Why does pelvic organ prolapse cause leaking urine?

Leaking Urine is a common presentation of Pelvic Organ Prolapse. When the front wall of the vagina and bladder move downward, the angle between the bladder and urethra can change. The bladder may then empty less smoothly, or the urethra may not close firmly when pressure rises in the abdomen.

Some people notice leakage with sneezing, laughing, lifting, or exercise. Others feel urgency, need to pass urine often, have a weak stream, or still feel full after using the toilet. The type and degree of prolapse do not always match the amount of leakage.

Book an appointment if leakage is new, troublesome, or accompanied by a vaginal pressure or bulge. Assessment may include questions about bladder habits, an examination, and a urine test to look for infection. A pelvic floor physiotherapist can teach exercises that target the muscles supporting the bladder and pelvic organs.

Helpful measures may include allowing enough time to empty the bladder, treating constipation, and adjusting activities that consistently trigger leakage. A clinician can discuss options such as a support device or other treatment when symptoms interfere with daily life.

Seek prompt care if you cannot pass urine, have blood in the urine, fever with painful urination, severe pelvic pain, or sudden worsening weakness or numbness. These signs may point to a problem needing quicker assessment than prolapse-related leakage alone.

Ask which type of leakage you have, whether prolapse is affecting bladder emptying, how to perform pelvic floor exercises correctly, and which support or treatment options fit your symptoms.