Treatment For Pelvic Organ Prolapse

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Understanding Pelvic Organ Prolapse

Pelvic organ prolapse occurs on the occasion of one or multiple pelvic organs falling down from their usual position, protruding into the rectum or vagina. This condition arises due to weakening or damage of the pelvic floor muscles, which are responsible for supporting these organs. While more prevalent in females, pelvic organ prolapse can also affect males.

The pelvic organs encompass the bladder, vagina (in females), small and large intestines, rectum, and uterus (in females). Various types of prolapse exist depending on the organ affected. In females, these include:

  • Cystocele (anterior vaginal wall prolapse): Characterised by the sagging of the front vaginal wall, allowing the bladder to descend into the vagina.
  • Enterocele (small bowel prolapse): Involves the protrusion of part of the small intestine into the vagina.
    Rectocele (posterior vaginal wall prolapse): Features the sagging of the back vaginal wall, leading to the pressing of the rectum into the vagina.
  • Uterine prolapse: This happens when the uterus drops into the vagina.
  • Vaginal vault prolapse: Involves the descent of the upper part of the vagina into the vaginal canal.

In males experiencing pelvic organ prolapse, rectal prolapse is the typical manifestation. This condition entails the bulging of part of the rectum into the anus, where stool exits the body.

Find relief from pelvic organ prolapse with JOGO's advanced digital therapeutics solution, providing effective treatments for both males and females. Our tailored treatments target weakened pelvic floor muscles, restoring support and improving quality of life.

Model of the pelvic bone.

Causes of Pelvic Organ Prolapse

Pelvic organ prolapse stems from either weakened pelvic supports or heightened pressure within the abdominal cavity.

The primary causes of weakened pelvic supports include:

  • Pregnancy and childbirth
  • Hysterectomy
  • Ageing and menopause
  • Genetic predisposition

Factors contributing to increased abdominal pressure typically include:

  • Obesity
  • Persistent coughing
  • Constipation
  • Intensive exercise or lifting

Frequently, a combination of these factors contributes to the development of prolapse.

Stages of Pelvic Organ Prolapse

Pelvic organ prolapse commonly presents in mild cases, where the prolapse may spontaneously correct itself over time or stabilise with or without intervention. However, progression to more severe stages can occur. Staging of pelvic organ prolapse typically follows this classification:
Stage I

Characterised by mild prolapse, where the organs are partially supported by the pelvic floor and may have descended into the upper portion of the vagina.

Stage II

Indicates a moderate prolapse, where the pelvic organs have descended further into the lower part of the vagina but remain contained within it.

Stage III

Represents a severe prolapse, with pelvic organs having descended to or beyond the vaginal opening, protruding noticeably.

Stage IV

Signifies the most advanced stage, where pelvic organs have completely descended through the vaginal opening.

Treatment For Pelvic Organ Prolapse: JOGO’s Transformative Care

Don't let pelvic floor prolapse hold you back. Schedule your appointment today and trust JOGO's clinically proven methods to restore your pelvic health and vitality.

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Complications Involved in Pelvic Organ Prolapse

Prompt treatment is essential if you suspect you have any form of prolapse, even in mild instances. Left unaddressed, pelvic organ prolapse can lead to complications such as lesions on the cervix (the opening to the uterus), heightening the risk of injury or infection to surrounding pelvic organs. Pelvic organ prolapse may lead to several complications, including:

  • Urinary incontinence (bladder control problems)
  • Urethral kinking, causing difficulty urinating
  • Fecal incontinence (bowel control problems), resulting in the passage of liquid or solid stools involuntarily
  • Difficulty with bowel movements due to stool getting trapped.
  • Pain during sexual intercourse
  • Urinary tract infections
  • Potential kidney damage if urine flow is obstructed.
Female pelvis anatomy, with highlighted painful area showing complications from dyssynergic defecation.

Treatments for Pelvic Organ Prolapse

Early recognition of pelvic prolapse signs can significantly impact treatment outcomes. Our nonsurgical approach encompasses self-care techniques and supportive devices tailored to your needs. Our comprehensive therapies include:

Pelvic floor exercises

Our specialised pelvic floor physical therapists design personalised exercise plans, incorporating techniques such as Kegel exercises to strengthen pelvic floor muscles. These exercises can be easily performed at home to alleviate symptoms.

Biofeedback therapy

Biofeedback therapy uses a small sensor and computer monitor to assist in locating and strengthening pelvic floor muscles. This technique enhances awareness of bodily functions, enabling better control.

Lifestyle changes

Implementing certain lifestyle adjustments can slow prolapse progression and address associated conditions. Dietary modifications, such as increasing fibre intake to alleviate constipation and reducing straining during bowel movements, are beneficial. Additionally, quitting smoking and maintaining a healthy weight are recommended.

JOGO’s Pelvic Organ Prolapse Treatment Plan

JOGO therapy is a noninvasive digital EMG-based biofeedback therapy designed to effectively address pelvic floor prolapse. With JOGO's advanced sensors, patients can visualise muscle signals in real time via a tablet or PC, providing valuable insights into their treatment progress. Guided by specialists, each treatment plan is tailored to meet the unique needs of every client.

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Frequently Asked Questions on Treatment for Pelvic Organ Prolapse

What causes pelvic organ prolapse?

Pelvic organ prolapse happens when the ligaments holding the pelvic organs in place become torn or stretched, and the pelvic floor muscles weaken. This allows the pelvic organs to sag into or bulge the vagina.

How common is pelvic prolapse, and who is at risk?

Pelvic organ prolapse is linked to the weakening of pelvic support structures, often due to factors like genetics, childbirth injury, chronic straining with constipation, and ageing. It is highly prevalent, affecting approximately 50 per cent of women to some degree.

How do you know if you have pelvic organ prolapse?

Symptoms may include urinary leakage, difficulty emptying the bladder or having a bowel movement, pelvic pressure or fullness, lower back pain, and in severe cases, protrusion of organs from the vagina.

How can I reduce the chances of prolapse?

Strengthening the pelvic floor muscles through exercises like Kegels can promote pelvic health and minimise the risk of prolapse. Additionally, avoiding chronic straining, maintaining a fibre-rich diet to prevent constipation, reducing chronic coughing, and quitting smoking can help reduce strain on the pelvic floor.

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