Pelvic heaviness, a sense of something dropping, urinary or bowel discomfort: pelvic organ prolapse is assessed precisely, and treated according to the organ involved.
It is neither rare nor something to accept as inevitable: prolapse can be treated, often with excellent results.
Genital prolapse, or pelvic organ prolapse, is the descent of one or more pelvic organs (bladder, rectum, uterus) through the vaginal wall, caused by a weakening of the supporting tissues. A distinction is made between a cystocele (descent of the bladder towards the front vaginal wall), a rectocele (bulging of the rectum towards the back wall) and uterine or apical prolapse (descent of the uterus or of the vaginal vault).
Childbirth, the menopause, tissue ageing, excess weight or repeated strain (lifting, a chronic cough, constipation) are the most frequent causes.
Prolapse may come with pelvic heaviness, difficulty urinating or urinary leakage for a cystocele, or constipation and a sensation of incomplete emptying for a rectocele - though these symptoms are not always directly linked to how advanced the prolapse is. An assessment in consultation establishes its type and degree, before guiding you towards the most suitable treatment.
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