Prolapse
Pelvic organs, the bladder the bowel and the uterus, all have supports to hold them in place in the pelvic space. The term “prolapse” used when one or some of these pelvic organs move more than they should into the vaginal space.
Excessive movement of pelvic organs can give symptoms of heaviness, fullness, dragging, pelvic or lower back pain, or the feeling of a lump or something between the legs. It is often described as a “bulge”. This bulge can come and go, or be there all the time. Sometimes you can see the bulge at the vaginal opening. We call this “pelvic organ prolapse” or POP.
Types of Prolapse
Anterior Wall Prolapse
Previously referred to as a "cystocele," this condition occurs when the wall supporting the bladder weakens and bulges into the vaginal space.
Apical Prolapse
Previously known as "uterine," "cervical," or "cuff prolapse," this condition occurs when the supports for the uterus (or cuff after a hysterectomy) are overstretched or torn, causing it to descend.
Posterior Wall Prolapse
Formerly known as "rectocele," this condition occurs when the wall that supports the rectum falls into the vaginal space.
“Rectal Prolapse” is localised to the rectum, where the inner mucosa can come out of the rectum itself, rather than falling in to the vaginal space. This is a type of anorectal disorder discussed in bowel dysfunction.
Treatment Options for Prolapse
There are many options when it comes to treating prolapse. The process of choosing what treatment may best suit you depends on the extent of the prolapse, the symptoms that are bothering you, the position of the prolapse and, most importantly, your personal preference.
Finding the right treatment often involves a process of trial and error, as you explore what works best for both your physical requirements and lifestyle.
Lifestyle changes
Changing how you exercise, or losing weight, can sometimes help with symptoms of prolapse. Lifestyle changes also target prevention.
Pelvic Floor Strengthening
Some prolapses respond well to a pelvic floor strengthening program. An assessment helps to determine the likelihood this may work for your prolapse.
Pessaries
Pessaries are a medical device, worn within the vagina. They come in many shapes and sizes. They can be managed by you, or the clinician.
Pelvic Support Shorts
There are some pelvic support garments out there that can be fitted and sourced for you.
Strengthening programs
Can help manage symptoms of prolapse and get you moving safely, and with confidence
Appropriate Referral
Sometimes a surgical opinion is warranted. I can help guide you to an appropriate specialist.
Pessary Fittings
I am trained and confident in the fitting and management of pessaries. You can read more about what a pessary fitting involves, what pessaries are, and how they are used in the management of prolapse here.
NO REFERRAL REQUIRED