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Pelvic Organ Prolapse

Pelvic organ prolapse is a pelvic support problem.  Prolapse is the bulging or dropping of the uterus, rectum or bladder into the vagina. There are several different types of pelvic organ prolapse and it is common to have more than one type at the same time. Pelvic organ prolapse is common in women and  incidence increases after childbearing and as women age. While prolapse is not considered a life threatening condition, it may cause a great deal of discomfort and distress. The various types are:

  • Cystocele - when the bladder falls down into the vagina 
  • Uterine prolapse - when the womb drops down into the vagina 
  • Vaginal vault prolapse - when the vagina itself falls down 
  • Enterocele - when the small bowel pushes against the vagina causing a bulge 
  • Rectocele - when the rectum falls   

Symptoms   

  • Bulging or pressure from the vagina 
  • Heaviness, fullness, pressure, 
  • A sense that something is falling out 
  • Pelvic pressure 
  • Trouble emptying your bowel and bladder completely 
  • Urine leakage, frequency, chronic urinary tract infections, difficulty urinating 
  • Protrusion of the rectum out of the anus 
  • Difficult bowel movements or trapping of stool 
  • Lower backache 
  • Painful intercourse (dyspareunia) because of a bulge or protrusion   

Treatment

  • Physical therapy 
  • Mechanical support devices (pessary) 
  • Surgery