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Pelvic Organ Prolapse

Overview

Pelvic organ prolapse occurs when weakened pelvic floor support allows the bladder, uterus, or rectum to descend into or bulge through the vaginal wall. It becomes more common after childbirth, with menopause, and with age, as the supporting tissues gradually lose strength.

Symptoms

A sensation of bulging or pressure in the vagina
A dragging or heaviness feeling, especially by day's end
Difficulty fully emptying the bladder or bowel
Urinary leakage
Discomfort during intercourse
A visible bulge at the vaginal opening

Causes

Vaginal childbirth, chronic straining from constipation or coughing, menopause-related tissue changes, obesity, and repeated heavy lifting all weaken pelvic floor support over time.

Risk Factors

Multiple vaginal deliveriesThe strongest single risk factor for pelvic organ prolapse.
MenopauseDeclining estrogen weakens pelvic tissue support.
Chronic constipationRepeated straining stresses the pelvic floor.
ObesityAdded abdominal pressure accelerates prolapse.

Diagnosis

Diagnosis is usually made on a pelvic examination; ultrasound or MRI is used occasionally for a more detailed assessment before surgery.

Complications If Untreated

Untreated prolapse tends to worsen gradually and can lead to difficulty emptying the bladder, recurrent urinary infections, and a significant impact on daily comfort and quality of life.

Treatment Options

Prevention Tips

Regular pelvic floor exercises, managing chronic cough or constipation, and maintaining a healthy weight all help reduce the risk of prolapse.

Lifestyle Advice

Pelvic floor (Kegel) exercises, avoiding heavy lifting, and weight management are the most effective everyday steps for supporting pelvic floor health.

Consult Dr. Raju R

Expert Female Urology specialist in Bangalore

Book Appointment📞 9886777592