P E L V I C O R G A N P R O L A P S E
This may not be commonly known but physiotherapy can help with Pelvic Organ Prolapse in many cases.
Pelvic organ prolapse occurs when one of the three pelvic organs (bladder, uterus or bowel) descends into the vagina.
These are usually known as:
- Anterior wall prolapse / Cystocele (Bladder prolapse)
- Posterior wall prolapse / Rectocele (Bowel prolapse)
- Uterine prolapse (Uterus prolapse)
Above is an example of 'normal pelvic anatomy'
Above shows examples of Pelvic Organ Prolapse
Prolapses can cause a feeling of heaviness/dragging in the vagina or a bulging feeling. Other symptoms can include:
- Incomplete emptying of the bladder and/or bowel
- Sexual discomfort
- Incontinence
- Increased urinary urgency or frequency
- Slow, inconsistent flow of urine
- Sensation of pressure in the vagina
In more severe cases of pelvic organ prolapse, the vaginal wall can protrude out of the entrance of the vagina.
What are the risk factors for Pelvic Organ Prolapse?
- Repetitive lifting - at the gym, at work, of children etc.
- Pregnancy/Childbirth
- Increased weight
- Regular constipation
- Weak pelvic floor muscles
- Chronic illnesses involving repetitive coughing
How can physiotherapy help?
Depending on the severity of the prolapse, physiotherapy can help through education, management strategies and lifestyle modification and pelvic floor strengthening exercises. If the prolapse is deemed more severe, a referral to a gynecologist would likely be necessary for further assessment. Sometimes when more severe, surgical intervention is considered.
A physiotherapy assessment can involve involve extensive questioning and a physical assessment/internal examination to determine the degree of prolapse, the organ/s involved and how well the pelvic floor muscles are functioning.
Our physiotherapist Jess Garlick is trained in internal assessments which means that she can assess for prolapse and help to devise an appropriate plan from there. If you are wondering if we can help you, give us a call on 6281 2499 and book in with Jess for a Free Initial Assessment.
Author: Jess Garlick (BHSc. M. Physiotherapy Practice) - Physiotherapist, Back In Motion Rosny Park