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Worldwide Prevalence of Pelvic Organ Prolapse: A Systematic Review and Meta-Analysis. Iran. J. Public Health 2024, 53, 524\u2013538. [Google Scholar] [CrossRef] [PubMed].","DOI":"10.18502\/ijph.v53i3.15134"},{"issue":"4","key":"10.1016\/j.ejrad.2026.112706_b0380","doi-asserted-by":"crossref","first-page":"1373","DOI":"10.1007\/s00261-019-02313-8","article-title":"Comparison of magnetic resonance defecography grading with POP-Q staging and Baden-Walker grading in the evaluation of female pelvic organ prolapse","volume":"46","author":"Pollock","year":"2021","journal-title":"Abdom. Radiol. (NY)"},{"issue":"4","key":"10.1016\/j.ejrad.2026.112706_b0385","doi-asserted-by":"crossref","first-page":"631","DOI":"10.1002\/uog.23109","article-title":"Women with advanced pelvic organ prolapse and levator ani muscle avulsion would significantly benefit from mesh repair surgery","volume":"57","author":"Wong","year":"2021","journal-title":"Ultrasound Obstet. 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