Pelvic Organ Prolapse

Pelvic organ prolapse is a common condition affecting many women who have sustained childbirth damage. As prolapse tends to progress with age and as life expectancy improves, more and more women are affected and are expected to seek help for this condition.

Prolapse can affect any of the pelvic organs - the bowels, the bladder, the uterus. The condition usually manifests as a visible lump through the vagina with or without disturbances to normal bladder, bowel or sexual functions.

While not life-threatening, pelvic organ prolapse with associated functional disturbance can affect womens quality of life, body image and self-confidence.

Conservative and surgical treatment options are available.

Non-surgical treatments for pelvic organ prolapse include:

  • Pelvic floor exercises
  • Correction of aggravating factors heavy lifting, chronic coughing, chronic constipation
  • Hormone replacement therapy
  • Vaginal pessary

The aims of surgery are:

  • to identify and repair the damaged connective tissues and pelvic floor muscles
  • to restore the prolapsed organs to their normal position
  • to improve or restore their functions to normal

There are many different types of operations for pelvic organ prolapse. The surgical options have widened overtime as new techniques and repair materials become available. Modern minimal access surgical techniques and newly designed soft meshes have combined to offer women with pelvic organ prolapse excellent long-term results.

While hysterectomy is often advised as part of surgery for POP, there is no evidence to suggest that removal of the uterus actually improves outcomes. Hysterectomy could inadvertently cause trauma to the already damaged pelvic floor with consequent increased risks of functional disturbance and is avoidable in the majority of cases.

At CARE, our highly experienced surgeons specialize in the management of pelvic organ prolapse. We have treated thousands of women, many of whom have been referred due to the complexity of their problems or previous unsuccessful surgical repairs. CARE is also actively involved in clinical research with the hope of improving surgical. Outcome through development of modern surgical techniques and trials of newly designed implantable materials.