This system, which uses
laparoscopy-based visual assessment of disease extent, is hampered
by complexity, the need for surgical assessment, and the lack of any
consistent relationship among visual staging of disease and symptoms,
appropriate treatment, and clinical outcome. Another system
that has met with mixed review is the pelvic organ prolapse
quanti!cation system of pelvic "oor defects, which seems to have
clinical relevance but also a level of complexity that makes it dif!cult
for most clinicians to use in practice [5].