What is Pelvic Organ Prolapse?

What is Pelvic Organ Prolapse?

Pelvic organ prolapse occurs when there is a weakness in the tissue and potentially the supporting ligaments of the bladder, bowel or uterus. This weakness in the tissue often results in women noticing a bulge or new found 'lump' vaginally that may have not previously existed and may be accompanied by an array of symptoms.

What are the common symptoms of pelvic organ prolapse?

What are the common symptoms of pelvic organ prolapse?

Symptoms will vary from patient to patient, the most common symptoms that patients describe is a dragging sensation. Other symptoms include:

  • Changes to bladder function
  • Changes to bowel function
  • Discomfort with intercourse
  • Palpable mass in the vagina
What should a patient expect?

What should a patient expect?

Every patient is different and will have a unique bespoke journey for their treatment of their pelvic organ prolapse. 

Patients should expect an initial 45 minute consultation that can be performed face to face of via telehealth. During the consultation:

  • A detailed history will be taken
  • In most cases, a pelvic examination with use of a speculum is required
  • Review of (or ordering) investigations such as a pelvic ultrasound or urodynamics may be required

A discussion on treatment planning will occur identifying your goals as a patient and should surgery be indicated there will be a detailed discussion about the processes, risks, costs, post-surgical management as well as time frames.

FAQs

What is pelvic organ prolapse?

Pelvic organ prolapse occurs when there is a weakness in the tissue and potentially the supporting ligaments of the bladder, bowel or uterus. This weakness in the tissue often results in women noticing a bulge or new found 'lump' vaginally that may have not previously existed and may be accompanied by an array of symptoms.

How do I know if I need prolapse repair surgery?

Surgery is really only advised for those women whom continue to be symptomatic from their prolapse despite exhausting much more conservative approaches. Where appropriate, these conservative approaches may be a vaginal pessary and pelvic floor physiotherapy.

What are the benefits of minimally invasive prolapse repair surgery?

A minimally invasive approach will result in women returning to their normal duties in life much quicker due to a decreased pain requirement.

Will I need mesh for prolapse repair?

Sam is accredited to perform Laparoscopic Mesh Sacrocolpopexy and reserves this for women with significant prolapse that is affecting multiple areas or in those whom previous surgical approaches have failed to correct the prolapse.

Does the surgery for prolapse involve vaginal mesh?

No, It is really important to note that it was vaginal mesh that was the focus and centre of all the media attention and class action. Sam does not perform vaginal mesh surgeries and has never in his private practice.

What does recovery look like after prolapse surgery?

The recovery time is highly dependent upon the nature of your surgery and its approach, but typically will require a minimum of 2 weeks off work. Sam will generally advise you to avoid sex, swimming, tampons and heavy lifting (anything greater than 7kg) for a period of 6 weeks. He will often give you advice on how to avoid constipation post the surgery to ensure that the stitches heal effectively and that there is less of a chance of recurrence of prolapse.