Find A Supplier
More Videos On This Subjectdiagnosis
Understanding Pelvic Health: Prolapse
What is Pelvic Organ Prolapse?
Pelvic Organ Prolapse (POP) is a condition where one or more of the organs in the pelvic region—such as the bladder, uterus, vagina, small bowel, or rectum—slip down from their normal position and press against the walls of the vagina. This often happens due to weakened or stretched pelvic floor muscles and ligaments. POP can significantly affect the quality of life and is most common among women who have experienced childbirth, menopause, or significant physical activities that strain the pelvic floor.Causes of Pelvic Organ Prolapse
Several factors can contribute to the development of pelvic organ prolapse. Some of the main causes include: - **Childbirth:** Vaginal delivery, particularly those with complications, can weaken the pelvic muscles. - **Ageing and Menopause:** Reduced levels of estrogen post-menopause can lead to weakened pelvic floor support. - **Heavy Lifting:** Consistently lifting heavy objects can place undue stress on the pelvic region. - **Chronic Conditions:** Persistent coughing or constipation can also add pressure on the pelvic organs.Symptoms of Pelvic Organ Prolapse
The symptoms of POP can vary depending on the severity and type of prolapse. Common symptoms include: - A feeling of heaviness or pressure in the pelvis. - A visible bulge in the vagina. - Difficulty starting to urinate, frequent urination, or urinary incontinence. - Discomfort during intercourse. - Lower back pain. - In more severe cases, organs can protrude out of the vaginal opening, necessitating urgent medical attention.Treatment Options
Treatment for pelvic organ prolapse depends on the severity of the condition and the symptoms presented: - **Lifestyle Changes:** Reducing heavy lifting, managing chronic coughs and constipation, and maintaining a healthy weight can alleviate symptoms. - **Pelvic Floor Exercises:** Kegel exercises can strengthen the pelvic muscles and provide support for the organs. - **Pessary Devices:** A pessary is a removable device inserted into the vagina to support areas affected by prolapse. - **Surgery:** In cases where conservative treatments are ineffective, surgical options may be considered to repair the prolapsed organs and provide long-term relief.Living with Pelvic Organ Prolapse
Living with pelvic organ prolapse can be challenging, but many women find relief with the right treatment plan. Regular check-ups with healthcare providers, practising pelvic floor exercises, and adopting a healthy lifestyle are crucial for managing symptoms and preventing the condition from worsening. Women in the United Kingdom experiencing symptoms of prolapse are encouraged to consult with their GP or a specialist to explore their options.Support and Resources in the UK
In the UK, several organisations provide support and resources for women dealing with pelvic organ prolapse. These include: - **NHS England:** The National Health Service offers comprehensive information and treatment options for prolapse. - **The Pelvic Floor Society:** A professional society focusing on pelvic floor disorders, offering guidance and professional support. - **Support Groups:** Online and in-person support groups can provide emotional support and shared experiences from other women with similar conditions. - **Physiotherapists:** Specialised pelvic health physiotherapists can help with tailored exercise programs. By staying informed and seeking the right care, women in the UK can successfully manage and improve their pelvic health when facing prolapse.Frequently Asked Questions
What is pelvic organ prolapse?
Pelvic organ prolapse occurs when one or more of the pelvic organs drop from their normal position and bulge into the vagina due to weakened pelvic floor muscles and tissues.
What are the symptoms of pelvic organ prolapse?
Common symptoms include a feeling of pressure or fullness in the pelvic area, a bulge in the vagina, urinary incontinence, bowel issues, and discomfort during sexual intercourse.
What causes pelvic organ prolapse?
Causes can include childbirth, ageing, obesity, chronic coughing, heavy lifting, and genetic predisposition. Anything that puts pressure on the pelvic floor can contribute to prolapse.
How is pelvic organ prolapse diagnosed?
A GP will typically perform a pelvic examination and may refer you to a specialist for further assessment. In some cases, imaging studies like MRI or ultrasound may be used.
Can pelvic organ prolapse be prevented?
While it may not always be preventable, maintaining a healthy weight, practising pelvic floor exercises (Kegels), avoiding heavy lifting, and managing conditions that cause chronic coughing can help reduce the risk.
