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. Recently I done my fistula surgery i.e ksharasutra. Wound got completely healed. After one month my anus becomes itchy, sticking and burning sensation. I felt like my anus hole becomes small. After one week these symptoms gone. Later I am getting some blood in my stool i.e from where I had fistula surgery. Later I went to doctor in my location he just checked without any test and told me there is an small fissure and one pile is there. I asked doctor who did fistula surgery to me about the issue. He told be it may be due to ibs. He told me took rifagut 550 mg and cap providac tablets and use them two weeks. Will see later he told. Before using tablets I didn't feel any bloating sensation, stomach pain, diarrhea, irregular bowel moments, constipation. After using tablets on third day I feel like stomach bloating and stomach pain i.e may be due to gas. But I am getting motions normally. From two days onwards I am not getting blood in stool and fissure is not paining much while popping. This bloating and stomach pain is due to side-effects of rifagut and providac tablets. Or is it due to ibs? What I have to do now.

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Hi lybrate-user, I will suggest you that please don't do anything very specific or aggressive at this moment. U just had a surgery, give your body some time to recover. Everything will settle down. Only thing you need is a good sits bath regularly...
1 person found this helpful

Sir, I have anal fistula problem since last 2 months. No bleeding, no pain, slightly burning sensation, have taken ciprofloxacin+ ornidazole 8 tablets afterwards taken doxycycline 8 tablets ,no use please suggest to overcome this.

MS - General Surgery, Fellowship in Minimal Access Surgery(FMAS), Diploma in Advanced Laparoscopic surgery, Training in Laparoscopy, Advanced training in laparoscopic hernia surgery, Fellowship in advanced proctology
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Hello. Antibiotics and local hygiene will give you temporary benefit if you have a fistula, as it's a chronic relapsing condition. Get yourself examined by a proctologist or a surgeon. He may advise an mri fistulogram. And if you have a diagnosed ...

I am 60 retired man. Earlier suffered fistula problem. Got thread surgery from leading govt. Hospital and fully cured but constipation problem is there. To correct that regularly taking aayurvedic laxatives. Since a months, noticed 4-5 small pimples outside around anal area with no irritation, pain so far. There is fear that again that fistula/fissure problem may not reoccur. Use to apply anovate tube in and outside to avoid any reassurance. Please help me by telling treatment. I shall be grateful.

MS, MBBS Bachelor of Medicine and Bachelor of Surgery
General Surgeon, Howrah
As you are describing the problem is due to constipation:- drink plenty of fluids, have high fibre diet, use laxative; plus do sitz bath with lukewarm water 3-4 times daily and change the cream from anovate to anobliss ointment. Apply anobliss oin...
1 person found this helpful

Hi, my aunt has anal fissure with sentinel tag in 12o'clock position. When checked by gynaecologist she said no need of surgery for fissure & sentinel tag can be left without removing as it's not causing any pain during bowel movement. But my aunt is afraid whether sentinel tag with fissure leads to anal cancer or fistula like complications? Doctors tell me whether fissure leads to such serious condition like cancer?

M.S. (Ayurveda), Bachelor of Ayurveda, Medicine and Surgery (BAMS)
General Surgeon, Delhi
If sentinel tag is not causing any problem; you can left it. No need for any surgery. Sentinel tag does not cause cancer; be assured. Complications like abscess or anal fistula develops only when there is an associated infection. For further suppo...

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