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Prolapse Treatment

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How to know if you have Pelvic Organ Prolapse.

We can help you identify what type of prolapse you have and the best treatment approach.

A Pelvic Organ Prolapse occurs when the structures holding the pelvic organs in place (fascia, ligaments and pelvic floor muscles) are torn, overstretched or weakened, allowing the pelvic organ(s) to descend into the vagina.

The symptoms of Pelvic Organ Prolapse include:

  • Heaviness or dragging into the vagina
  • A lump in the vagina that may bulge out at certain times (e.g. when emptying bowels or at the end of the day)
  • A lump at the vagina, which you may feel when wiping or washing
  • Pain or reduced sensation during sex
  • Incomplete emptying of the bladder
  • Weak urine stream
  • Recurrent urinary tract infections
  • Difficulty emptying the bowel
  • Symptoms that are worse at the end of the day and may improve after lying down

The above symptoms may be related to your pelvic floor muscles, and therefore could be helped with women’s health physiotherapy.

Types of Prolapse.

The symptoms of prolapse can vary depending on which structure is descending.

An internal examination will determine the type and grade of prolapse.

Anterior Vaginal Wall Prolapse (also known as ‘cystocele’) occurs when the bladder wall prolapses or drops through the front wall of the vagina.

Posterior Vaginal Wall Prolapse (also known as ‘rectocele’) – is when the rectum prolapses or drops through the back wall of the vagina.

Uterine Prolapse is where the uterus drops down into the vagina.

Your treatment options.

Treatment is ideally as conservative (least invasive) as possible. 

Should conservative treatment be unsuccessful, you may be referred to a gynaecologist/specialist to assess other options. This may include the possible use of a vaginal support device (Pessary) or surgery.

What is a Pessary?

A pessary is a silicone device inserted into the vagina to help support a pelvic organ prolapse.  The device can manage prolapse symptoms, including:

  • Heaviness or dragging around the vagina
  • Bulging around the vagina
  • Incomplete emptying of the bladder or bowel 

If a pessary is the correct size and fitted in the right position, you will not feel the device. It can be worn all day and is a great treatment option to allow you to carry out your daily tasks, including physical activities like running and jumping.

Physiotherapy treatment options are aimed at:

  • Increasing upward support of the pelvic organs
  • Reducing strain through the organs and fascia
  • Education and advice around long-term symptom management

Your physiotherapist will discuss the treatment options available to manage your symptoms, and also try to address the cause of the condition.

Physio Professionals are committed to women's health and wellbeing.

Our physiotherapists will give you the best possible treatment for the best possible outcome.