Prolapse

A pelvic organ prolapse (POP) refers to the descent of one of more of the pelvic organs into the vagina. Your pelvic organs include the bladder, uterus, and bowel. It is believed that 50% of women who have had children have a prolapse, however the majority are asymptomatic.

TYPES OF PROLAPSE

• Uterine prolapse

• Anterior vaginal wall

• Posterior vaginal wall

• Vaginal vault prolapse

There are varying stages and severities of a prolapse. Depending upon the severity of your prolapse, treatment may look a little different. A prolapse diagnosis is made when objective assessments correlates with symptoms.

STAGING

Stage 1: >1cm within the vagina

Stage 2: <1cm within <1cm out of the vagina

Stage 3: >1cm out of the vagina

Stage 4: Complete

WHAT ARE THE RISK FACTORS FOR PROLAPSE?

• Pregnancy

• Vaginal Birth

• Increased BMI

• Injury to pelvic floor muscles

• Increased levator hiatus

• Chronic constipation

• Chronic respiration conditions

HOW CAN A PHYSIOTHERAPIST HELP?

A Pelvic Health Physiotherapist is perfectly positioned to assist you with treatment. This may include, but is not limited dto:

• Progressive pelvic floor muscle training

• Addressing contributing factors such as lifestyle, fluid intake, diet, and exercise

• Optimising bladder and bowel habits to reduce strain on the pelvic floor

• The use of a pessary, if appropriate

Your Pelvic Health Physiotherapist will likely start you on a muscle training program designed to build strength and bulk in your pelvic floor muscles.

If you believe you might have a prolapse or if you’re wanting to be reduce your risk, click here to book in your appointment.