Pelvic Organ Prolapse
What is pelvic organ prolapse?
Pelvic organ prolapse (POP), is the descent of one or more sides of the vaginal wall, which in some women can lead to bothersome symptoms. When the pelvic organs drop lower in the pelvis, a protrusion is created in the vagina. A cystocele is a protrusion of the anterior wall (or bladder), a rectocele is the protrusion of the posterior wall (or rectum), while an enterocele is the protrusion of the intestines, typically at the roof of the vagina.
What are the causes?
Women will commonly develop pelvic organ prolapse after a hysterectomy, after menopause or a few years after giving birth. They can also cause the ligaments and muscles that support the pelvic organs to weaken.
What are the symptoms?
The most common symptoms of pelvic organ prolapse include:
- Vaginal bulge
- Discomfort during intercourse
- Pelvic pressure
- Vaginal bleeding
- Repeated vaginal or urinary infections
- “Splinting” or the need to manually assist in reducing prolapse, often to void or defecate
- Back pain or lower abdominal and pelvic pain
- Urinary incontinence, such as stress, urgency, or postural incontinence
- Urinary frequency, urgency, or overactive bladder syndrome
- Urinary hesitancy, slow urine stream, straining to urinate, incomplete bladder emptying, or position-dependent voiding
- Bowel incontinence, straining to defecate, constipation, and incomplete evacuation
Treatments in Torrance, California
Treatments for pelvic organ prolapse range from conservative measures to surgery and include the following:
- Biofeedback and pelvic floor re-education
- MonaLisa Touch laser therapy for mild prolapse
- Pessary insertion (a plastic ring placed in the office to support the vaginal walls)
- Surgery: cystocele repair, rectocele repair, enterocele repair, vaginal vault suspension, vaginal closure, hysterectomy
*Individual results may vary; not a guarantee.