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Updated: Dec 12, 2021

Many women who have had children are affected by prolapse, with its primary causes being pregnancy and childbirth.

Prolapse may impact on as many as 1 in 3 women.

What is prolapse?

Simply, it is the bulging of one, or more, pelvic organs into the vagina. This is the result of the weakening of tissues which support these organs.

  • If the bladder protrudes into the vagina it is referred to as a cystocele;

  • If the uterus protrudes into the vagina it is known as a hysterocele;

  • If the rectum protrudes into the vagina it is called a rectocele.

The causes of prolapse

Prolapse may be causes by any of the following:

  • Pregnancy and childbirth (most frequently)

  • Menopause/low oestrogen levels

  • Chronic coughing

  • Constipation

  • Heavy lifting

Indications of prolapse

Patients suffering from prolapse commonly refer to the vagina feeling different, describing the sensation that "something" is descending the vagina, or that there is a vaginal "heaviness". These sensations may be (but not necessarily) most noticeable towards the end of the day. Other patients experience backache and/or pain in the pelvic region. Some women find difficulty in using the toilet; whilst other experience accidental or inadvertent urination. Some patients will also experience discomfort pain during sexual intercourse.

What to expect from rehabilitation

Your experienced female therapist will conduct a detailed individual assessment, including a sensitively managed physical examination.

An individually tailored treatment program will usually consist of:

  • Pelvic floor exercises (kegels)

  • Electrostimulation (TENS)

  • Abdominal exercises (hypopressive exercises)

Your therapist will be able to discuss other forms of treatments, appropriate to individual needs, including the use of pessaries. Additionally, your therapist will be able to offer advice on lifestyle and suggest alterations, if necessary.

Don't let prolapse damage your quality of life, book your appointment now!

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