What is a prolapse?

Pelvic Organ Prolapse (P.O.P), or a prolapse of the pelvic organs, is a common problem and should certainly not be a taboo. The uterus and vagina are surrounded by supportive tissue that keeps the pelvic organs in place.

Due to various causes, these supportive tissues can weaken, leading to a prolapse of the pelvic floor organs. The following causes often contribute to a prolapse:

• age
• genetic predisposition
• previous surgeries
• after pregnancy
• obesity

When the uterus and vaginal apex descend, a prolapse of the bladder or the last part of the bowel can also occur. If the uterus prolapses, it can descend into the vagina. It can also partially protrude from the vagina. If the uterus has already been removed in a previous operation, the vagina no longer opens into the uterus but ends in a closed apex.

Prolapses are generally not dangerous, but they can cause some discomfort. Some common complaints include:

• Feeling of sitting on a ball
• Chafing sensation against underwear
• Pressure in the back or lower abdomen
• Interference with sexual activities
• Bowel problems
• Urinary problems
• Incontinence

 

There are different types of prolapses:

• Cystocele: a prolapse of the bladder
• Rectocele: a prolapse of the rectum
• Uterine prolapse: uterus descends into the vagina

 

A prolapse occurs in different stages:

Cystocele and Rectocele:

 

This information is purely informative. Always consult a healthcare professional if you think you have a prolapse. They can then work with you to find a suitable solution.