Prolapse

We understand the challenges that come with pelvic organ prolapse and other related conditions. Our experienced and compassionate team provides personalised care to help you manage and treat prolapse effectively.

If you are looking for a Hillcrest gynaecologist near you, we are here to guide you through your treatment options with professional care and support.

What is prolapse?

Prolapse occurs when one or more of the pelvic organs (such as the bladder, uterus, or rectum) drop from their normal position and push against the walls of the vagina due to weakened muscles and ligaments.

Prolapse can affect various organs, leading to different forms of the condition, such as bladder prolapse, rectal prolapse, and uterine prolapse.

What are the different types of prolapse?

Pelvic prolapse is known as the general term referring to the weakening of the pelvic floor muscles and tissues, which can cause multiple pelvic organs to shift out of their normal positions. However, there are specific types of pelvic prolapse, such as:

  • Bladder Prolapse (Cystocele): When the bladder drops into the vagina.
  • Uterine Prolapse: When the uterus descends into or out of the vaginal canal.
  • Rectal Prolapse: This happens when the rectum bulges into the vaginal wall.
  • Vaginal Prolapse: The vaginal walls may weaken and collapse.
  • Cord Prolapse: Though rare, this occurs during childbirth when the umbilical cord slides through the cervix ahead of the baby, causing an obstetric emergency.

Why does prolapse happen?

Prolapse happens when the muscles and tissues that support the pelvic organs weaken. Several factors contribute to this:

  • Childbirth: Vaginal deliveries, especially multiple or difficult births, can weaken the pelvic floor muscles.
  • Ageing and Menopause: The natural decline of oestrogen after menopause can lead to weakened pelvic tissues.
  • Chronic pressure: Conditions like chronic coughing, obesity, or frequent heavy lifting can put pressure on the pelvic organs.
  • Hysterectomy or surgery: Previous surgeries can sometimes contribute to the weakening of pelvic support structures.

What are the symptoms of prolapse?

The symptoms of prolapse can vary depending on the severity and type, but common signs include:

  • A feeling of heaviness or pressure in the pelvis
  • A bulging sensation in the vagina, often described as a “something is falling out” feeling
  • Discomfort or pain during intercourse
  • Issues with urination, such as difficulty emptying the bladder or constant urination

Lower back pain

Difficulty with bowel movement in the case of rectal prolapse.

If you experience symptoms of uterine prolapse, bladder prolapse, or any other type of pelvic prolapse, it’s important to consult with a Hillcrest gynaecologist to determine the cause and the best course of treatment, as these symptoms can interfere with daily activities.

How is prolapse treated?

We offer various treatments depending on the type and severity of prolapse, including:

  • Pelvic Floor Exercises: Strengthening the pelvic floor muscles by doing exercises like Kegels can help support the organs and reduce symptoms.
  • Pessary: A pessary is a device inserted into the vagina to support the pelvic organs.
  • Lifestyle Changes: Weight management, avoiding heavy lifting, and treating chronic coughing can help reduce the strain on your pelvic floor.
  • Surgical Repair: In most severe cases, surgery may be recommended to correct uterus prolapse, vaginal prolapse, or other types of prolapse.

Don’t hesitate to reach out if you’re experiencing pelvic prolapse symptoms or need more information on prolapse treatment. Our dedicated team at Dr Graeme Birdsey’s practice is ready to provide compassionate care to help you feel better.

Book your consultation with a trusted gynaecologist near you in Hillcrest today.