Pelvic Organ Prolapse


Learn More About Pelvic Organ Prolapse
and How This Condition Is Treated

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POP is usually caused by added pressure or trauma in the pelvic area.

The muscles and ligaments that provide support to the cervix, vagina, bladder, rectum, small bowel, urethra, and uterus (pelvic area) sometimes become weak. When this happens, the structures in this area may move down lower and create a prolapse, or bulge, in the vagina. The condition is referred to as pelvic organ prolapse (POP).

  • It’s most likely to occur following some type of trauma in the pelvic area or as a result of childbirth.
  • If persistent pressure or discomfort is experienced, there are several treatment options that may resolve the problem.

What Causes Pelvic Organ Prolapse?

Changes associated with menopause sometimes weaken soft tissues. Some women experience POP following surgery for other conditions affecting reproductive or urinary organs. For instance, POP sometimes develops after a woman has a hysterectomy to remove the uterus. Pelvic organ cancers, obesity, and respiratory ailments that lead to chronic coughing are other factors that sometimes contribute to POP.

How Can You Tell If You Have POP?

It’s possible to have pelvic organ prolapse without any noticeable symptoms. When symptoms are experienced, there may be a feeling of pressure in the pelvic area. Some women might notice discomfort during sex, while others may experience urinary incontinence (UI) or see a bulge that extends to the opening of the vagina. Additional symptoms associated with POP include:

  • Lower back pain
  • Sensations of something in the vagina or feeling like something is falling out
  • Vaginal bleeding or spotting

How Is It Diagnosed?

A pelvic exam is usually done to determine if POP has occurred. Additional testing may include a PAP smear, a urinary tract X-ray, and other image scans of the pelvis involving a CT scan, MRI, or ultrasound. Medical history and results from a physical examination are also considered when diagnosing pelvic organ prolapse.

Non-Surgical Treatment Options for POP

Treatment will depend on the extent of prolapse and the symptoms experienced. Some patients benefit from Kegel exercises and similar behavior treatments. In some situations, support for the bulging or dropped organs may be provided with a pessary, a device that’s inserted into the vagina.

When Is Surgery Recommended for Pelvic Organ Prolapse?

If pain is significant or symptoms are affecting quality of life, surgery for POP may be recommended. Surgical options include repairing the weakened tissue, closing the vaginal canal (colpocleisis), restoring the correct position of the vagina, and removing the uterus or other protruding organs. Many procedures performed today use minimally invasive techniques. Surgery will depend on what organs are primarily affected. Surgery may also be done to correct issues with urine leakage.

If it’s suspected that you could have experienced pelvic organ prolapse, your doctor may refer you to a urologist for further examination. The risk of developing POP can be minimized by reaching or staying within your normal weight range, avoiding habits like smoking that often contribute to the chronic coughing that can weaken pelvic muscles, managing constipation, doing pelvic strengthening exercises, and using proper lifting techniques to avoid direct pressure on the pelvis.

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