Understanding the Different Types of Prolapse in Women

Pelvic organ prolapse is a condition that affects many women, causing discomfort and impacting daily life. It occurs when the muscles and tissues supporting the pelvic organs weaken, leading to the descent or bulging of these organs into the vaginal area. Continue reading for more information on the different types of prolapse, their symptoms, and available treatment options.

Anterior Vaginal Prolapse (Cystocele or Urethrocele)

Anterior vaginal prolapse, also known as cystocele or urethrocele, occurs when the bladder or urethra bulges into the front wall of the vagina. This type of prolapse can cause symptoms such as:

  • A feeling of fullness or pressure in the pelvic area

  • Urinary incontinence or difficulty emptying the bladder

  • Frequent urinary tract infections

Posterior Vaginal Prolapse (Rectocele)

When the wall separating the rectum from the vagina weakens, it results in posterior vaginal prolapse, or rectocele. This condition can lead to:

  • A bulge in the vagina that may be felt or seen

  • Difficulty with bowel movements or a feeling of incomplete evacuation

  • Discomfort during sexual intercourse

Uterine Prolapse

Uterine prolapse occurs when the uterus descends into the vagina. It is often associated with:

  • A sensation of heaviness or pulling in the pelvis

  • Lower back pain

  • Vaginal bleeding or an increase in vaginal discharge

Apical Prolapse (Vaginal Vault Prolapse)

Apical prolapse, also known as vaginal vault prolapse, happens when the top of the vagina (or the cervix) falls down into the vagina. This can occur after a hysterectomy and may cause:

  • Difficulty with urinary or bowel functions

  • A feeling of something protruding from the vagina

  • Pelvic pressure or pain

Treatment Options

Treatment for prolapse varies depending on the severity and type of prolapse. Options may include:

  1. Pelvic floor exercises: Strengthening the pelvic muscles through specific exercises guided by a pelvic floor physical therapist can help alleviate mild prolapse symptoms.

  2. Pessary devices: A pessary is a removable device inserted into the vagina to support the pelvic organs.

  3. Surgery: For severe cases, surgical intervention may be necessary to repair or support the affected pelvic organs.

Pelvic organ prolapse is a manageable condition with a range of treatment options available. If you experience symptoms of prolapse, it's important to consult a healthcare provider to discuss the best course of action tailored to your specific needs. Understanding the types and symptoms of prolapse empowers women to seek timely and effective treatment, improving their quality of life. At The Pelvis Pro, we can help you find the relief you so deserve, and often help prevent prolapse, too. Email us today for more information, or to schedule an appointment! info@thepelvispro.com