women’s health

Pelvic Organ Prolapse

 

◗ Up to 50% of women who have had a baby experience vaginal prolapse throughout their lifetime.

Pelvic organ prolapse refers to loss of support for uterus, bladder, colon or rectum leading to prolapse of one or more of these organs into the vagina. The pelvic organs are supported by the pelvic floor muscles, ligaments and connective tissues.

Risk factors:

  • Obstetric history (Pregnancy and childbirth)

  • Chronic constipation/straining

  • Chronic respiratory conditions (excessive coughing)

  • High BMI

 

Symptoms:

  • Heaviness or dragging sensation within the vagina

  • Lump or a bulge

  • Incomplete emptying of the bladder or bowels

  • Incontinence

  • Increased frequency of urination

  • Urgency

  • Difficulty inserting tampons

  • Pain with sexual intercourse

  • Back pain or abdominal discomfort

Management:

  • Pelvic floor muscle training

  • Lifestyle modifications

  • Education around safe activities + exercise

  • Bowel & Bladder care

  • Topical Oestrogen

  • Vaginal support pessaries

An assessment with a Women’s Health Physiotherapist is the best place to start when it comes to the management of a prolapse. The function of the pelvic floor muscles is especially important as there is level 1 evidence to suggest that pelvic floor muscle training is effective in reducing pelvic floor symptoms.

We suggest a multifactorial conservative management approach as this is considered first line treatment for prolapse. A combination of strategies may be recommended for you to help manage your prolapse symptoms.