The aim of the study was to develop the optimized algorithm for the evaluation and preoperative preparation of the female patients with pelvic organ prolapse and to improve the assessment of symptoms severity and surgical outcomes.

Material and methods: 144 female patients with Grade III-IV pelvic organ prolapse (POP) were evaluated using anamnesis, vaginal investigation with the cough test, test with the temporary reposition and pad-test. Assessment of the severity of symptoms before the operation and thereafter was carried out using SEAPI-QMM questionnaire. All patients received the reconstructive operation with the implantation of synthetic mesh according to TVM method: in 55 (38.2%) women with isolated cystocele the anterior reconstruction was done, in 89 (61.9%) with prolapse of several zones the full reconstruction was carried out.

Results and conclusions: the most effective tests to reveal the hidden incontinence was temporary reposition and the pad-test. Together with the traditional visual assessment of genital organ anatomy SEAPI-QMM questionnaire was effective not only in the assessment of the severity of POP symptoms, but also in the evaluation of surgical outcomes.