Which specialist treats pelvic organ prolapse?

The specialist checks which pelvic organ is affected, how far it has moved, and whether it is causing pressure, a vaginal bulge, leaking urine, difficulty emptying the bladder, constipation, or discomfort during sex. The assessment may include a pelvic examination and a discussion of childbirth, menopause, previous surgery, activity, and symptom impact.

A urogynaecologist focuses on prolapse alongside bladder and pelvic-floor problems. A colorectal or continence service may be involved when bowel symptoms need separate assessment.

Arrange an appointment with a gynaecologist or pelvic-floor service. Note when the bulge or pressure appears, whether it changes after standing or exercise, and any urinary or bowel changes. Treatment can be tailored to symptoms and may include pelvic-floor physiotherapy, a vaginal pessary fitting, or surgery such as pelvic-floor repair or sacrocolpopexy.

Ask whether constipation, coughing, heavy lifting, or hormonal changes may be worsening symptoms, and discuss options that fit your health, plans, and preferences.

Seek urgent care if you cannot pass urine, have severe pelvic pain, heavy bleeding, fever, or a protruding tissue that becomes very painful, dark, or difficult to push back. Sudden severe symptoms need assessment rather than waiting for a routine appointment.

Ask which organ is prolapsing, whether the bladder or bowel is affected, how pelvic-floor treatment or a pessary would work, and what recovery would involve if surgery is considered.