Pelvic Organ Prolapse

Pelvic organ prolapse occurs when pelvic structures, like the bladder or rectum, bulge or
protrude into the vaginal wall. You may experience more than one type of prolapse at a
time.

The signs and symptoms of pelvic organ prolapse include:

  • A bulge or lump in the vagina
  • The vagina protruding from the body
  • A pulling or stretching feeling in the groin are
  • Difficult or painful intercourse
  • Vaginal pain, pressure, irritation, bleeding or spotting
  • Urinary and fecal incontinence
  • Difficulty with bowel movements
  • Delayed or slow urinary stream.

Prolapse is caused by muscles and ligaments that have been weakened or damaged. The
most common causes of prolapse are childbirth, hysterectomy, obesity, age, ethnicity,
genetics and previous surgeries.

Vaginal vault prolapse occurs when the apex, or upper portion of the vagina, collapses
and descended into the vaginal canal. This sometimes occurs after a hysterectomy,
causing the vagina to turn inside out.

Uterine prolapse occurs when the muscles and ligaments are weakened and the woman
will has a uterus, the uterus can descend into the vagina.

Bladder prolapse occurs when the bladder bulges or herniates into the vagina.

Discuss your symptoms with your physician to determine the best course of treatments.
Often times surgery is required to help return prolapsed organs to a more normal
anatomical position and strengthen structures around the prolapsed area to maintain
support. Surgical options can be done abdominally or vaginally, although vaginal usually
involved less pain and a shorter recovery period.