Vaginal Prolapse

(dropped uterus & bladder)

Pelvic Organ Prolapse or POP refers to the loss of support around the pelvic organs. This could involve the uterus, bladder, urethra, vagina and/or the rectum. Pelvic Organ Prolapse can present itself in many ways and cause a variety of symptoms. POP may constitute an isolated defect or, more likely, a combination of defects. In many cases, POP is referred to as “prolapsed vagina” or “fallen bladder”.

Symptoms:

  • Pressure or discomfort in the pelvic area
  • Feeling a “bulge” emanating from the vagina
  • Inability to fully empty the bladder
  • Urinary incontinence

Factors that may contribute or cause POP:

  • Genetic predisposition to weakness in the support structures of the pelvic organs
  • Damage to support from pregnancy and/or vaginal childbirth
  • Chronic conditions that increase the pressure in the abdomen
    -  chronic cough
    -  repetitive heavy lifting or squatting
    -  chronic defecatory disorders (e.g., constipation)
  • Decrease in estrogen (after menopause)

POP requires a thorough evaluation by an experienced specialist and includes a comprehensive history and specific examination of each of the three vaginal compartments. Once an evaluation has been performed, a plan can be formulated to manage or treat the POP specifically tailored for each patient.  In most cases, POP can be corrected and cured.