What treatment options are there for pelvic organ prolapse?

  • Do nothing – if the prolapse is not causing significant problems then treatment may not be required
  • Vaginal pessary – supportive removable devices inserted in the vagina which hold up the prolapse. These can be fitted by your Evoca doctor, and should be changes 6 monthly. Pessaries are usually used as a temporary measure but may be used as a more permanent option.
  • Pelvic floor physiotherapy – can help with mild or moderate prolapse to reduce severity and improve symptoms
  • Surgery – a variety of surgical options are available depending on the type and severity of prolapse.

What are the causes of pelvic organ prolapse?2

  • Vaginal delivery
  • Family history of prolapse
  • Menopause 
  • Chronic cough (for example, asthma)
  • Obesity
  • Family history of vaginal prolapse
  • Neurological diseases
  • Forceps delivery

1 Reference: https://www.nhs.uk/conditions/pelvic-organ-prolapse/#:~:text=Pelvic%20organ%20prolapse%20is%20when,can%20cause%20pain%20and%20discomfort.

What are the symptoms of pelvic organ prolapse?1

  • A lump or bulge felt in the vagina
  • Pressure feeling in the vagina
  • Dragging sensation in the vagina
  • Sense of something falling out
  • Urinary incontinence
  • Difficulty passing urine
  • Difficulty opening bowels
  • Faecal incontinence
  • Low back pain
  • Discomfort or lack of sensation during intercourse

1 Reference: https://www.nhs.uk/conditions/pelvic-organ-prolapse/#:~:text=Pelvic%20organ%20prolapse%20is%20when,can%20cause%20pain%20and%20discomfort.