What is pelvic organ prolapse?

Your pelvic organs are held in place by a system of muscles and ligaments. When those tissues weaken, they often can’t continue to support one or more pelvic organs. Those organs can begin to droop, moving into other areas of your pelvis and sometimes placing pressure on other organs and tissues. 

The organs affected by pelvic organ prolapse include:

• Vagina
• Cervix
• Uterus
• Bladder
• Urethra
• Rectum

The bladder is the most common pelvic organ affected by prolapse. 

What are some symptoms of pelvic organ prolapse?

Pelvic organ prolapse does not always create clear symptoms, so many women are unaware they have the condition until a problem arises. When symptoms are present, they might include:

• Pain during intercourse
• Urinary problems
• Constipation or loss of bowel control
• Pain in your lower back
• Sensation of pressure or fullness in your pelvic area
• Abnormal bleeding

It’s also possible to actually see or feel a prolapsed organ extending from your vaginal opening. Often, the condition is diagnosed during a routine pelvic exam. 

What are the treatment options for pelvic organ prolapse?

Some women can find relief from mild cases of prolapse through pelvic floor physical therapy. Your therapist may recommend exercises to strengthen the muscles around your urethra, vagina, and rectum. 

Wearing a removable device called a pessary can also be helpful. These devices support your pelvic organs, although they must be removed regularly for cleaning. 

Your provider may recommend surgery to repair your pelvic organ prolapse.  Most of the time, these surgeries are done through a vaginal approach, which means there are no incisions on your abdomen. A procedure called colporrhaphy can correct shifting of the bladder or the rectum into your vagina. 

If you’re concerned about pelvic organ prolapse, call the office to schedule a diagnostic exam. You can also request an appointment online.