Pelvic Prolapse

Treating Pelvic Prolapse

Pelvic Prolapse 2018-09-15T14:05:20+00:00

Pelvic Prolapse: A Common Cause of Pelvic Pain & 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.

Gaining an Understanding

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.

prolapse entrocele
uterine prolapse
rectal prolapse rectocele
vaginal vault prolapse
bladder prolapse

Treating Pelvic Prolapse

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.

Treatment Devices:  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 InTone & InControl Medical page for additional information.

Emsella: Emsella is a non-invasive and revolutionary procedure that helps to strengthen the pelvic floor muscles. The Emsella treatment is delivered by relaxing in an ergonomic chair completely clothed, where electromagnetic technology penetrates the highly targeted tissue in the pelvic floor and stimulates the muscles. This strengthens the muscles and restores the support of the pelvic floor. See our Emsella page for additional information.

Surgical Options:  For more severe cases, 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. Pelvic Reconstructive Surgery is an option for treating severe pelvic prolapse.  However, surgical decisions are complex and best made after an examination and discussion with your Woodlands OBGYN physician.  We are trained in all the latest procedures using the vaginal, laparoscopic, and robotic techniques.

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