What are the treatment options for pelvic organ prolapse?

Pelvic organ prolapse happens when one or more pelvic organs press into or toward the vagina because supporting tissues have stretched or weakened. The right option depends on the type and degree of prolapse, symptoms, health, future pregnancy plans and personal preferences.

If symptoms are mild, monitoring and practical changes may be reasonable. Pelvic Floor Physiotherapy can teach pelvic-floor contractions, breathing and lifting techniques, while addressing constipation or activities that increase pressure. A Vaginal Pessary Fitting places a removable support inside the vagina; it may help with pressure or a bulge and needs scheduled checks.

Pelvic Floor Repair Surgery can repair or reinforce selected vaginal or pelvic support defects. Sacrocolpopexy uses a surgical support attached to the vagina and a strong pelvic ligament, commonly through keyhole or open surgery depending on the case. Surgery may be discussed when symptoms interfere with daily life, a pessary is unsuitable, or non-surgical care has not provided enough relief.

Reducing straining, treating constipation, avoiding heavy lifting when possible and maintaining a gradual activity plan can protect comfort. Ask about bladder, bowel and sexual symptoms because they can influence the treatment choice.

Book a clinical assessment for a new vaginal bulge, pressure, difficulty emptying the bladder or bowel, or discomfort during sex. Seek urgent help if you cannot pass urine, have severe pain, heavy bleeding, fever, or a prolapse that becomes very swollen, dark or impossible to push back gently.

Ask which organ is affected, whether physiotherapy or a pessary fits your situation, how often a pessary needs review, and what recovery involves for each operation. Discuss plans for pregnancy, contraception, bladder or bowel symptoms and the chance that symptoms may return.