In 2011, Cristian Persu, Christopher Chapple, Victor Cauni, Stefan Gutue, and Petrisor Geavlete published “Pelvic Organ Prolapse Quantification System (POP-Q) – A New Era in Pelvic Prolapse Staging,” in the Journal of Medicine and Life. In their article, the authors explain the need for a reliable diagnostic method for describing the state of a pelvic organ prolapse, or a condition that can result from weakness or damage to the muscles that support the pelvic organs, sometimes leading to bladder, bowel, and sexual dysfunction. Persu and colleagues describe a previous diagnostic method, the Baden-Walker Halfway Scoring System, comparing it to the newer system, the Pelvic Organ Prolapse Quantification System, referred to also as POP-Q. By examining the benefits and drawbacks of each pelvic organ prolapse measurement and diagnostic system, the authors proposed a universal acceptance of the POP-Q system, based on its accuracy and reliability.
Arnold Henry Kegel worked and carried out research in the medical field of gynecology in the US during the twentieth century. Through his work, Kegel was one of the first to describe what researchers call Kegel exercises, which strengthen the pelvic floor muscles, or the muscles that extend from the pelvis to the tailbone and support the internal reproductive organs, bladder, and bowel. Kegel observed that weakened pelvic floor muscles could cause disorders like urinary incontinence, when a person loses partial or complete bladder control, and organ prolapse, which is when the pelvic floor cannot adequately support organs in the pelvic region, causing them to fall out of place. Kegel was also one of the first to find that females could strengthen their pelvic floors through exercises, which provided an alternative to invasive surgeries to repair those muscles. Kegel helped discern the role that the pelvic floor plays in reproductive health, and he developed simple methods to strengthen the pelvic floor that could, in turn, improve sexual and reproductive health in females and males of all ages.