u/IntroductionThen1965

urious to hear how people are handling POP assessment in real-world practice.

In theory, POP-Q is the standard—but in busy clinic flow, I’ve seen a wide range:

• Full POP-Q vs abbreviated exam
• Variability in reproducibility between providers
• Time constraints during high-volume sessions

For those doing pelvic exams regularly:

1. What % of patients get a full POP-Q vs a simplified assessment?
2. What are the biggest pain points (time, consistency, patient discomfort, documentation)?
3. Do you feel current methods are “good enough,” or is there meaningful room for improvement?

I’m exploring ways to standardize and digitize this process (non-commercial, early-stage concept).
If you’re open to sharing more structured feedback, I can send a short anonymous survey.

For those performing TLH (laparoscopic or robotic), I’m interested in real-world experience with the colpotomy step.

Specifically:

• How reliable do you find current cup systems (e.g., KOH/RUMI)?
• Any recurring issues with visualization, tissue tension, or thermal spread?
• Have you encountered near-miss ureteral concerns related to energy use?

I’ve heard mixed opinions—some say it’s straightforward, others say it’s one of the more variable steps depending on anatomy and setup.

If you could change one thing about current tools/approach, what would it be?

Working on a concept to improve precision and consistency (early-stage, not promotional).
Happy to share a short anonymous survey if anyone is interested.