Pelvic Organ Prolapse Treatments
There are a variety of therapies from which a woman can choose to treat pelvic organ prolapse and eliminate bothersome symptoms, including non-surgical and surgical options.
Pelvic organ prolapse is not life-threatening, which means that if you do not experience discomfort, you may simply monitor its progress over time. It may stay the same size, or it could worsen as the years pass.
Some lifestyle changes can help reduce symptoms of pelvic organ prolapse, including:
Pelvic Floor Physical Therapy
Physical therapy of the pelvic floor is aimed at rehabilitating the pelvic floor muscles to restore their normal function. For the best results, you should work with a specialized physical therapist who will help you learn the most effective techniques. Some women need to improve their pelvic floor muscle function with strengthening exercises while others need stretching and relaxing exercises. Your physician will evaluate your pelvic floor muscles at your initial consultation and provide a referral if necessary.
A pessary is a small device that is inserted into the vagina to support the pelvic organs and eliminate the bulge caused by pelvic organ prolapse. Pessaries are usually used temporarily to avoid surgery in women who have not completed their families or have medical problems that make surgery risky. If you are interested in trying a pessary, one of the urogynecologists at the Women’s Integrated Pelvic Health Program can find one that works for you.
Pelvic Floor Disorder Video Overview
Margaret G. Mueller, MD, discusses pelvic floor disorders, symptoms and treatment options.
Surgery for Pelvic Organ Prolapse
Women with symptoms of pelvic organ prolapse may opt for surgical repair. These surgeries are performed by a Urogynecologist to improve the anatomy of the pelvic floor. There are several different types of surgery to treat pelvic organ prolapse. A woman may benefit more from one type of surgery than another based on her age, prior surgical history, severity of prolapse, and overall health. Your surgeon should be able to offer all of the following surgical options and help you determine which surgery is best for you.
These may include:
Recovery After Surgery
Most women who have prolapse surgery performed laparoscopically, robotically, or vaginally will go home from the hospital on the day of surgery. You will be allowed to resume all your activities and exercise as soon as you feel up to it. Our team recently published research showing that women who are able to get back to their lifestyles had better surgical outcomes and quality of life than those whose activities were restricted after surgery.