Specialized evaluation and modern management of pelvic organ prolapse, focused on restoring function and improving quality of life.

What Is Uterine Prolapse?

The descent of the uterus into the vaginal canal due to weakening of the pelvic support structures
May occur together with prolapse of:
  • The bladder (cystocele)
  • The rectum (rectocele)
  • The vaginal apex
More commonly develops:
  • After vaginal childbirth
  • With advancing age
  • Following menopause

Pelvic organ prolapse is a common condition and can often be effectively managed with either conservative or surgical treatment options.

Symptoms

Feeling of Heaviness or Pressure

  • Sensation of vaginal pressure or “something falling down”
  • Symptoms often worsen after prolonged standing

Visible or Palpable Bulge

  • Feeling or seeing a bulge or mass within the vagina

Urinary Symptoms

  • Frequent urination
  • Difficulty emptying the bladder
  • Sensation of incomplete bladder emptying
  • Urinary incontinence

Bowel Symptoms

  • Difficulty with bowel movements
  • Sensation of incomplete bowel emptying

Impact on Daily Life and Intimacy

  • Discomfort during sexual intercourse
  • Limitation of physical and daily activities

Risk Factors

Childbirth

  • Multiple pregnancies
  • Vaginal deliveries

 

Age and Menopause

  • Declining estrogen levels
  • Weakening of pelvic support tissues

 

Increased Intra-Abdominal Pressure

  • Chronic coughing
  • Constipation
  • Heavy lifting

 

Other Factors

  • Obesity
  • Previous pelvic surgery

How Is Uterine Prolapse Diagnosed?

  • 01 – Detailed medical history and symptom assessment

  • 02 – Pelvic floor and gynecological examination

  • 03 – Evaluation of prolapse severity

  • 04 – Urodynamic testing or imaging studies when indicated

Pelvic Organ Prolapse and Quality of Life

Pelvic organ prolapse may affect:

  • Daily activities
  • Physical exercise
  • Urinary and bowel function
  • Sexual well-being

A thorough evaluation helps determine the most appropriate treatment strategy for each woman.

Treatment Options

Conservative Management

Pelvic Floor Exercises

  • Strengthening of pelvic floor muscles
  • Improvement of mild symptoms

 

Vaginal Pessary

  • Non-surgical support for pelvic organs
  • Suitable for women who prefer to avoid surgery

 

Local Estrogen Therapy

  • May improve vaginal atrophy and associated symptoms

Surgical Treatment

Surgical repair may be recommended:

  • When symptoms significantly affect quality of life
  • In advanced stages of prolapse
  • When conservative treatment is unsuccessful

Pelvic Organ Prolapse Repair

  • Personalized surgical planning
  • Restoration of normal pelvic anatomy and function
  • Minimally invasive, vaginal, or laparoscopic techniques when appropriate
  • Focus on long-term function and quality of life

Learn more

Frequently Asked Questions

Is prolapse normal after childbirth or with aging?

Pelvic organ prolapse is common, particularly after childbirth and following menopause. However, when symptoms develop, medical evaluation is recommended.

Do all women with prolapse need surgery?

No. Many women experience significant improvement with conservative treatment options such as pelvic floor exercises or pessary use.

Can prolapse cause urinary incontinence?

Yes. Urinary leakage, bladder emptying difficulties, and other urinary symptoms frequently occur alongside pelvic organ prolapse.

Is surgical repair safe?

When performed in appropriately selected patients and tailored to the individual’s condition, prolapse surgery is generally safe and effective.

Can prolapse recur after treatment?

Yes. Recurrence is possible, particularly when significant tissue weakness or other risk factors are present.

Personalized Solutions for Pelvic Organ Prolapse

Pelvic organ prolapse can often be effectively treated through modern, individualized management strategies designed to restore comfort, function, and quality of life.