What is it?
A prolapsed organ is when a pelvic organ drops from its original place and ends up pushing against or into the walls of the vagina. The organs at fault are the bladder, uterus and/or rectum.
How Does this Happen?
This can happen for various reasons; however it is most often caused by the weakening of the muscles and tissues in charge of keeping these organs in place.
Sources for the increased pressure into the abdomen may include:
- Pregnancy/childbirth
- Obesity
- Constipation
- Hysterectomy (removal of the uterus)
- Chronic long term cough due to a respiration problem
- Genetics
Symptoms
- Pressure or fullness in pelvic area
- Pain during intercourse
- Constipation
- Low back pain
- Incontinence
- Bleeding or spotting
- Feeling of heaviness like something is falling out
Treatment Options
- Pelvic Physiotherapy
- A pelvic physiotherapist can offer education and exercises in order to strengthen the relevant pelvic muscles.
- Surgery
- Depending on the severity, this option will often repair or correct the weak tissue, or remove the organ (such as the uterus; ‘hysterectomy’).
- Pessary
- A pessary is a plastic prosthetic device used to support the relevant organ and pelvic structures, which is inserted into the vagina, to provide support.
- A pessary is a plastic prosthetic device used to support the relevant organ and pelvic structures, which is inserted into the vagina, to provide support.
Prevention
Like many conditions or issues, you can change your lifestyle and habits to help reduce the risk of organ prolapse, and it’s impact on quality of life:
- Avoid constipation, with balanced diet.
- Maintain a healthy weight.
- Avoid smoking, as this can lead to a bad cough, and generally increases risks.
References:
https://www.webmd.com/urinary-incontinence-oab/pelvic-organ-prolapse#2
https://www.healthlinkbc.ca/health-topics/tv1000