Pelvic organ prolapse is the prolapse of one or more pelvic organs out of the vagina due to weakening of the muscles and connective tissue that support the pelvis. It shows symptoms such as a feeling of swelling in the vagina, a feeling of being pulled down in the vagina or lower back, slowdown in the urine flow rate, a feeling of fullness in the bladder, frequent urination, urinary incontinence, and a feeling of discomfort during sexual intercourse. Factors such as pregnancy and multiple births, ageing, menopause, overweight, heavy lifting, and lung diseases that cause chronic cough are the most common causes of pelvic organ prolapse. Pelvic organ prolapse can be seen as uterine prolapse, bladder prolapse, bowel prolapse, rectal prolapse, or vaginal stump prolapse if the patient has had a hysterectomy beforehand.
Some cases of pelvic organ prolapse do not require any treatment, but it is recommended to avoid activities such as heavy lifting, weight gain, and straining to prevent the deterioration of the disease. In cases requiring treatment, there are surgical or non-surgical options depending on the severity of the disease. Non-surgical treatment methods; pessaries placed in the vagina which provide mechanical support to the prolapsed organs and kegel exercises which are based on conscious contraction and release of the pelvic muscles. In cases requiring surgical intervention approaches such as corrective surgical repair, vaginal approach, abdominal approach, laparoscopy, robotic surgery or closure of the vagina are used.
- Alev A.
- Duygu D.