Raj K. Syal, M.D., F.A.C.O.G.    |    Jenna A. Everson, M.D., F.A.C.O.G.    |    Holly Westmoreland, M.D., F.A.C.O.G.   

Pelvic Prolapse: A Common Cause of Pelvic Pain or Discomfort

Pelvic Prolapse is caused by weakness of the pelvic tissue that then allows the organs to push downward into the vagina.  This protrusion causes a feeling of pressure in the vagina, lower pelvis and lower back.  Depending on what is prolapsing (bladder, rectum, uterus, or intestines) symptoms can be mild or severe.

The most common cause of prolapse is childbirth.  During childbirth, the pelvic muscles can get weak or stretched. If they don’t recover, they can’t support your pelvic organs.  Other factors that can contribute to prolapse are obesity, chronic coughing, constipation, heavy lifting, smoking, and poor nutrition.

Pelvic prolapse can result in loss of urine, frequent urination, chronic constipation, back pain, and pain with intercourse. As it worsens, symptoms increase and the bladder, cervix, or uterus may be seen coming out of the vagina.  Prolapse can also occur after a hysterectomy.

small-bowel-pelvic-prolapse-enterocele

pelvic prolapse of the uterus into the vagina

rectal-pelvic-prolapse-rectocele

vaginal-vault-pelvic-prolapse

bladder-pelvic-prolapse

Pelvic Prolapse Treatment

Conservative treatments include Keegle exercises to strengthen the muscles of the pelvis that will then better support the organs.  Keegle muscles are the muscles used to stop the urine flow when urinating.  With mild prolapse muscle tone may increase and prevent worsening of symptoms.  Additional measures such as limiting lifting, weight loss, and eliminating smoking may help.

InTone is a device invented to stimulate the Keegle muscles to contract with small electrical impulses.  It is FDA approved and highly effective in restoring the muscle tone to all the pelvic muscles.  Our office is fully trained and certified in the use of InTone and Apex devices to help treat the symptoms of pelvic organ prolapse.  See our InControl Medical page for additional information.

For more severe case surgery remains a proven and effective treatment option.  The type of surgery is determined by the amount and type of prolapse and the symptoms one is experiencing.  Procedures are available that do not require a hysterectomy or the use of mesh.  Surgical decisions are complex and best made after an examination and discussion with your physician.  We are trained in all the latest procedures using the vaginal, laparoscopic, and robotic techniques.  Call our office to assess your needs.

Raj K. Syal, M.D., F.A.C.O.G.