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Prolapse 101: Symptoms, Treatment, and Recovery

Maarch, 2025

Prolapse is a common yet often misunderstood condition that affects many individuals, particularly women. It occurs when an organ, such as the bladder, uterus, or rectum, shifts from its normal position and presses against or descends into the vaginal canal. While this condition can be concerning, effective treatment options are available to manage symptoms and improve quality of life.

Symptoms of Prolapse

The symptoms of prolapse can vary depending on the severity and the organ affected. Some of the most common signs include:

A feeling of pressure or heaviness in the pelvic region

A noticeable bulge or protrusion from the vaginal opening

Urinary incontinence or difficulty emptying the bladder

Bowel movement issues, including constipation or incomplete evacuation

Lower back pain or discomfort during intercourse

A sensation of something “falling out” in the vaginal area

If you are experiencing any of these symptoms, it is important to consult a healthcare professional for an accurate diagnosis and treatment plan.

Causes and Risk Factors

Prolapse can be caused by a variety of factors, including:

  • Pregnancy and childbirth :Vaginal deliveries, especially multiple births, can weaken pelvic floor muscles.
  • Aging and menopause : Decreased estrogen levels can weaken the supportive tissues in the pelvic area.
  • Chronic constipation or straining : Increased pressure on the pelvic organs can contribute to prolapse.
  • Heavy lifting : Repeated heavy lifting can put strain on the pelvic muscles.
  • Obesity : Excess weight can add pressure to the pelvic organs and weaken the support structures.
  • Genetics : Some individuals may have a genetic predisposition to weak connective tissues.

Treatment Options for Prolapse

The treatment for prolapse depends on its severity and the impact on daily life. Options range from conservative measures to surgical interventions:

1. Pelvic Floor Physical Therapy

Physical therapy plays a crucial role in strengthening the pelvic floor muscles and alleviating symptoms. A specialized physical therapist can guide you through targeted exercises, such as Kegels, to improve muscle tone and support.

2. Lifestyle Modifications

Making simple lifestyle changes can help manage symptoms, including:

  • Maintaining a healthy weight
  • Avoiding heavy lifting
  • Treating constipation with a fiber-rich diet
  • Practicing good bladder habits

3. Pessary Device

A pessary is a small, removable device inserted into the vagina to provide support to prolapsed organs. This is a non-surgical option that can be effective for many individuals.

4. Surgical Intervention

For severe cases, surgery may be necessary to repair the prolapse and restore normal anatomy. Common procedures include vaginal mesh repair, sacrocolpopexy, or hysterectomy (in cases involving uterine prolapse). A physician can help determine the best surgical approach based on individual needs.

Recovery and Prevention

Recovery from prolapse treatment varies depending on the method used. If undergoing physical therapy or using a pessary, improvement can be gradual over weeks or months. Surgical recovery typically requires several weeks of rest and limited physical activity to allow proper healing.

To prevent prolapse or reduce the risk of recurrence, consider the following:

  • Perform regular pelvic floor exercises
  • Maintain a healthy body weight
  • Avoid straining during bowel movements
  • Seek early intervention for symptoms

How Go Physical Therapy Can Help

At Go Physical Therapy, we specialize in pelvic floor rehabilitation to help individuals manage prolapse symptoms and regain control over their daily activities. Our expert physical therapists develop personalized treatment plans tailored to your specific needs, ensuring the best possible outcomes.

If you're experiencing signs of prolapse, don't wait

Contact Go Physical Therapy today to schedule an evaluation and start your journey toward recovery.