Pelvic Organ Prolapse
What is Pelvic Organ Prolapse?
Normally the vagina and the uterus are secured to the pelvis by connective
tissue that forms ligament-like structures as well as a strong “envelope”
around the vaginal walls. As pelvic floor muscles weaken, these connective
structures give way, allowing the vagina to become displaced towards, and
at times beyond the vaginal opening. The bladder above and the rectum below
the vagina are thereby affected, leading to the following symptoms.
What are the symptoms?
- Loss of bladder or possibly bowel control
- Difficulty voiding
- Urinary frequency
- Problems with bowel movements
- Feelings of pelvic or vaginal heaviness, bulging, fullness and/or pain
- Recurrent bladder infections
- Excessive vaginal discharge
- Discomfort or lack of sensation with intercourse
What causes the condition?
While aging is a dominant factor, there are many potential contributing causes. They include loss of muscle tone, menopause and estrogen loss, multiple vaginal deliveries, obesity, family history, pelvic trauma or previous surgery, repeated heavy lifting, chronic constipation, coughing and certain medical conditions such as diabetes or connective tissue disorders.
How common is Pelvic Organ Prolapse?
It is a very common disorder, particularly in older women. Half of all women over age 50 experience some degree of pelvic organ prolapse. By age 80, more that one in every 10 women will have undergone surgery for prolapse.
|