wall. Therefore, focus your answers on any symptoms, such as a sensation of heaviness or pressure in the pelvic area, difficulty emptying your bladder or bowels, or experiencing urinary incontinence.
5. Additionally, the questionnaire may inquire about any lifestyle factors that may contribute to or exacerbate prolapse, like heavy lifting, chronic constipation, or a history of chronic coughing. Be sure to disclose any relevant information that may assist in providing a comprehensive assessment.

Who needs a prolapse questionnaire?

1. Women who are experiencing symptoms that may be indicative of pelvic organ prolapse, such as a sensation of vaginal bulging, discomfort during sexual intercourse, or urinary or bowel difficulties, may be asked to fill out a prolapse questionnaire. This helps healthcare professionals determine the severity of the condition and recommend appropriate treatment options.
2. Additionally, women who have been diagnosed with pelvic organ prolapse and are undergoing treatment or follow-up assessments may also be asked to complete a prolapse questionnaire. Regular questionnaire assessments allow healthcare providers to track progress, evaluate the effectiveness of interventions, and make any necessary adjustments to the treatment plan.
3. Healthcare professionals specializing in urogynecology, urology, or gynecology often administer prolapse questionnaires. By gathering comprehensive information through these questionnaires, they can provide personalized care, including surgery, pelvic floor exercises, or lifestyle modifications, that address the specific needs of each patient.

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