Dr. Jaya Maheshwari
Pelvic and Organ Prolapse

Pelvic and Organ Prolapse

Complete Guide to Understanding and Treating Pelvic Organ Prolapse

What is Pelvic Organ Prolapse?

Pelvic Organ Prolapse (POP) is a condition where the muscles and tissues supporting the pelvic organs (Vagina, Uterus, Bladder, and Rectum) become stretched or weakened, causing these organs to drop downward or bulge into the vagina. Rectal Prolapse is a related condition in which the Rectum (the lower end of the intestine) stretches out and protrudes out of the anus.

This common condition primarily affects women, especially after childbirth or menopause, but can occur in men as well. It often goes undertreated due to embarrassment or lack of awareness. Our specialized treatments focus on restoring pelvic support and improving quality of life.

Rectal Prolapse

The rectum protrudes through the anus, often causing pain and incontinence.

Pelvic Organ Prolapse

Pelvic organs descend due to weakened support structures.

Types of Pelvic Organ Prolapse

Uterine Prolapse

Descent of the uterus into or outside the vaginal canal.

Cystocele / Urinary Bladder Prolapse

Descent of the urinary bladder, causing urinary symptoms.

Rectocele / Rectal Prolapse

Descent or protrusion of the rectum, affecting bowel function.

Causes of Pelvic Organ Prolapse

Physiological Causes

  • • Damage to the pelvic floor during childbirth
  • • Weakening of the muscles supporting the pelvic organs (with age)
  • • Chronic Constipation (repeated straining)

Involuntary Factors

  • • Chronic Cough (such as from asthma)
  • • Heavy lifting
  • • Obesity

Symptoms of Pelvic Organ Prolapse

Common Symptoms

  • •Pain and discomfort in the pelvic area
  • •Bleeding or mucus discharge
  • •Fecal incontinence (inability to control bowel movements)
  • •Feeling of something coming out from the anus or vagina
  • •Urinary problems (frequency, urgency, incontinence)

When to See a Doctor

  • •Severe pain or bleeding
  • •Difficulty with bowel or bladder control
  • •Protrusion that doesn't reduce spontaneously

Investigations for Diagnosis

Diagnosis of Pelvic Organ Prolapse involves a combination of clinical examination and specialized tests to assess the extent and type of prolapse.

Diagnostic Methods

  • •Per Rectal Examination: Physical examination of the anus and rectum.
  • •Clinical Examination: Assessment of the vagina and pelvic organs.
  • •MRI Defecography: Imaging to evaluate rectal function and prolapse.

What to Expect

  • • Most examinations are non-invasive
  • • Minimal discomfort during procedures
  • • Results help determine treatment approach
  • • Follow-up may be needed for complex cases

Complications of Pelvic Organ Prolapse

Urinary Tract Infections

Increased risk due to bladder involvement and incomplete emptying.

Fecal Incontinence

Loss of bowel control leading to social and hygiene issues.

Tissue Ulceration

Prolonged prolapse can cause tissue breakdown and infection.

Sexual Dysfunction

Impact on sexual activity due to pain, discomfort, or anatomical changes.

Treatments for Pelvic Organ Prolapse

Treatment depends on the severity of the condition and patient preferences. We offer both conservative and surgical options.

Conservative Treatment

Primary Stage: Physiotherapy and Exercises

Pelvic floor muscle training, biofeedback therapy, and lifestyle modifications can help strengthen pelvic support and manage mild prolapse.

Note: Pelvic Floor Physiotherapy is essential after any prolapse surgery to maintain strength and prevent recurrence.

Surgical Treatment (Permanent Cure)

STARR Surgery / Minimal Invasive Surgery

  • • Advanced technique for Rectocele/Rectal Prolapse
  • • Minimal incision and faster recovery
  • • Performed through natural anal route
  • • Patients discharged within 24 hours

POPS (Pelvic Organ Prolapse Suspension)

  • • Specialized for pelvic organ prolapse
  • • Repositions and suspends pelvic organs
  • • Minimally invasive approach
  • • Restores normal pelvic anatomy

Vaginal Surgery / Uterine Prolapse Surgery

  • • For uterine prolapse cases
  • • Vaginal approach with minimal scarring
  • • Preserves fertility when possible
  • • Quick recovery and return to normal activities

Abdominal Surgery / Sacrocolpopexy

  • • For complex or recurrent cases
  • • Laparoscopic or open approach
  • • Uses mesh for long-term support
  • • High success rate for severe prolapse

Prevention

Lifestyle Measures

  • •Maintain healthy body weight
  • •Avoid heavy lifting and straining
  • •Practice pelvic floor exercises regularly

Medical Care

  • •Seek prompt treatment for chronic cough
  • •Manage constipation to prevent straining
  • •Regular gynecological check-ups

Dr. Jaya - Expert in Pelvic Floor Disorders

Specialized Expertise

  • • 15+ years in pelvic floor surgery
  • • 1000+ successful prolapse repairs
  • • Pioneer in minimally invasive prolapse surgery
  • • Advanced training in urogynecology

Advanced Techniques

  • • STARR surgery specialist
  • • Laparoscopic sacrocolpopexy expert
  • • Vaginal reconstructive procedures
  • • 95% patient satisfaction rate
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Dr. Jaya's Prolapse Surgery Insights

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Learn about the latest techniques in pelvic organ prolapse treatment.

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Pelvic Organ Prolapse Illustration

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Anatomical diagram showing pelvic organ positioning and prolapse stages.

Quick Links

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