Prolapse- how bad is it?
Pelvic organ prolapse (POP) is a common yet often under-discussed medical condition that affects millions of women worldwide. It occurs when one or more pelvic organs, such as the uterus, bladder, or rectum, descend from their normal position and bulge into the vaginal wall. While it can be a distressing condition, there are various treatment options available, including pelvic floor physical therapy and surgery, to help alleviate symptoms and improve the quality of life for those affected. In this blog post, we will explore what pelvic organ prolapse is, its signs and symptoms, how pelvic floor physical therapy can assist, and when surgery may be necessary.
What Is Pelvic Organ Prolapse?
Pelvic organ prolapse, often simply referred to as prolapse, occurs when the supporting structures of the pelvic floor weaken or become damaged. These structures are responsible for holding the pelvic organs in their correct positions. When they fail to do so, one or more organs may sag or bulge into the vaginal canal. The most common types of pelvic organ prolapse include:
Cystocele: When the bladder drops into the front vaginal wall.
Rectocele: When the rectum pushes into the back vaginal wall.
Uterine prolapse: When the uterus descends into the vaginal canal.
Vaginal vault prolapse: This can occur after a hysterectomy when the top of the vagina loses support.
So, how do you know if you have Prolapse?
Some of the common signs and symptoms include:
A feeling of pressure or fullness in the pelvis or vagina.
Visible bulging or a lump in the vaginal area.
Discomfort or pain during sexual intercourse.
Urinary problems, such as incontinence, frequent urination, or difficulty emptying the bladder.
Bowel issues, including constipation or difficulty with bowel movements.
Lower back pain.
Vaginal bleeding or discharge.
It's important to note that not everyone with pelvic organ prolapse will experience all of these symptoms, and some may not have any symptoms at all.
How Pelvic Floor Physical Therapy Can Help
Pelvic floor physical therapy is a conservative, non-surgical approach to managing pelvic organ prolapse. Some of the ways to treat prolapse may include pelvic myscle strengthening to provide better support to the organs and improve symptoms. However, some cases of prolapse are worsened by overly tight pelvic floor muscles. PFPT can teach relaxation techniques to alleviate tension in these muscles. Education and behavioral strategies can also further assist by learning techniques to manage symptoms, such as reducing the urgency of urination or managing bowel issues.
When Surgery Is Necessary
While many women find relief from pelvic organ prolapse symptoms through conservative treatments like PFPT, there are situations where surgery may be recommended specifically when conservative treatments fail or if the prolapse is too severe.
Pelvic organ prolapse is a common condition that can significantly impact a woman's quality of life. However, with early recognition, proper management, and a variety of treatment options, including pelvic floor physical therapy and surgery when necessary, women can find relief from their symptoms and improve their overall well-being. If you suspect you may have pelvic organ prolapse, it's crucial to consult with a healthcare professional to discuss your symptoms and explore the best treatment plan for your individual needs. Remember, you don't have to suffer in silence, and there are effective ways to manage and treat pelvic organ prolapse.
