Pelvic Organ Prolapse Treatment

Older black woman recliningThe Female Pelvic Medicine and Reconstructive Surgery Center at Robert Wood Johnson University Hospital specializes in treating all types of pelvic organ prolapse.

Pelvic organ prolapse is a common condition that affects women. The condition occurs when the muscles and tissues supporting the vagina and pelvic floor become weak or damaged and no longer have the ability to support the pelvic organs (uterus, bladder and rectum).

Pelvic organ prolapse can be caused by a number of factors including childbirth, constipation, pelvic surgery, obesity and menopause, and some women may be genetically predisposed.

Symptoms of pelvic organ prolapse include a vaginal bulge (that you can see or touch) and vaginal pressure, and occasionally problems with emptying the bladder or completing a bowel movement.

Conditions We Treat

Below are several types of pelvic organ prolapse that can occur.

  • Uterine Prolapse
    Uterine prolapse occurs when the uterus and cervix drop in the vaginal canal or outside of the vagina.

  • Cystocele (anterior prolapse)
    Cystocele is when the bladder drops and protrudes into the vagina.

  • Rectocele (posterior prolapse)
    Rectocele occurs when the rectum drops and protrudes into the vagina.

  • Vaginal Vault Prolapse
    Vaginal vault prolapse usually occurs after the uterus has been removed (hysterectomy), causing the upper portion of the vagina drop into the vaginal canal or outside of the vagina.

Treatment for Pelvic Organ Prolapse

There are several treatment options for pelvic organ prolapse.

Depending on your condition, your doctor may recommend lifestyle changes or pelvic (kegel) exercises with or without a physical therapist.

If these measures are not effective, you doctor may recommend a vaginal pessary, which is a silicone ring inserted into the vagina to support the tissues.

Finally, your doctor may recommend surgery. There are several surgical options depending on your specific condition and the severity and type of prolapse.

Our fellowship-trained female pelvic medicine and reconstructive surgeons specialize in all of the above treatments.

For More Information

For more information about pelvic floor disorders and incontinence, including definitions of terms, causes, symptoms, diagnoses and treatments, visit our Educational Resources page.