Pelvic floor weakness and prolapse

These conditions fall under pelvic organ prolapse (POP) and can affect women of different ages. We aim to provide valuable information about these conditions, their causes, symptoms, and available treatment options.

Pelvic organ prolapse occurs when the pelvic organs, such as the uterus, bladder, or rectum, descend or bulge into the vaginal canal due to weakened pelvic floor muscles and ligaments. This weakening can be a result of childbirth, hormonal changes, aging, obesity, chronic coughing, or heavy lifting.

Vaginal prolapse refers to the descent or protrusion of the vaginal walls, typically caused by weakened pelvic floor support. This condition may involve different types of prolapse, including:

1. Uterine Prolapse: The uterus descends into the vaginal canal, leading to a feeling of pressure or a visible bulge.
2. Vaginal Vault Prolapse: After a hysterectomy, the upper part of the vagina drops down.

A rectocele occurs when the rectum bulges into the back wall of the vagina. This can happen when the supportive tissue between the rectum and vagina weakens or stretches. Symptoms may include difficulty with bowel movements, a sensation of incomplete bowel evacuation, or the need for manual assistance during bowel movements.

Cystocele, also known as a bladder prolapse, happens when the bladder drops into the front wall of the vagina. Weakness in the pelvic floor muscles and ligaments can contribute to this condition. Symptoms may include urinary urgency, frequency, incomplete bladder emptying, or difficulty with urination.

Common symptoms of vaginal prolapse, rectocele, and cystocele may include:

• A feeling of pelvic pressure or heaviness
• Sensation of a bulge or protrusion in the vaginal area
• Discomfort or pain during sexual intercourse
• Urinary symptoms like frequent urination, urgency, or leakage
• Bowel symptoms such as constipation, difficulty passing stools, or needing manual assistance

Fortunately, there are various treatment options available to manage vaginal prolapse, rectocele, and cystocele. The most suitable approach will depend on the severity of the condition, the impact on your quality of life, and your personal preferences. Treatment options include:

Pelvic Floor Exercises
Strengthening muscles through pelvic floor exercises like Kegels can help improve muscle tone and support the pelvic organs.

Pessary
A pessary is a removable device inserted into the vagina to provide support and alleviate symptoms.

Lifestyle Modifications
Maintaining a healthy weight, avoiding heavy lifting, managing chronic coughing, and adopting good bowel habits can help reduce symptoms and prevent further deterioration.

Non-surgical intervention
Utilising the power of radiofrequency and microneedling from the Empower RF the muscles in the vagina and surrounding tissues can be tightened. (link to the EMPOWER RF page)

Surgical Intervention
In cases where non-surgical methods are ineffective or the prolapse is severe, surgical procedures may be considered. These procedures aim to restore the normal positioning and support of the pelvic organs.

Remember, you’re not alone in dealing with vaginal prolapse, rectocele, or cystocele. Seeking timely treatment and support can significantly improve your quality of life. By understanding these conditions and exploring available treatment options, you can regain comfort, confidence, and overall well-being.