Pelvic Organ Prolapse
Pelvic organ prolapse is a medical condition that occurs when the normal
support of the vagina is lost, resulting in “sagging” or dropping
of the bladder, urethra, cervix and rectum. As the prolapse of the vagina
and uterus progresses, women can feel bulging tissue protruding through
the opening of the vagina.
What are the symptoms of pelvic organ prolapse?
Some loss of support is a very common finding upon physical exam in women,
many of whom do not have bothersome symptoms. Those women who are uncomfortable
often describe the very first signs as subtle—such as an inability
to keep a tampon inside the vagina, dampness in underwear or discomfort
due to dryness during intercourse.
As the prolapse gets worse, some women complain of:
- A bulging, pressure or heavy sensation in the vagina that worsens by the
end of the day or during bowel movements
- The feeling that they are “sitting on a ball”
- Needing to push stool out of the rectum by placing their fingers into the
vagina during bowel movement
- Difficulty starting to urinate, a weak or spraying stream of urine
- Urinary frequency or the sensation that they are not emptying their bladder well
- The need to lift up the bulging vagina or uterus to start urination
- Urine leakage with intercourse
What treatment options are available for pelvic organ prolapse?
Our physicians can provide the broadest range of treatments for these
conditions. Some conservative options include watchful waiting and physical
therapy. Supportive devices are also available. For more definitive management,
surgery is also an option. Our specialists are highly trained in all surgical
approaches, including no-incision vaginal techniques to state-of-the-art,
robotic-assisted reconstructive procedures. Your physician will work with
you to develop a personalized treatment plan carefully tailored to your