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Overview

Pelvic Organ Prolapse: Treatment, Procedure, Cost And Side Effects

What is Pelvic Organ Prolapse? What are the symptoms of pelvic organ prolapse? How do you treat pelvic organ prolapse? Can pelvic prolapse be reversed? How can I ease the pain of a prolapse? Can prolapse go away by itself? How do I know if I have a prolapsed uterus?

What is Pelvic Organ Prolapse?

Pelvic organ prolapse is a type of disorder that affects many women. It happens when pelvic organs become loose or weak. These pelvic organs are bladder, uterus, vagina, small bowel and rectum. Due to this condition pelvic organs may stop working properly and lead to disorders such as urinary incontinence, anal incontinence, etc. These organ prolapse caused by labor, constipation, obesity, childbirth, long term cough, etc.

What are the symptoms of pelvic organ prolapse?

There are few symptoms which may lead to pelvic organ prolapse are -

  1. Painful sex - it happens because of prolapse of the pelvic organ. In other words, we could also say it is a dislocation of pelvic organs. Due to which women feel pain during sex.
  2. Feeling of pressure in the pelvic region - patients with dislocating pelvic organ feel pressure in the abdominal region.
  3. Pain in lower back - it’s seen in many cases of prolapse where patients have these symptoms.
  4. Constipation - it is a common symptom for some who has pelvic organ prolapse.
  5. Spotting - it is a problem in which a woman bleeds between periods, this kind of bleeding come from uterine. It could appear at the time of ovulation or between periods.
  6. Vaginal bleeding - women having pelvic organ prolapse faces heavy vaginal bleeding.
  7. Vaginal burning - are seen in women's having prolapse or dislocation of a pelvis.
  8. Urinal leakage -due to pain or dislocation in the pelvic region, some patients got urinal incontinence.

Pelvic organ prolapse is diagnosed by MRI, ultrasound, CT scan, X-ray. etc.

How do you treat pelvic organ prolapse?

In easy words, we can say that pelvic organ prolapse is a dislocation of pelvic organs. It could be treated with or without surgery. Pelvic muscles could get weak due to many factors such as labor pain, pregnancy, aging, chronic coughing, excessive straining, childbirth, and obesity also one of the important factors. In a case you are looking for a way through which your pelvic floor problems get fixed, then you can try these non surgical ways to treat the pelvic organ prolapse condition. Which can help you treat the problems such as stress incontinence, fecal incontinence, urinary urge incontinence. These exercises could be done at the time of pregnancy also.

Nonsurgical treatments include -

  1. Kegel exercises - it helps the pelvic area to gain strength. To start it, you need to find the right muscle, to identify your pelvic muscles you can stop urination in the midstream. After identifying your pelvic muscles you can do exercises in any position. In it, you need to stop urination midstream for a few seconds and then continue it. It can help in the problem of urine leakage. It could be repeated at least three times a day.
  2. Pessary - this might be the first treatment, which could be suggested by the doctor. It is a device which looks like a ring, which is made out of silicone, a harmless, soft, and nonabsorbent material got inserted in the vagina. It comes in gehrung also, which is a U shaped pessary used for more advanced prolapse. Apart from that Gellhorn and cube pessary are also used for advanced stage prolapse. This pessary should be taken out and cleaned in every three months.
  3. Breathing techniques - it is a technique in which abdominal control is learned.

Surgical treatments include -

  1. Reconstructive surgery - its aim is to return organs on their actual position and this surgery helps to relocate the dislocate part. It is also used for breast reduction and reconstruction, hand & feet surgeries, facial surgeries, and microsurgery also.
  2. Obliterative surgery - its main aim is to provide support to the dislocated organs.

There are few risks of surgery as well such as pelvic pain. Infection, urinary incontinence, pain while having sexual intercourse.

Can pelvic prolapse be reversed?

Yes it could be reversed by several ways such as -

  1. Breathing techniques - it is technique in which abdominal control is learnt. With proper technique you can you can learnt how to contract pelvic muscles.
  2. Kegel exercises - it helps pelvic area to gain strength. It is a process in which holding urine is a process, imagine you have to pee but instead of peeing, hold it for five seconds. Relax and then do it again. Do this at least 10 times a day.
  3. Pessary - this might be the first treatment, which could be suggested by the doctor. It is a device which looks like a ring, which got inserted in vagina. This rings give support to the organs by holding and supporting them.

How can I ease the pain of a prolapse?

Patients who are suffering from pelvic prolapse can ease the pain by taking care of themselves in the home also by keeping few things in mind like - not to put pressure on pelvic muscles or we can say avoid activities that put pressure on the pelvic region.

Do exercises such as Kegel exercise and breathing technique, which helps to recover from the pain of prolapse. Maintaining a healthy weight, quit an unhealthy lifestyle, quit smoking as it can affect tissues. It can also reduce the likelihood feeling in you.

Can prolapse go away by itself?

Prolapse is a dislocation of organs, which cannot heal themselves. All you need is to consult a doctor, on basis of severity of your condition, he/she will advise you about the best possible treatments which can help you to heal the problem.

How do I know if I have a prolapsed uterus?

In case of Prolapsed uterus patient could have indications such as Painful sex, Feeling of pressure in the pelvic region, Pain in lower back, Constipation, Spotting, Vaginal bleeding, Vaginal burning, Urinal leakage.

It could be caused by following conditions like loss of tissue after menopause, childbirth or pregnancy, loss of estrogen, obesity, smoking, family history, excess weight lifting, etc.

Popular Questions & Answers

Hi Sir, My wife has problem of vaginal prolapse since the normal delivery of our first child. Will this problem effect the fertility, Is surgery necessary? Can surgery be done during the birth of second child?

MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Not during the birth but depending on type of proplapse, severity etc. may be decided to do after second delivery. Ask examining Gynecologist

My uterus comes down during the day time & has to be pushed back in position. Doctor has told that it is due to weak ligaments. Please tell if there is any treatment to strengthen the ligaments or if there is any other method to keep it in position. My age is 73 years.

BHMS,PGDPC At Motiwala Homoeopathic Medical College and Hospital Nashik, PGDPC
Homeopath, Nashik
Take Homeopathy medicine for best results 1) Sepia 200. 4 pills. 3 times a day for 15 days See the results and contact me for Follow up. Thanks.

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