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Pelvic organ prolapse (POP) occurs when the muscles or ligaments in your pelvic floor are stretched or become too weak to hold your organs in the correct position. When this happens, organs such as the bladder, rectum, and uterus can bulge (prolapse) into the vagina and sometimes past the vaginal opening. Imagine a hammock tied between two trees. Now imagine that same hammock after tears of heavy use.
Potential causes of POP include:
Schedule an appointment with Hendricks Urogynecology at (317) 386-5632.
Cystocele
A cystocele forms when the upper vaginal wall loses its support and sinks downward. This allows the bladder to drop. When a cystocele becomes advanced, the bulge may become visible outside the vagine. The symptoms caused by cystoceles can include pressure, slowing of the urinary stream, overactive bladder and an inability to fully empty the bladder.
Vaginal Vault Prolapse
This occurs when the uterine or vaginal support structures hlding the upper part of the vagina are weakened. When weakened, the organs, that they should be supporting collapse into your vagina, creating the sensation of a lump or bulge. If the uterus is present, this is called "uterine prolapse". Symptoms include pressure, pain, bladder infections and difficulty urinating.
Rectocele
A rectocele forms when the lower vaginal wall loses its support, allowing the rectum to bulge into the vagina. Rectoceles may cause difficulty with bowel movements — including the need to strain more forcefully, a feeling of rectal fullness even after a bowel movement, feeling a sense of looseness, increased fecal soiling and incontinence of stool or gas.
Enterocele
An enterocele typically forms when the small intestine bulges through the top of the vagina after a hysterectomy, but not always. In some women, the intestine may slide between the back of the vagina and the rectum. The symptoms can be vague, including a bearing down pressure in the pelvis and vagina, and perhaps lower backache.
Pelvic organ prolapse is more common among women than you might think. The important thing to remember is you're not alone.
Did you know:
There are many women out there just like you who experience pain and sicomfort associated with prolapse. But you don't have to continue living like this; options are available to you. If you are concerned that you might have prolapse, talk to your specialist today.
It's always importrant to talk with a specialist sooner rather than later when you suspect you may be experiencing symptoms associated with organ prolapse.
There’s no shame in joining the conversation and there is no guilt in putting your health first. Schedule an appointment with Hendricks Urogynecology at (317) 386-5632 if you are experiencing any or multiple of these common symtoms.
1. Vaginal Pessary for Pelvic Organ Prolapse. IUGA. “http://www.yourpelvicfloor.org/conditions/vaginal-pessary-for-pelvic-organ-prolapse” www.yourpelvicfloor.org/conditions/vaginal-pessary-for-pelvic-organ-prolapse. Accessed September 2018.
2. Pelvic Organ Prolapse: Health, Help, Hope, and Healing. APOPS. pelvicorganprolapsesupport.org/pelvic-organ-prolapse-help-and-hope. Accessed September 2018.
3. Pelvic Organ Prolapse. IUGA. www.yourpelvicfloor.org/conditions/pelvic-organ-prolapse. Accessed April 30, 2021.
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