What are the treatment options for pelvic organ prolapse?
Treatment can range from lifestyle changes and pelvic floor exercises to medical devices like pessaries and surgical options. The best treatment depends on the severity and type of prolapse.
What is a pessary?
A pessary is a medical device inserted into the vagina to support the pelvic organs and manage symptoms of prolapse. It is often used as a non-surgical treatment option.
What types of surgery are available for pelvic organ prolapse?
Surgical options include anterior or posterior repair, uterine suspension, or hysterectomy. The choice of surgery depends on the type and severity of the prolapse and patient preference.
Can pelvic organ prolapse recur after treatment?
Yes, recurrence is possible, especially if underlying risk factors are not addressed. Regular follow-up with healthcare providers and ongoing pelvic floor exercises can help minimise recurrence.
Are there non-surgical treatments for pelvic organ prolapse?
Yes, non-surgical treatments include lifestyle changes, pelvic floor exercises, use of vaginal pessaries, and physical therapy. These treatments aim to manage symptoms and improve pelvic floor strength.
Is pelvic organ prolapse common?
Yes, it is quite common, particularly among older women and those who have given birth. However, it can affect women of all ages.
Is it safe to exercise with pelvic organ prolapse?
Yes, but it's important to focus on exercises that strengthen the pelvic floor and avoid high-impact activities that put additional strain on the pelvic area. Consult your healthcare provider for tailored recommendations.
What are the complications of untreated pelvic organ prolapse?
Complications can include increased discomfort, urinary incontinence, bowel issues, and a negative impact on sexual function and quality of life. Severe cases may require more complex surgical intervention.
Can men experience pelvic organ prolapse?
Pelvic organ prolapse primarily affects women because of the structure of female pelvic anatomy. However, men can experience issues with pelvic floor weakness leading to other conditions, such as rectal prolapse.
How effective are pelvic floor exercises in treating pelvic organ prolapse?
Pelvic floor exercises can be very effective, especially for mild to moderate prolapse. They help strengthen the pelvic muscles, which can provide better support for pelvic organs and reduce symptoms.
Useful Links
Useful links from: Incontinence and Prolapse - Physiotherapy Advice
- NHS - Urinary Incontinence Official NHS page providing information on urinary incontinence, including symptoms, causes, diagnosis, treatment options, and advice on managing the condition.
- NHS - Pelvic Organ Prolapse Comprehensive NHS resource on pelvic organ prolapse. It covers types of prolapse, symptoms, causes, diagnosis, treatment options, and tips for prevention.
- Bladder & Bowel Community Charity site offering support, resources, and information for individuals with bladder and bowel conditions, including incontinence and prolapse. It includes patient stories, advice, and access to specialist services.
- Pelvic Obstetric and Gynaecological Physiotherapy (POGP) Professional network and charity providing resources, guidance, and support on pelvic health issues. The site includes information on physiotherapy for incontinence and prolapse, events, and the latest research.
Useful links from: Prolapse Management
- NHS - Pelvic Organ Prolapse Comprehensive information from the NHS on the causes, symptoms, diagnosis, and treatment of pelvic organ prolapse.
- NHS Inform - Pelvic Organ Prolapse Detailed overview from NHS Inform about pelvic organ prolapse including prevention, symptoms, and treatment options.
- Bladder and Bowel UK - Pelvic Organ Prolapse Resource from Bladder and Bowel UK providing insights on pelvic organ prolapse, its effects, and support available.
- Royal College of Obstetricians and Gynaecologists (RCOG) - Vaginal Pessary for Pelvic Organ Prolapse Patient information from RCOG about the use of vaginal pessary for managing pelvic organ prolapse.
Have you found an error, or do you have a link or some information you would like to share? Please let us know using the form below.
- Ergsy carfully checks the information in the videos we provide here.
- Videos shown by Youtube after a video has completed, have NOT been reviewed by ERGSY.
- To view, click the arrow in centre of video.
- Most of the videos you find here will have subtitles and/or closed captions available.
- You may need to turn these on, and choose your preferred language.
- Go to the video you'd like to watch.
- If closed captions (CC) are available, settings will be visible on the bottom right of the video player.
- To turn on Captions, click settings .
- To turn off Captions, click settings again.