What happens if pelvic organ prolapse is not treated?

Pelvic organ prolapse happens when weakened pelvic support allows the bladder, bowel, or uterus to press into the vagina. It may cause a vaginal bulge, dragging or heaviness, difficulty emptying the bladder or bowel, leaking urine, or discomfort during sex. Some prolapses stay manageable; others become more noticeable with standing, lifting, coughing, or constipation.

Skin exposed by a bulge can become irritated or sore. Difficulty emptying the bladder can increase discomfort and may need assessment. Menopause-related tissue changes can also affect symptoms, but prolapse is not something you need to tolerate without support.

Arrange an assessment to identify which organ is affected and how symptoms relate to your bladder and bowel. Pelvic floor physiotherapy, treating constipation, adjusting heavy lifting, and a vaginal pessary may help. If symptoms remain disruptive, a clinician can explain pelvic floor repair surgery or sacrocolpopexy and how recovery fits your circumstances.

Seek urgent help if you cannot pass urine, have severe pelvic pain, heavy bleeding, fever, or a bulge that becomes suddenly very painful or changes colour. Book a prompt review for worsening pressure, recurrent urinary symptoms, bleeding from irritated tissue, or a bulge that interferes with walking, sex, or daily tasks.

Ask which compartment is prolapsing, whether your bladder is emptying properly, whether a pessary or physiotherapy suits you, and what surgery would involve if symptoms continue.