What is pelvic organ prolapse?
Pelvic organ prolapse is a disorder in which one or more of the pelvic organs drop from their normal position.
What organs can be affected by pelvic organ?
The organs that can be affected include the following:
What are the symptoms of pelvic organ prolapse?
In severe prolapse, the woman can see or feel a bulge of tissue at or past the vaginal opening. Most women have mild prolapse- the organs drop down only slightly and do not protrude from the opening of the vagina- and do not have any signs or symptoms. Some women with mild prolapse and women with severe prolapse do have symptoms, which can include the following:
How is pelvic organ prolapse treated?
If you do not have any symptoms or if your symptoms are mild, you do not need any special follow-up or treatment beyond having regular checkups. If you have symptoms, prolapse may be treated with or without surgery.
What are the nonsurgical treatments for pelvic organ prolapse?
Often the first nonsurgical option tried is pessary. This device is inserted into the vagina to support the pelvic organs. Targeting specific symptoms may be another option. Kegel exercises may be recommended in addition to symptom-related treatment to help strengthen the pelvic floor. Weight loss can decrease pressure in the abdomen and help improve overall health.
When should I consider surgery to treat pelvic organ prolapse?
If your symptoms are severe and disrupt your life, and if nonsurgical treatment options have not helped, you may want to consider surgery.
What factors should I consider when deciding to treat prolapse organ?
The following factors should be considered when deciding whether to have surgery.
How does reconstructive surgery treat pelvic organ prolapse?
Reconstructive surgery reconstructs the pelvic floor with the goal of restoring the organs to their original position. Some types of reconstructive surgery are done through an incision in the vagina. Others are done through an incision in the abdomen or with laparoscopy.
What are the types of reconstructive surgery?
The types of reconstructive surgery include the following:
What is involved in recovery after surgery to treat pelvic organ prolapse?
Recovery time varies depending on the type of surgery. You usually need to take a few weeks off from work. For the first few weeks, you should avoid vigorous exercise, lifting, and straining. You also should avoid sexual intercourse for several weeks after surgery.
Relief of pain by loss of sensation
A muscular organ in which urine is stored.
A type of surgery performed through the vagina to repair front vaginal prolapse and posterior vaginal prolapse by reinforcing (or repairing) a woman’s own tissues.
Bulging of the bladder into the vagina.
Bulging of the intestines into the vagina.
Removal of the uterus.
Accidental leakage of urine or stool
Pelvic muscle exercises that assist in bladder and bowel control as well as sexual function.
A minimally invasive surgical procedure in which an camera called a laparoscope is inserted into the abdomen pelvic organs. Other instruments can be used with it to perform surgery.
A band of tissue that connects bones or supports large internal organs.
A elegant and low risk type of surgery for pelvic organ prolapse in which the vagina is narrowed or closed off to provide support for prolapsed organs. Only offered to patients no longer interested in vaginal intercourse.
A condition in which pelvic organs, such as the uterus or bladder, drop downward. It is caused by weakening of the muscles and tissues that support these organs.
A device inserted into the vagina to support sagging organs that have dropped down (prolapsed) or to help control urine leakage.
Surgery to repair or restore a part of the body that is injured or damaged.
Bulging of the rectum into the vaginal wall.
The last part of the digestive tract.
A type of surgery to repair vaginal prolapse in which the vaginal vault is attached to the sacrum with surgical mesh.
A type of surgery to repair uterine prolapse in which the cervix is attached to the sacrum with surgical mesh.
A muscular organ located in the female pelvis that contains and nourishes the developing fetus during pregnancy.
A tube-like structure surrounded by muscles leading from the uterus to the outside of the body.
The top of the vagina after a hysterectomy.