Pelvic Organ Prolapse
Pelvic organ prolapse, commonly referred to as a “dropped” uterus, bladder, or rectum, occurs due to weakening of the pelvic floor muscles or defects in the fascia and ligaments in the area—often as a result of trauma, such as childbirth.
It can also develop due to constant increases in intra-abdominal pressure, as seen in cases of straining from chronic constipation, chronic coughing, or in people who frequently lift heavy objects—something common among caregivers who regularly lift or carry others.
Common symptoms of pelvic organ prolapse:
- A feeling of heaviness or pulling in the pelvis.
- A sensation that something is in the vagina or bulging out of it.
- Difficulty urinating, such as the need to strain.
- Constipation.
- Symptoms are usually less bothersome in the morning and worsen throughout the day.
In some cases, a mild prolapse may be detected during a medical evaluation, even without symptoms. In such cases, lifestyle changes are recommended, and the patient is taught to perform pelvic floor exercises.
How to prevent pelvic organ prolapse?
- Perform daily pelvic floor exercises under medical supervision to ensure correct technique.
- Treat and prevent constipation.
- Avoid lifting heavy objects.
- Control chronic coughing.
- Avoid excessive weight gain.
Available treatment options:
1. Surgical treatment:
This is the definitive treatment and includes various techniques aimed at vaginal reconstruction to restore the function and support of the affected organs.
2. Vaginal pessaries:
For patients who do not wish to undergo surgery or have medical contraindications, pessaries are an effective alternative.
- A vaginal pessary is a plastic or rubber ring inserted into the vagina to support weakened tissues.
- It must be removed regularly for proper cleaning.
How to prepare for your consultation:
- Make a list of your symptoms, noting when they began and how often you experience them.
- Include a list of all medications, vitamins, and supplements you take, along with their doses.
- Provide relevant information about your medical history, recent life changes, and sources of stress.
- Prepare questions to clarify any doubts with your doctor.
Pelvic organ prolapse has a solution, and our team is here to help improve your quality of life. Schedule your consultation and find the treatment that’s right for you.