Pelvic Organ Prolapse


Is when pelvic organs descend or shift within the pelvis, and in some cases,protrude outside the vagina. It is very common it affects approximately 50 % of women who have delivered a baby up to 20% experience symptoms. The lifetime risk for women undergoing surgery for repair of POP is 11% about 1/3 require a repeat surgery for recurrence of the Prolapse.

Symptoms

May be asymptomatic (women are often told when the go for there routine smear test that practice nurse or GP notices Prolapse and refers to a gynaecologist).

Women often describe of “pressure in the vagina”, “a dragging sensation in pelvis”, “feeling of something coming down”. It may be associated with urinary incontinence involuntary loss of urine, urinary urgency, constipation and needing to manipulate the vagina with fingers to evacuate a bowel motion “obstructive defaecation”.

Treatments

Dependant on how badly this is affecting a women’s quality of life depends on what treatment option they chose

  1. Some women prefer to do nothing and keep condition under observation.
  2. Some women use vaginal support pessaries which are changed every 4-6 months.
  3. Some women seek surgical correction of prolapse. The surgery depends on the type of Prolapse that is present details should be discussed with the gynaecologist.