Philadelphia, Pa. Accessed April 12, Ferri FF. Pelvic organ prolapse uterine prolapse. In: Ferri's Clinical Advisor Accessed April 14, Rogers RG, et al.
Pelvic organ prolapse in women: Epidemiology, risk factors, clinical manifestations, and management. Accessed April 18, Handa VL. Urinary incontinence and pelvic organ prolapse associated with pregnancy and childbirth. Pelvic organ prolapse adult. Rochester, Minn. Fashokun TB, et al. A number of things can weaken your pelvic floor and increase your chance of developing pelvic organ prolapse.
Pelvic organ prolapse will usually be classified on a scale of 1 to 4 to show how severe it is, with 4 being a severe prolapse. Page last reviewed: 24 March Next review due: 24 March Overview - Pelvic organ prolapse Contents Overview Treatment. It can be the womb uterus , bowel, bladder or top of the vagina.
A prolapse is not life threatening, but it can cause pain and discomfort. Symptoms of pelvic organ prolapse Pelvic organ prolapse symptoms include: a feeling of heaviness around your lower tummy and genitals a dragging discomfort inside your vagina feeling like there's something coming down into your vagina — it may feel like sitting on a small ball feeling or seeing a bulge or lump in or coming out of your vagina discomfort or numbness during sex problems peeing — such as feeling like your bladder is not emptying fully, needing to go to the toilet more often, or leaking a small amount of pee when you cough, sneeze or exercise stress incontinence Sometimes pelvic organ prolapse has no symptoms and is found during an internal examination carried out for another reason, such as cervical screening.
When to see a GP See a GP if you have any of the symptoms of a prolapse, or if you notice a lump in or around your vagina. This is a device your healthcare provider inserts into your vagina to support your pelvic organs. A hysterectomy is a surgery to remove your uterus. This can be done through your vagina. The healing time is faster than with surgery that requires an abdominal incision.
There also are fewer complications. There is no certain way to prevent uterine prolapse. However, the following can help lower your risk:. See your healthcare provider when symptoms first start to bother you. Regular pelvic exams can help detect uterine prolapse in its early stages. Common symptoms include leakage of urine, fullness in your pelvis, bulging in your vagina, lower-back pain, and constipation.
Treatment for uterine prolapse includes lifestyle changes, a pessary, or surgery to remove the uterus. You may be able to prevent this condition with weight loss, a high fiber diet, not smoking, and doing Kegel exercises. At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests.
Also, write down any new instructions your provider gives you. Damage to pelvic muscles and tissues during pregnancy and childbirth may also lead to prolapse. Any activity that puts pressure on the pelvic muscles can increase your risk of a uterine prolapse.
Other factors that can increase your risk for the condition include:. Your doctor can diagnose uterine prolapse by evaluating your symptoms and performing a pelvic exam. During this exam, your doctor will insert a device called a speculum that allows them to see inside of the vagina and examine the vaginal canal and uterus. You may be lying down, or your doctor may ask you to stand during this exam. If the prolapse is severe, talk with your doctor about which treatment option is appropriate for you.
The use of vaginal estrogen has been well-studied and shows improvement in vaginal tissue regeneration and strength. Surgical treatments include uterine suspension or hysterectomy. During uterine suspension, your surgeon places the uterus back into its original position by reattaching pelvic ligaments or using surgical materials.
During a hysterectomy, your surgeon removes the uterus from the body through the abdomen or the vagina.
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