Pelvic organ prolapse is a condition common in women that leads to urinary retention, urinary incontinence, problems with bowel movements, and pain and discomfort in the pelvic region. It happens more commonly in older women, women who have given multiple vaginal childbirths, and women who are Caucasian or Hispanic. Although women who don’t fit these criteria, and men, can also get pelvic organ prolapse.
This article will discuss the condition’s causes, symptoms, and treatments, as well as the different types and stages of pelvic organ prolapse.
The pelvic organs are internal organs in the pelvic area such as the bladder, the small bowel, and the rectum. For women, pelvic organs also include the uterus, vagina, and cervix.
Prolapse refers to when something has slipped or dropped from its original place.
Under normal circumstances, the pelvic floor— a group and muscles and tissues—holds and pelvic organs up like a hammock and keep everything in place. When the pelvic floor weakens, the rectum, bladder, and uterus can drop down and press into surrounding tissues and organs. This is called pelvic organ prolapse, a condition common in women but can occur in men as well.
Pelvic organ prolapse can lead to urinary retention, urinary incontinence, and fecal incontinence. In severe cases, the rectum can protrude out of the anus, and the uterus can protrude out of the vagina.
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The main cause of pelvic organ prolapse is the weakening or damage of the pelvic floor. A range of factors can stress the pelvic floor and weakens it, and the most common ones are:
What most of these causes have in common is, they put pressure and stress on your pelvic floor. Childbirth, pregnancy, chronic coughing, chronic constipation, and obesity all put pressure on your pelvic floor.
The pelvic floor also weakens with age, and older women have higher instances of POP than younger women. The decrease of estrogen production during menopause can also lead to pelvic organ prolapse.
Bladder prolapse, also known as anterior prolapse or cystocele, is the dropping of the bladder, which can lead to urinary retention and stress incontinence. When the bladder drops, it can press into the vagina.
Uterine prolapse is the prolapse of the uterus. It can lead to symptoms of urinary retention, incontinence, difficult bowel movements, and tissue protruding from the vagina.
Rectal prolapse is the prolapse of the rectum, the last part of the big intestine leading to the anus. This condition leads to difficulty controlling bowel movements, constipation, and rectal bleeding. The rectum can protrude out of the anus, and ulcers can develop on the protruding parts.
These are some of the common symptoms of POP, some symptoms may vary depending on the specific type of POP.
If you have any of these symptoms or suspect you have POP, please reach out to your doctor for a formal diagnosis.
There are four stages of POP:
Here are some of the treatments your doctor may recommend first if your condition is relatively mild.
If the above non-surgical treatments would not work, surgery may be needed. There’re two types of pelvic organ prolapse surgery:
Please note that this article does not serve as formal medical advice and should not be used to self-diagnose or self-treat. Please consult a medical professional for the diagnosis and treatment of your condition.
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