Pelvic organ prolapse happens when the muscles in your pelvis weaken, letting the bladder, urethra, uterus or rectum slip down into the vagina. It’s common, but usually isn’t dangerous. You can have it for years without problems.
Talk to your doctor if you experience symptoms of pelvic organ prolapse, such as:
Your doctor may give you a diagnosis of:
The stage, or severity, is on a scale of 0 (no prolapse) to 4 (total prolapse).
Learn how to manage symptoms of pelvic organ prolapse during everyday life.
Women who aren’t experiencing discomfort may choose to monitor their symptoms. If symptoms are bothersome, treatments can help.
Ask your doctor if surgery is a good option to treat your symptoms. Surgery succeeds 80% to 95% of the time, depending on your medical history and health of your pelvic tissue before treatment.
You can restore support for the top of the vagina with an apical suspension procedure, such as:
If you have a uterus, one of these procedures may take place at the same time as a hysterectomy. You can have sex after apical suspension.
This surgery uses an incision in the wall of the vagina to fix a bulging rectum. Your surgeon rebuilds the wall between the vagina and rectum using sutures in the supporting tissue and muscles.
Colpocleisis and colpectomy close and shorten the vagina by removing the skin and sewing the inside vaginal walls together. This type of surgery is less invasive and has a higher success rate than other procedures. Afterward, you will no longer be able to have vaginal sex.
Most women with a slipped pelvic organ have two of more of these:
About one-third of women who have given birth vaginally have prolapse. The problem is particularly common among women who have had a large baby, needed forceps to deliver or have had many vaginal births.
A urogynecologist will review your medical history and then perform a pelvic exam to look for lumps, wounds and prolapsed organs. You will likely also receive a rectal exam. Depending on the results of your physical exams, your doctor may recommend more tests, including:
Left untreated, prolapse almost always gets worse over time, but usually gradually—over years or decades, not months. The exception is prolapse right after the birth of a baby. This will often get better within the first year after delivery.
Your choice to get treatment usually depends on your symptoms and quality of life. But you must receive care if prolapse makes urine back up into your kidneys, causing damage or infection. This is rare.
Talk to a care navigator or schedule an appointment at the Women’s Health & Wellness Center.