Pelvic Organ Prolapse - Treatment Overview
Many women who have
pelvic organ prolapse do not have symptoms and do not
require treatment. If your symptoms are bothersome, you may want to consider
treatment. Treatment decisions should take into account which organs are
affected, how bad symptoms are, and whether other medical conditions are
present. Other important factors are your age and sexual activity.
Many women are able to reduce pain and pressure from a pelvic organ
prolapse with nonsurgical treatment, which may include making lifestyle
changes, doing exercises, and/or using a removable device called a
pessary that is placed into the vagina to support
areas of prolapse.
If your pelvic organ prolapse is causing pain
or problems with bowel and bladder functions or is interfering with your sexual
activity, you may want to consider surgery. Surgical procedures used to correct
different types of pelvic organ prolapse include repair of the supporting
tissue of the prolapsed organ or vagina wall. Another option is the removal of
the uterus (hysterectomy) when it is the prolapsed organ or if it
is causing the prolapse of other organs (such as the vagina).
Sometimes surgery cannot repair all the prolapsed organs. And sometimes
pelvic organ prolapse comes back after surgery.
Pelvic organ prolapse can be a long-lasting condition. But it does not have to be a cause of symptoms that disrupt your life. Many
women with pelvic organ prolapse are able to relieve their symptoms without
treatment by adjusting their activities and lifestyle habits. These changes
pelvic floor (Kegel) exercises every day to tighten
and strengthen pelvic muscles.
high-fiber foods to prevent constipation. Get at least
20 g of fiber a day.
- Reaching and staying at a healthy weight.
- Avoiding activities that stress your
pelvic muscles, such as heavy lifting.
If your symptoms are not relieved by these lifestyle
changes, you may want to consider treatment for pelvic organ prolapse.
Treatment will be different depending on which organs are involved, how bad
your symptoms are, and what other medical conditions are present. Treatment may
include using a
pessary, a removable device that is placed
into the vagina to support areas of prolapse.